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 language||English (US)|
|Number of pages||9|
|Journal||Hospital Financial Management|
|State||Published - Dec 1 1980|
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