Impact of Diagnosis-Related Groups' Prospective Payment on Utilization of Medical Intensive Care
Autor: | Richard G. Farmer, Phyllis Stothard, Edward D. Sivak, Muzaffar Ahmad, Daniel Harrington, Lawrence Fergus |
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Rok vydání: | 1988 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Referral media_common.quotation_subject Medicare Critical Care and Intensive Care Medicine Intensive care medicine Humans Intensive care medicine Diagnosis-Related Groups health care economics and organizations media_common Prospective Payment System Financial impact business.industry Significant difference Length of Stay Financial Management Hospital Payment United States Intensive Care Units Medical intensive care unit Medical profession Emergency medicine Cardiology and Cardiovascular Medicine business |
Zdroj: | Chest. 93:176-179 |
ISSN: | 0012-3692 |
Popis: | We examined the financial impact of diagnosis-related groups (DRGs) payment for Medicare patients receiving medical intensive care and looked for any change in the type of patients admitted to the medical intensive care unit (MICU) after one year's experience with DRGs. During 1984, payment for 267 Medicare patients receiving medical intensive care at a large, multispecialty referral hospital was calculated to be $2.6 million below cost, representing an average loss per discharge of $9,794. For those who died (42 percent), the average payment per case was $11,418 below the average per discharge cost. In 1985, 241 Medicare patients treated in the MICU showed an average loss per discharge of $14,113, which rose to $20,271 for those who expired (39.4 percent). There was no significant difference in mortality between the two groups and in type of patients per DRG assignment (p = 0.56 and p = 0.88, respectively) by Chi-squared test. Despite the 1984 DRG experience, there was no change in admission practices or utilization of MICU beds during 1985. Appropriate management responses are needed from both the Federal government and the medical profession for better utilization of MICU resources. |
Databáze: | OpenAIRE |
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