Transition to Diagnosis-Related Group (DRG) Payments for Health

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Author :
Publisher : World Bank Publications
ISBN 13 : 1464815216
Total Pages : 69 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Transition to Diagnosis-Related Group (DRG) Payments for Health by : Caryn Bredenkamp

Download or read book Transition to Diagnosis-Related Group (DRG) Payments for Health written by Caryn Bredenkamp and published by World Bank Publications. This book was released on 2019-12-19 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines how nine different health systems--U.S. Medicare, Australia, Thailand, Kyrgyz Republic, Germany, Estonia, Croatia, China (Beijing) and the Russian Federation--have transitioned to using case-based payments, and especially diagnosis-related groups (DRGs), as part of their provider payment mix for hospital care. It sheds light on why particular technical design choices were made, what enabling investments were pertinent, and what broader political and institutional issues needed to be considered. The strategies used to phase in DRG payment receive special attention. These nine systems have been selected because they represent a variety of different approaches and experiences in DRG transition. They include the innovators who pioneered DRG payment systems (namely the United States and Australia), mature systems (such as Thailand, Germany, and Estonia), and countries where DRG payments were only introduced within the past decade (such as the Russian Federation and China). Each system is examined in detail as a separate case study, with a synthesis distilling the cross-cutting lessons learned. This book should be helpful to those working on health systems that are considering introducing, or are in the early stages of introducing, DRG-based payments into their provider payment mix. It will enhance the reader's understanding of how other countries (or systems) have made that transition, give a sense of the decisions that lie ahead, and offer options that can be considered. It will also be useful to those working in health systems that already include DRG payments in the payment mix but have not yet achieved the anticipated results.

DRGs

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Author :
Publisher :
ISBN 13 :
Total Pages : 384 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis DRGs by : Robert B. Fetter

Download or read book DRGs written by Robert B. Fetter and published by . This book was released on 1991 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: The DRG Patient classification system. Use of DRGs for managing hospital resources. The product-line management model. Cost accounting and budgeting. Nursing resources. Use of DRGs for financing patient care. Structure of a DRG-based prospective payment system. Using DRGs for international comparisons. DRG analogues for ambulatory care and long-term care

EBOOK: Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals

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Author :
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335245587
Total Pages : 490 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals by : Reinhard Busse

Download or read book EBOOK: Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals written by Reinhard Busse and published by McGraw-Hill Education (UK). This book was released on 2011-11-16 with total page 490 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives. Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main ‘building blocks’ of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector

DRG Expert

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Author :
Publisher : Ingenix
ISBN 13 : 9781601515506
Total Pages : 0 pages
Book Rating : 4.5/5 (155 download)

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Book Synopsis DRG Expert by : Ingenix

Download or read book DRG Expert written by Ingenix and published by Ingenix. This book was released on 2011-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The DRG EXPERT has been a trusted and comprehensive reference to the DRG classification system for over 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively.

Diagnosis Related Groups (DRGs) and the medicare program : implications for medical technology.

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Author :
Publisher : DIANE Publishing
ISBN 13 : 142892390X
Total Pages : 80 pages
Book Rating : 4.4/5 (289 download)

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Book Synopsis Diagnosis Related Groups (DRGs) and the medicare program : implications for medical technology. by :

Download or read book Diagnosis Related Groups (DRGs) and the medicare program : implications for medical technology. written by and published by DIANE Publishing. This book was released on 1983 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Diagnosis Related Groups (DRGs) and the Medicare Program

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Author :
Publisher :
ISBN 13 :
Total Pages : 100 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Diagnosis Related Groups (DRGs) and the Medicare Program by :

Download or read book Diagnosis Related Groups (DRGs) and the Medicare Program written by and published by . This book was released on 1983 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:

DRG Tools

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Publisher : Xlibris Corporation
ISBN 13 : 1469149125
Total Pages : 68 pages
Book Rating : 4.4/5 (691 download)

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Book Synopsis DRG Tools by : Maria Johar

Download or read book DRG Tools written by Maria Johar and published by Xlibris Corporation. This book was released on 2012-01-18 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: not provided

Diagnosis Related Groups (DRGs) and the Medicare Program

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Author :
Publisher :
ISBN 13 :
Total Pages : 100 pages
Book Rating : 4.3/5 (129 download)

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Book Synopsis Diagnosis Related Groups (DRGs) and the Medicare Program by :

Download or read book Diagnosis Related Groups (DRGs) and the Medicare Program written by and published by . This book was released on 1983 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status

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Author :
Publisher :
ISBN 13 :
Total Pages : 140 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status by : Anne Elixhauser

Download or read book Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status written by Anne Elixhauser and published by . This book was released on 1996 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contains information on the most frequent diagnosis and procedures for the top 50 diagnosis-related groups in the United States community hospitals. For each entry, the most common principal diagnosis and most common performed principal procedures are listed. Charges and length of stay are listed for each combination. Results are detailed by insurance status: privately insured, Medicaid, and self-pay patients.

The Globalization of Managerial Innovation in Health Care

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Author :
Publisher : Cambridge University Press
ISBN 13 : 0521885000
Total Pages : 395 pages
Book Rating : 4.5/5 (218 download)

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Book Synopsis The Globalization of Managerial Innovation in Health Care by : John Kimberly

Download or read book The Globalization of Managerial Innovation in Health Care written by John Kimberly and published by Cambridge University Press. This book was released on 2008-12-18 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: An examination of patient classification systems in fifteen different countries throughout the world.

