Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Hospital payment based on diagnosis-related groups.

R B Fetter1

  • 1Department of Operations Research, Yale University, New Haven, CT 06520.

Journal of the Society for Health Systems
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A system for cost and reimbursement control in hospitals. 1976.

The Yale journal of biology and medicine·2002
Same author

Casemix classification systems.

Australian health review : a publication of the Australian Hospital Association·1999
Same author

Diagnosis-related group refinement with diagnosis- and procedure-specific comorbidities and complications.

Medical care·1995
Same author

Inventors of DRGs look at PPS now. Interview by Marybeth Burke.

Hospitals·1992
Same author

Procedure codes: potential modifiers of diagnosis-related groups.

Health care financing review·1991
Same author

Improving DRGs. Use of procedure codes for assisted respiration to adjust for complexity of illness.

Medical care·1989
Same journal

Reengineering health care materials management.

Journal of the Society for Health Systems·1998
Same journal

Strategies for reducing material costs through implementation of clinical guidelines.

Journal of the Society for Health Systems·1998
Same journal

Hospital supply channel management.

Journal of the Society for Health Systems·1998
Same journal

TQM implementation strategies in hospitals: an empirical perspective.

Journal of the Society for Health Systems·1998
Same journal

Influences on nursing care volume.

Journal of the Society for Health Systems·1998
Same journal

Disease progression and cost of insulin dependent diabetes mellitus: development and application of a simulation model.

Journal of the Society for Health Systems·1998
See all related articles

Medicare

Area of Science:

  • Health economics
  • Healthcare policy
  • Hospital administration

Background:

  • The Prospective Payment System (PPS) is Medicare's method for reimbursing hospitals.
  • Diagnosis-Related Groups (DRGs) are fundamental to the PPS structure.
  • Understanding DRGs is crucial for comprehending Medicare hospital payments.

Purpose of the Study:

  • To describe the Medicare Prospective Payment System (PPS).
  • To detail the role and function of Diagnosis-Related Groups (DRGs) within PPS.
  • To identify areas for improvement and potential extensions of the PPS model.

Main Methods:

  • Descriptive analysis of the Medicare Prospective Payment System.
  • Detailed explanation of Diagnosis-Related Groups (DRGs).

Related Experiment Videos

  • Identification and discussion of challenges and alternative payment models.

    • Main Results:

    • The Prospective Payment System (PPS) has demonstrated impressive results in healthcare reimbursement.
    • Diagnosis-Related Groups (DRGs) are integral to the PPS framework.
    • Opportunities exist to enhance and expand the current PPS approach.

    Conclusions:

    • The Medicare Prospective Payment System (PPS), utilizing Diagnosis-Related Groups (DRGs), is a significant healthcare reimbursement model.
    • While effective, the PPS faces challenges and presents opportunities for future development.
    • Alternative payment strategies beyond direct payment warrant consideration.