Case mix reimbursement: Measures, applications, experiments

J. D. Bentley, Peter W Butler

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

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 languageEnglish (US)
Pages (from-to)24-35
Number of pages12
JournalHospital Financial Management
Volume34
Issue number3
StatePublished - Jan 1 1980

ASJC Scopus subject areas

  • Medicine(all)

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