Application of DRG Procedure

The impacts of DRGs on patient care are not addressed in this literature review, as those impacts provided the focus for the research performed for this study. Rather, this literature focuses policy criteria and development affecting health care, and medical economics and hospital financial management. The former are related to the development and application of the DRG procedure, while the latter are related to the nonpatient impacts of the application of the DRG procedure. Lastly, a related study is reviewed, which potentially holds some lessons for the application of the DRG procedure.

Policy Criteria and Development In modern American society, prospects for the health of individuals are ". . . determined by public policy, by those decisions which shape contemporary environments . . . " (Milio, 1981, p. 3). Within this context, health, is ". . . not a 'state' to be captured and dealt with; nor is it some achievement to be att

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e indigent. Oddly, of course, they are partly funding the services now through the process of provider cost shifting. Lastly, many of the working poor are employed by small business which, in turn, contend that they cannot afford to provide employer health insurance programs. The rapidly growing forprofit hospital sector not only refuses to recognize any responsibility for the funding of health care services for the working poor, they also (in almost all instances) refuse to accept any of these individuals as patients; thus, insuring that they will not get stuck with the unpaid bills. Notforprofit hospitalsparticularly county and municipal hospitals, however generally do not have the option of turning away those individuals who may not be able to pay. As a consequence, the nonforprofit hospitals must absorb almost all of the costs of delivering health care services to the indigent, over and above (1) the minimal amounts which may be collected from recipients, (2) any payments eventually made by federal and state governments, and (3) any gains accruing from cost shifting. The notforprofit hospitals, thus, desire the development of some sort of formal program to fund the delivery of health care services to the indigen
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Some common words found in the essay are:
War IImost, Mendola Martin, United Medicare, Related Research, Markey Shafran, Bush Administrations, Criteria Development, , HospitalFinancial Management, Massachusetts Washington, health care, health care services, care services, delivery health care, drg procedures, delivery health, services delivered, federal government, medicaid funded, drg procedure, social services, care services indigent, health care funding, care funding, funding health care,
Approximate Word count = 4937
Approximate Pages = 20 (250 words per page)

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