The purpose of this study is to compile trends for physician reimbursement, hospital inpatient and outpatient reimbursement the 10 most common orthopaedic sports surgeries based on national payment amounts. Current Procedural Terminology (CPT) codes Medicare Severity–Diagnosis Related Group (MS-DRG) were identified. Utilizing CPT codes, Physician Fee Schedule (MPFS) was utilized obtain amount r...

AIMS As part of the diagnosis related groups in Europe (EuroDRG) project, researchers from 11 countries (i.e. Austria, England, Estonia, Finland, France, Germany, Ireland, Netherlands, Poland, Spain, and Sweden) compared how their DRG systems deal with patients admitted to hospital for acute myocardial infarction (AMI). The study aims to assist cardiologists and national authorities to optimize...

In October 1998, the definition of a transfer in Medicare's hospital prospective payment system was expanded to include several post-acute care (PAC) providers in 10 high-volume PAC diagnosis-related groups (DRGs). In this methodological article, the authors respond to a congressional mandate to consider more DRGs in the definition. Empirical results support expansion to many more DRGs that are...

Systematic variation in patient resource use can be a significant problem for a system based on diagnosis-related groups (DRG's) if this variation is not evenly distributed across hospitals. If certain hospitals routinely treat patients who require more services than average under DRG's, the long-run financial viability of these hospitals will be threatened. In this study, the authors examine w...

Japan introduced a national health insurance system in 1961, subsequently earning a high reputation as the world’s most impressive healthcare insurance system thanks to the dedication of its health professionals. Indeed, health indicators published by the WHO and other organizations testify to this achievement. However, as the birth rate declined and medical care became more advanced, addressin...