Are the diagnosis-related group case weights compressed?
Thorpe, Kenneth E
Date of Pub
Cretin, Shan; Keeler, Emmett B
One problem noted recently with the diagnosis-related group payment system is that the distribution of Medicare case weights
and case-mix indexes are compressed; that is, the payment rates for high-cost procedures are too low and those for low-cost
procedures are too high. Despite the attention compression has received, there are no direct estimates of its magnitude or
importance. Presented in this article are an empirical test for compression and a suggestion for a simple correction to decompress
the relative prices.
Models, Statistical : Costs and Cost Analysis/statistics & numerical data : Diagnosis-Related Groups/economics : Economics,
Hospital/statistics & numerical data : Fees and Charges/statistics & numerical data : Medicare/statistics & numerical data
: Prospective Payment System/methods : Support, Non-U.S. Gov't : Support, U.S. Gov't, Non-P.H.S. : United States