Psychiatric facilities and DRG weights

Public & private hospitals & certain psychiatric units in general US hospitals are currently exempt from Medicare's Prospective Payment System (PPS). As the current PPS weights for psychiatic DRGs (diagnostic related groups) do not reflect the costs of these exempt hospitals or units, n...

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Bibliographic Details
Published in:Administration and policy in mental health and mental health services research 1990-05, Vol.17 (3), p.125-137
Main Authors: Freiman, Marc P., Hendricks, Ann M.
Format: Article
Language:English
Subjects:
Diagnosis
Medicare
Mental Hospitals
Payments
United States of America
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Summary:Public & private hospitals & certain psychiatric units in general US hospitals are currently exempt from Medicare's Prospective Payment System (PPS). As the current PPS weights for psychiatic DRGs (diagnostic related groups) do not reflect the costs of these exempt hospitals or units, new weights are required for these providers to be brought under PPS. Here, DRG weights for psychiatric illness for each type of exempt facility are analyzed using 1985 Medicare hospital discharge records. It is concluded that private psychiatric hospitals would fare better with charge-based weights, while public facilities would do better financially with cost-based weights. 4 Tables, 4 References. HA
ISSN:0894-587X
1573-3289
DOI:10.1007/BF00706081