Persistent inconsistencies in patient cost variability within the French DRG classification system over the 2012-2019 period.

ABSTRACT: This paper evaluates the effectiveness of the 2009 French Diagnosis-Related Group (DRG) classification reform, which introduced four severity levels within each DRG, ranging from low to very high, with corresponding increases in fixed-price reimbursements. Notably, the reform incorporates the Medicare Severity Diagnosis-Related Group (MS-DRG) system, first implemented in the United States in 2007, giving the French system international relevance. The French Public Health Insurance system (NHI) reimburses both public and private healthcare establishments through a DRG-based payment system. This study focuses on variations in hospital resource costs for four different health conditions. The paper begins by discussing the theoretical challenges of constructing DRG categories, particularly the

SUBMITTER: Milcent C 

PROVIDER: S-EPMC12574288 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature