PMID- 12733610
OWN - NLM
STAT- MEDLINE
DCOM- 20030530
LR  - 20191107
IS  - 1386-9620 (Print)
IS  - 1386-9620 (Linking)
VI  - 6
IP  - 2
DP  - 2003 May
TI  - Comparing the financial risk of bed-day and DRG based pricing types using 
      parametric and simulation methods.
PG  - 67-74
AB  - The extent of random financial risk involved in the Finnish bed-day and Diagnosis 
      Related Groups (DRG) based hospital pricing systems were estimated and compared 
      using parametric and simulation methods. DRG based payment schemes were found to 
      provide significantly better protection against financial risk for 
      municipalities, but municipality's size was the main determinant of financial 
      risk. Small municipalities should use longer contracts between hospitals or form 
      bigger purchaser-organisations for risk pooling. In addition, the current risk 
      management system proved to be ineffective in decreasing the random variation in 
      total costs.
FAU - Mikkola, Hennamari
AU  - Mikkola H
AD  - National R&D Centre for Welfare and Health, Helsinki, Finland. 
      Hennamari.Mikkola@stakes.fi
FAU - Sund, Reijo
AU  - Sund R
FAU - Linna, Miika
AU  - Linna M
FAU - Hakkinen, Unto
AU  - Hakkinen U
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Netherlands
TA  - Health Care Manag Sci
JT  - Health care management science
JID - 9815649
SB  - IM
MH  - Benchmarking
MH  - Cost Allocation
MH  - Data Interpretation, Statistical
MH  - Diagnosis-Related Groups/*economics
MH  - Financing, Government
MH  - Finland
MH  - Health Services Research
MH  - Hospital Costs/classification/*statistics & numerical data
MH  - Hospitals, District/*economics
MH  - Humans
MH  - Local Government
MH  - Models, Econometric
MH  - Rate Setting and Review/classification/*statistics & numerical data
MH  - *Reimbursement Mechanisms
MH  - *Risk Sharing, Financial
EDAT- 2003/05/08 05:00
MHDA- 2003/05/31 05:00
CRDT- 2003/05/08 05:00
PHST- 2003/05/08 05:00 [pubmed]
PHST- 2003/05/31 05:00 [medline]
PHST- 2003/05/08 05:00 [entrez]
AID - 10.1023/a:1023341000858 [doi]
PST - ppublish
SO  - Health Care Manag Sci. 2003 May;6(2):67-74. doi: 10.1023/a:1023341000858.