Trends in Diagnosis Related Groups for Inpatient Admissions and Associated Changes in Payment From 2012 to 2016
Trends in Diagnosis Related Groups for Inpatient Admissions and Associated Changes in Payment From 2012 to 2016 (JAMA).
Hospitals are reimbursed based on Diagnosis Related Groups (DRGs), which are defined, in part, by patients having 1 or more complications or comorbidities within a given DRG family. Hospitals have made substantial investment in efforts to document these complications and comorbidities.
Main Outcomes and Measures The primary outcome was the proportion of DRGs with
a major complication or comorbidity. Secondary outcomes were comorbidity
scores, risk-adjusted mortality rates, and estimated payment.
Conclusions and Relevance In this cohort study, ...
comorbidity increased for 15 of the top 20 reimbursed DRG families. This change
was not accompanied by commensurate increases in disease severity but was
associated with increased payment.
Quelle: JAMA, 07.12.2020