This article first summarizes six patient-based approaches to measuring case mix. It reviews the strengths, weaknesses and controversies of the most developed measure: diagnosis related groups (DRGs). Then the article describes five reimbursement systems being developed with case mix as the key variable in determining hospital payments. Considered are the issues which must be faced by regulatory agencies, third-party payers and hospitals.
|Original language||English (US)|
|Number of pages||12|
|Journal||Hospital Financial Management|
|State||Published - Jan 1 1980|
ASJC Scopus subject areas