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In France, GHM (French DRGs) have been used to fund the acute hospital sector since 2005, with extra per day for outliers or intensive care units, and specific payments for educational tasks, research and general interest. However, at present fees differ between for-profit and non-profit hospitals. But the law requires that fees must converge by 2012, with a 50% reduction in the differences by the end of 2009. France has one of the highest percentages of for-profit hospital beds in Europe. These hospitals are often very specialized. Homogenization of GHM becomes, therefore, a crucial issue. For-profit and non-profit hospitals do not have the same rates and the same kinds of CC. The current version of the French DRG uses only two levels of GHM (with/without CC), and specific GHMs for major CC, as do AP-DRGs. Hence, ATIH decided to improve the way to take CC into account. |
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