Evaluating financial viability of clinical programs under prospective pricing

Research output: Contribution to journalArticlepeer-review

Abstract

The future of some clinical programs may depend in part on whether they appear to be profitable when viewed through the lens of Medicare's diagnosis-related group (DRG) reimbursement formulae. It is important to review the appropriateness and accuracy of financial analyses that use DRGs as a definition of service. In fact, in most hospitals, some DRGs may prove to be poor measures of services actually delivered - so poor that financial studies conducted on the basis of DRGs may lead to profound errors in major investment decisions.

Original languageEnglish (US)
Pages (from-to)81-86
Number of pages6
JournalQuality Review Bulletin
Volume11
Issue number3
StatePublished - Jan 1 1985

ASJC Scopus subject areas

  • Leadership and Management

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