Prospective payments to hospitals: should emergency admissions have higher rates?
Melnick, Glenn A
Date of Pub
Mann, Joyce M; Serrato, Carl A
Systematic variation in patient resource use can be a significant problem for a system based on diagnosis-related groups (DRG's)
if this variation is not evenly distributed across hospitals. If certain hospitals routinely treat patients who require more
services than average under DRG's, the long-run financial viability of these hospitals will be threatened. In this study,
the authors examine whether patients who are admitted on an emergency or urgent basis represent an identifiable group of patients
whose costs are systematically higher than those of electively admitted patients, controlling for DRG. Alternative approaches
for incorporating admission status into a DRG payment system are developed and tested.
Costs and Cost Analysis/statistics & numerical data : Data Collection : Diagnosis-Related Groups/statistics & numerical data
: Economics, Hospital/statistics & numerical data : Emergencies/economics : Medicare/statistics & numerical data : Models,
Statistical : New Jersey : Patient Admission/economics : Prospective Payment System/standards : Regression Analysis : Support,
Non-U.S. Gov't : Support, U.S. Gov't, Non-P.H.S.