This paper examines the diagnosis related group-level (DRG) price effects of recent hospital mergers and acquisitions that occurred in Ohio and California. Empirical results indicate that hospital mergers and acquisitions increase prices at the DRG level. Further, price increases are greater in DRGs where the merging hospitals gained substantial market share compared to DRGs where the merging h...

given limited health sources, how to make drgs (diagnosis related groups) more feasible is a big question in developing countries. this study contributes to the debate on how to bridge the pay-for-service and drgs during the transitional period of payment reform.from 2008 to 2012, 20740 patients with cirrhosis or duodenal ulcer disease were chosen as sample. using multiple linear regression ana...

This paper reports the results of an evaluation study of the Australian National Diagnosis Related Groups (AN-DRGs). The evaluation was based on statistical rather than clinical criteria with the principal goal being to provide information for the future development of the classification system. As well as comparing versions 1.0 to 3.0 of AN-DRGs, the project included a comparison of these syst...

In 1988, an ambitious and extensive project was undertaken in New Jersey to evaluate severity class adjustment of the all-payer prospective payment system. Another project objective was to evaluate alternative strategies for refining diagnosis-related groups (DRGs). The evaluation presented here includes a comparison of DRG refinement using Computerized Severity Index classes and Yale Universit...

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...

diagnosis-related group (drg) systems across europe are very heterogeneous, in particular because of different classification variables and algorithms as well as costing methodologies. but, given the challenge of increasing patient mobility within europe, health systems are forced to incorporate a common patient classification language in order to compare and identify similar patients e.g. for ...

This research focuses upon the relationship between a child's age and the likelihood that the child was treated at a Specialist Children's Hospital rather than at a local hospital. While it is generally regarded that younger patients are more resource intensive, a study was required to determine whether the Specialist Children's Hospitals attracted younger patients. The analysis is based on 42,...