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Source of admission and cost: public hospitals face financial risk.
Author(s) -
Eric Muñoz,
R Soldano,
A. Laughlin,
I Margolis,
Lauren A. Wise
Publication year - 1986
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.76.6.696
Subject(s) - reimbursement , medicine , emergency medicine , public health , disadvantage , emergency department , medical emergency , health care , family medicine , finance , business , nursing , political science , law , economics , economic growth
We studied all admissions to the 11 acute care hospitals of the New York City Health and Hospitals Corporation (April 1983-September 1984) matching emergency room (ER) admitted diagnostic related group (DRG) subgroups in each hospital with at least five non-ER admitted patients (N = 222,961). Mean cost per ER patient ($8,385) was greater than non-ER mean cost per patient ($4,386) for Medicare and non-Medicare. Our data suggest that public hospitals with a high proportion of ER admissions may be at a financial disadvantage under DRG reimbursement.

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