The state’s current program pays a per diem for each Medicaid patient a hospital serves based on the hospital’s cost structure — not based on the level of care the patient requires. That means treatments for minor conditions are funded at the same rate as major emergency procedures.
Florida’s Agency for Health Care Administration, which oversees Medicaid payments, recommended the DRG model, which is used by the federal Medicare program.
More Articles on Diagnosis-Related Groups:
20 Questions to Assess Hospitals’ Operational Efficiency
How Much Opportunity Lies in Geriatric Programs?
Put Your ICD-10 Transition in Fast-Forward
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.