Works Title Contributions of case mix and intensity change to hospital cost increases

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  • Gerald F. Kominski
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Contributions of case mix and intensity change to hospital cost increases

The 28-percent change in average Medicare inpatient cost per case between 1984 and 1987 is decomposed into three components: input price inflation, changes in average cost within diagnosis-related groups (DRGs) (intensity), and changes in the distribution of cases across DRGs (case mix). We estimate the contributions of technology diffusion and outpatient shifts to within-DRG and across-DRG cos...

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The Effects of Real Exchange Rate Shocks on Energy Intensity: Case of Iran

The real exchange rate indicates the ratio of the price of tradable goods to the price of non-tradable goods and is one of the key indicators in the Iranian economy that has undergone significant leaps in recent years. In the present study, the effects of real exchange rate shocks on energy intensity (as one of the important economic-environmental indicators) of Iran's economy is investigated w...

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The Effects of Real Exchange Rate Shocks on Energy Intensity: Case of Iran

The real exchange rate indicates the ratio of the price of tradable goods to the price of non-tradable goods and is one of the key indicators in the Iranian economy that has undergone significant leaps in recent years. In the present study, the effects of real exchange rate shocks on energy intensity (as one of the important economic-environmental indicators) of Iran's economy is investigated w...

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Unintended Consequences of Hospital Payment: The Case of Swiss Diagnosis Related Groups

Background: In 2012, Switzerland changed from retrospective to prospective hospital payment based on diagnosis related groups (DRGs), following the example of the United States, Australia, and Germany. As in these countries, the objective of this transition was to motivate hospitals to improve efficiency by making them bear financial risk to some extent.Objective:...

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Case Mix Planning using The Technique for Order of Preference by Similarity to Ideal Solution and Robust Estimation: a Case Study

Management of surgery units and operating room (OR) play key roles in optimizing the utilization of hospitals. On this line Case Mix Planning (CMP) is normally applied to long term planning of OR. This refers to allocating OR time to each patient’s group. In this paper a mathematical model is applied to optimize the allocation of OR time among surgical groups. In addition, another technique is ...

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تاریخ انتشار 2012