The Impact of Diagnosis Related Group Profitability on the Skimming and Dumping of Psychiatric Diagnosis Related Groups

Michael J. Long, Steven T. Fleming and James D. Chesney
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Michael J. Long: Department of Health Services Administration and Community Medicine, University of Alberta, Edmonton, Alberta, Canada T6G 2G3
Steven T. Fleming: Department of Health Services Management, The University of Missouri, Columbia, Missouri, USA
James D. Chesney: College of Urban, Labor and Metropolitan Affairs, Wayne State University, Detroit, Michigan, USA

International Journal of Social Psychiatry, 1993, vol. 39, issue 2, 108-120

Abstract: Psychiatric DRGs are identified in terms of their relative profitability within each hospital of a 386 hospital cohort. It is then determined whether hospitals admitted more of the more profitable and fewer of the less profitable patients over the period 1983-1987 (skimming). Also determined is whether hospitals discharged more of the less profitable to other short term hospitals over that same period of time (dumping). The findings generally indicate that this did not happen.

Date: 1993
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:39:y:1993:i:2:p:108-120

DOI: 10.1177/002076409303900204

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