Diagnosis Related Groups for DOD: Background of a Competitive Strategy.

Abstract

Public Law 99-661 requires that the Department of Defense (DOD) use Diagnosis Related Groups (DRG) for resource allocation. DRGs are an attempt to identify outputs of a hospital's inpatient care system that consume similar amounts of resources. These outputs are clinically significant in that they are composed of similar discharge diagnoses. Rates of reimbursement for DRGs, are predicated on the isoresource consumption nature of DRGs. The Federal government has established DRGs as the basis of a prospective reimbursement rate structure. Several state administered programs have also adopted this reimbursement policy. By establishing an expected rate of reimbursement, the paying agency has effectively provided hospitals an incentive to control costs. Keywords: Diagnosis related groups, Ambulatory visit groups, Case mix management, Prospective reimbursement.

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Document Details

Document Type
Technical Report
Publication Date
Dec 01, 1987
Accession Number
ADA191133

Entities

People

  • Mark R. Munson

Organizations

  • Naval Postgraduate School

Tags

DTIC Thesaurus Topics

  • California
  • Control Systems
  • Databases
  • Department Of Defense
  • Governments
  • Health Care
  • Health Services
  • Hospitals
  • Law
  • Medical Personnel
  • National Governments
  • Organizational Structure
  • Patient Care
  • Therapy
  • United States
  • United States Government

Fields of Study

  • Medicine
  • Political science

Readers

  • Economics
  • Medical or Health Care Field.