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5. Medicare pays hospitals more for DRGs that are believed to be more expensive, as measured by the DRG weight in column E of the
5. Medicare pays hospitals more for DRGs that are believed to be more expensive, as measured by the DRG weight in column E of the spreadsheet. Surgical DRGs typically have much higher DRG weights than Medical DRGs (the surgical/medical designation of a DRG is in column C). As an example, calculate the DRG payments for UC for DRG 281 and DRG 313, which involve medical treatment of a patient who could have had a heart attack or did have one and was treated medically. How much lower are these payments versus DRG 234, which involves treating a patient with heart problems surgically? (For your own edification, you might also want to calculate the payment for DRG 195, treatment of pneumonia, which is another common medical DRG). : 6. What do you think might be one implication of paying hospitals more for surgical versus medical treatment
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