BRUCE C. VLADECK, Ph.D.
On 1 October 1983, the Medicare system began a phased transition to a new payment method for hospitals based on uniform payments by diagnosis-related group (DRG). This article reviews the rationale for DRG-based reimbursement, describes the new Medicare system, and discusses its implications for hospitals, physicians, and hospital-physician relations. Although it is too early to evaluate its impact, this payment system will probably encourage more operational interaction between hospital administrators and organized medical staffs, and accelerate trends towards salaried service chiefs in community hospitals and greater external scrutiny of physicians' activities.
VLADECK BC. Medicare Hospital Payment by Diagnosis-Related Groups. Ann Intern Med. 1984;100:576–591. doi: https://doi.org/10.7326/0003-4819-100-4-576
Download citation file:
Published: Ann Intern Med. 1984;100(4):576-591.
Healthcare Delivery and Policy.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use