GEORGE S. HUGHES JR., M.D.
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To the editor: We are writing in response to the article "Medicare Hospital Payment by Diagnosis-Related Groups" by Bruce C. Vladeck (1). We want to point out that a number of shortcomings are inherent within the Medicare hospital payment system. There is a distinct failure to identify multiple complications or comorbid conditions in individual patients and to supply adequate reimbursement for university-related teaching hospitals, especially those in rural areas. The following cases illustrate these points.
A 76-year-old man was hospitalized for a hip fracture and pneumonia (discharge diagnosis-related group [DRG] 236; average length of stay, 11.9 days; outlier, 32 days).
HUGHES GS. Diagnosis-Related Groups. Ann Intern Med. 1984;101:138. doi: 10.7326/0003-4819-101-1-138
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Published: Ann Intern Med. 1984;101(1):138.
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