DRG Expert

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Author :
Publisher : Optuminsight
ISBN 13 : 9781601519504
Total Pages : 0 pages
Book Rating : 4.5/5 (195 download)

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Book Synopsis DRG Expert by : Optum

Download or read book DRG Expert written by Optum and published by Optuminsight. This book was released on 2013-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The DRG Expert has been a trusted and comprehensive reference to the DRG classification system for over 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively. Features and benefits Optum Edge-Visual indicators notify you of special alerts. Easily identify CC and MCC restrictions, special payment status, transfer DRG status, surgical/medical partitioning, and other requirements. Optum Edge-Medicare CMS rate structure. Updated to provide current relative weight (RW), geometric mean length-of-stay (GMLOS), and arithmetic mean length-of-stay (AMLOS) for each MS-DRG under IPPS. Optum Edge-MS-DRG structure. Every diagnosis and procedure code that defines each DRG is listed. Optum Edge-LTC-DRG crosswalk and current rate structure. Know what the RW and length-of-stay data are for each MS-DRG under the LTCH prospective payment system. Optum Edge-MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each MDC. Optum Edge-Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may be paid at the per diem rate. Optum Edge-Average national payment. Listed for every MS-DRG as a quick benchmark comparison. Easily locate the correct DRG. Use the numeric or alphabetic index to quickly identify a DRG based on its diagnosis or procedure code. Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you assign the code that reflects the greatest resource utilization. Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast look-up. Icons indicate which CC subclass the DRG belongs to. These important indicators are based upon the presence or absence of CCs or major CCs (MCCs). Complete list of diagnoses conside

The New ICD-9-CM Diagnosis-related Groups Classification Scheme

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Author :
Publisher :
ISBN 13 :
Total Pages : 484 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis The New ICD-9-CM Diagnosis-related Groups Classification Scheme by :

Download or read book The New ICD-9-CM Diagnosis-related Groups Classification Scheme written by and published by . This book was released on 1984 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Diagnosis Related Groups in Europe

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3642784720
Total Pages : 207 pages
Book Rating : 4.6/5 (427 download)

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Book Synopsis Diagnosis Related Groups in Europe by : Merce Casas

Download or read book Diagnosis Related Groups in Europe written by Merce Casas and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 207 pages. Available in PDF, EPUB and Kindle. Book excerpt: When John Thompson and I first began talking about finding a way to measure and cost the output of hospitals in the 1960s. we really had no concept of the need for this kind of result. In fact. if we had listened to others in the health services research community. we would rrever have begun or persisted in the task. But it seemed important to us to begin to understand what up until then seemed unexplainable - the rather strange cost behavior of hospitals. We had the benefit of Professor Martin Feld stein's observation that case-mix was certainly an important factor. but we had literally no guidance on how to make some sense out of the very large number of illnesses that beset the human race. and the very large number of different processes that obtain in our hospitals as they attempt to cope with those illnesses. We were fortunate to find a small number of curious and capable graduate students to join us in this effort. for without them we would not have had a chance of success. While many contrib uted to the ultimate outcome. it is important to single out Ronald E. Mills. Richard F. Averill. Youngsoo Shin. and Jean L. Freeman for their efforts over many years. The diagnosis-related groups (DRGs) constitute a way of identifying the normal output of hospitals in a consistent and exhaustive manner.

Diagnosis-Related Groups In Europe: Moving Towards Transparency, Efficiency And Quality In Hospitals

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Author :
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335245579
Total Pages : 490 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Diagnosis-Related Groups In Europe: Moving Towards Transparency, Efficiency And Quality In Hospitals by : Busse, Reinhard

Download or read book Diagnosis-Related Groups In Europe: Moving Towards Transparency, Efficiency And Quality In Hospitals written by Busse, Reinhard and published by McGraw-Hill Education (UK). This book was released on 2011-11-01 with total page 490 pages. Available in PDF, EPUB and Kindle. Book excerpt: Summary: The volumes in the European Observatory on Health Systems and Policies series focus on key issues for health policy-making in Europe. This book is a joint venture between the WHO/EO and the EuroDRG which addresses the challenges of using Diagnosis Related Group systems in Europe.

Drg Expert

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Author :
Publisher : Optuminsight
ISBN 13 : 9781622541843
Total Pages : 0 pages
Book Rating : 4.5/5 (418 download)

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Book Synopsis Drg Expert by : Optum360

Download or read book Drg Expert written by Optum360 and published by Optuminsight. This book was released on 2015-10 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Diagnosis-related Groups

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Author :
Publisher :
ISBN 13 :
Total Pages : 240 pages
Book Rating : 4.3/5 (2 download)

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Book Synopsis Diagnosis-related Groups by :

Download or read book Diagnosis-related Groups written by and published by . This book was released on 1984 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt:

MS-Drg Training Handbook - 10 Pack

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Author :
Publisher :
ISBN 13 : 9781601461827
Total Pages : 0 pages
Book Rating : 4.4/5 (618 download)

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Book Synopsis MS-Drg Training Handbook - 10 Pack by : Gloryanne Bryant

Download or read book MS-Drg Training Handbook - 10 Pack written by Gloryanne Bryant and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: