Evaluation of Diagnosis Related Groups: Impacts on Cost and Patient Care

Date of Graduation

Spring 1992

Degree

Master of Public Administration

Department

Political Science

Committee Chair

Mark Rushefsky

Abstract

The impacts of the Prospective Payment Systems (PPS) reimbursement methodology of utilizing diagnosis related groups (DRGs) for calculating hospital charges was evaluated on Medicare program costs and quality of patient care. Through a comprehensive literature review, three measurements in the quality of patient care, and statistical analysis, it was concluded that DRGs have resulted in shifted medical services and reduced hospital length of stay for Medicare patients. It was uncertain if this shift actually reduced Medicare hospital expenditures as many studies have claimed. However, it was concluded that DRGs did not detrimentally affect the outcome of patient care.

Subject Categories

Public Administration

Copyright

© Edward Ray Barber

Citation-only

Dissertation/Thesis

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