Ten issues to consider when evaluating case-mix reimbursement

Peter W Butler, J. D. Bentley

    Research output: Contribution to journalArticlepeer-review

    1 Scopus citations


    In a previous article available case-mix measures and their present reimbursement applications were summarized. This article complements that one by describing ten major policy issues faced by payers and hospitals interested in evaluating case-mix reimbursement: choosing the case-mix measure; tying the case-mix measure to reimbursement; determining which costs are case-mix related; allocating costs to diagnostic groups; identifying, collecting and processing the data; defining atypical patients; examining historical trends; deciding which third parties will participate; meeting the needs of different types of hospitals, and designing an exceptions process.

    Original languageEnglish (US)
    Pages (from-to)34-42
    Number of pages9
    JournalHospital Financial Management
    Issue number6
    StatePublished - Dec 1 1980

    ASJC Scopus subject areas

    • Medicine(all)


    Dive into the research topics of 'Ten issues to consider when evaluating case-mix reimbursement'. Together they form a unique fingerprint.

    Cite this