RESUMO
Hospital financing 2016 will be influenced by the prospects of the approaching considerable changes. It is assumed that the following years will lead to a considerable reallocation of financial resources between hospitals. While not directly targeted by new regulations, reallocations always also affect specialties like rheumatology. Compared to the alterations in the legislative framework the financial effects of the yearly adaptation of the German diagnosis-related groups system are subordinate. Only by comprehensive consideration of current and expected changes a forward-looking and sustainable strategy can be developed. The following article presents the relevant changes and discusses the consequences for hospitals specialized in rheumatology.
Assuntos
Grupos Diagnósticos Relacionados/economia , Economia Hospitalar/tendências , Reforma dos Serviços de Saúde/economia , Financiamento da Assistência à Saúde , Reumatologia/economia , Reumatologia/tendências , Grupos Diagnósticos Relacionados/tendências , Financiamento Governamental/economia , Financiamento Governamental/tendências , Alemanha , Reforma dos Serviços de Saúde/tendênciasRESUMO
The announced major reforms will most probably not have an impact on hospital financing before 2016. Nevertheless, the numerous minor changes in the legislative framework and the new version of the German diagnosis-related groups (G-DRG) system can be important for hospitals specialized in rheumatology. The following article presents the relevant changes and discusses the consequences for hospitals specialized in rheumatology.
Assuntos
Economia Hospitalar/tendências , Reforma dos Serviços de Saúde/economia , Financiamento da Assistência à Saúde , Hospitais Especializados/economia , Reumatologia/economia , Reumatologia/tendências , Grupos Diagnósticos Relacionados/economia , Grupos Diagnósticos Relacionados/tendências , Alemanha , Reforma dos Serviços de Saúde/tendências , Hospitais Especializados/tendênciasRESUMO
As with others medical disciplines hospitals specialized in rheumatology again face heavy economic burdens in 2014. To meet the challenges knowledge of the new German diagnosis-related groups (G-DRG) system, the legislative framework and current jurisprudence can be helpful. The following article presents the major changes and discusses the consequences for hospitals specialized in rheumatology.
Assuntos
Economia Hospitalar/legislação & jurisprudência , Economia Hospitalar/tendências , Financiamento Governamental/economia , Financiamento Governamental/legislação & jurisprudência , Financiamento da Assistência à Saúde , Reumatologia/economia , Reumatologia/legislação & jurisprudência , AlemanhaRESUMO
Hospital financing is again subjected to a multitude of reforms that can be of relevance for rheumatology in 2013. Besides changes in the German diagnosis-related group (G-DRG) classification system and coding, modifications in the legislation and legal framework conditions have a growing impact on the economic situation and strategy of hospitals. The following article presents the major changes and discusses consequences for hospitals specialized in rheumatology.
Assuntos
Economia Hospitalar/legislação & jurisprudência , Financiamento da Assistência à Saúde , Legislação Hospitalar/economia , Reumatologia/economia , Reumatologia/legislação & jurisprudência , AlemanhaRESUMO
The following article presents the major general and specific changes for the financing of rheumatology in Germany for 2012. Besides relevant changes in the German diagnosis-related groups (G-DRG) classification system and for the coding, the new legislation and the resulting incentives are covered. The consequences for hospitals specialized in rheumatology are discussed.
Assuntos
Grupos Diagnósticos Relacionados/economia , Administração Financeira de Hospitais/economia , Reembolso de Seguro de Saúde/economia , Programas Nacionais de Saúde/economia , Mecanismo de Reembolso/economia , Reumatologia/economia , AlemanhaRESUMO
The following article presents the major general and specific changes for rheumatology in the financing of inpatient care in Germany for 2011. In addition to relevant changes in the G-DRG classification system and coding, the new legislation and insurance company auditing procedures are covered. The impact these changes will have on hospitals specialized in rheumatology is discussed.
Assuntos
Grupos Diagnósticos Relacionados/economia , Grupos Diagnósticos Relacionados/tendências , Economia Hospitalar/tendências , Financiamento Governamental/economia , Financiamento Governamental/tendências , AlemanhaRESUMO
The following article presents the major general and specific changes in the G-DRG system, in the classification systems for diagnoses and procedures as well as for the billing process for 2010. Since the G-DRG system is primarily a tool for the redistribution of resources, every hospital needs to analyze the economic effects of the changes by applying the G-DRG transition-grouper to its own cases. Depending on their clinical focus, rheumatological departments may experience positive or negative consequences from the adjustments. In addition, relevant current case law is considered.
Assuntos
Grupos Diagnósticos Relacionados/classificação , Programas Nacionais de Saúde/economia , Doenças Reumáticas/classificação , Doenças Reumáticas/diagnóstico , Grupos Diagnósticos Relacionados/economia , Alemanha , Humanos , Classificação Internacional de Doenças , Mecanismo de Reembolso/economia , Doenças Reumáticas/economiaRESUMO
The following article presents the main general and specific changes in the G-DRG (German diagnosis-related groups) system in terms of the classification systems for diagnoses and procedures as well as the billing process for 2009. Of fundamental relevance is the national weighting of the G-DRG I97Z (complex rheumatologic treatment), which up to now had to be negotiated individually by each hospital. Emphasis is also put on case auditing by the health insurers. Being primarily a tool for redistribution of resources, every hospital has to analyze the economic effects of the 2009 G-DRG system by applying the G-DRG transition grouper to its own cases. Depending on their clinical focus rheumatological departments may experience positive or negative consequences from the development. The strain imposed on hospitals by inadequate refunding of rising costs has to be assessed separately from the effects of redistribution by the G-DRG system.
Assuntos
Grupos Diagnósticos Relacionados/tendências , Guias de Prática Clínica como Assunto , Doenças Reumáticas/classificação , Doenças Reumáticas/economia , Reumatologia/normas , Reumatologia/tendênciasRESUMO
The G-DRG system 2008 once again brings many changes to rheumatological departments in Germany. The following article presents the main general and specific changes in the G-DRG system, as well as in the classification systems for diagnoses and procedures and in invoicing for 2008. Since the G-DRG system is only a tool for the redistribution of resources, every hospital needs to analyze the economic effects of the system by applying the G-DRG transition grouper to its own cases. Depending on their clinical focus, rheumatological departments may experience positive or negative effects from the system's application. The strain placed on hospitals by the inadequate funding of increased costs needs to be assessed separately from the effects of redistribution by the G-DRG system.