Category: Medical Intensive Care

Impact of Diagnosis-Related Groups’ Prospective Payment on Utilization of Medical Intensive Care: Length of Stay and Deaths

Length of Stay and Deaths Analysis of Medicare MICU vs nonMICU indicates an average length of stay of 24.9 days for patients receiving medical intensive care compared with 9.9 days for nonMICU patients in 1985. The average number of days in the MICU was 5.4 days (22 percent of the average total stay of 24.9…

Impact of Diagnosis-Related Groups’ Prospective Payment on Utilization of Medical Intensive Care: Results

Impact of Diagnosis-Related Groups' Prospective Payment on Utilization of Medical Intensive Care: Results

Table 2 summarizes the financial impact of Medicare payments for patients receiving medical intensive care. In 1984, the average projected DRG payment for the 267 Medicare patients treated in the MICU was $10,683 per discharge. The average DRG weight per discharge was 1.94, in contrast to the overall hospital case mix index for medicare patients…

Impact of Diagnosis-Related Groups’ Prospective Payment on Utilization of Medical Intensive Care: Estimate of Medicare Payment

Estimate of Medicare Payment The Medicare prospective payment system of DRGs was implemented for hospital fiscal years beginning on or after October 1, 1983. Medicare DRG payment rates, as outlined in the Federal Register, are determined by multiplying a base rate (which differs by hospital during the four-year prospective payment implementation) by the DRG relative…

Impact of Diagnosis-Related Groups’ Prospective Payment on Utilization of Medical Intensive Care

Impact of Diagnosis-Related Groups' Prospective Payment on Utilization of Medical Intensive Care

Medicare prospective payment by diagnosis-related. A groups (DRGs) has resulted in radical transformation of the health care system in the United States. It has also raised fears that DRG-induced financial losses will result in admission policies and practice styles not always in the best interest of good patient care. A recent study from Rush-Presbyterian-St. Lukes…