, 12:P9,
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Date: 21 Nov 2012

Feasibility of implementing DRG system for inpatient on PT Askes’ providers

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PT Askes (Persero) uses a combination of fee-for-service (FFS) and package tariff as a provider payment mechanism. Based Wouters, Annemarie et al (1999), FFS system has a high financial risk for payor. The objectives of this paper are to give a preliminary comparison between INA-CBGs (which is Indoesian DRG) and Askes’ tariff (MoH Act number: 416/Menkes/Per/II/2011), to estimate financial risks associated with the adequacy of premium if using INA-CBGs and to gain recommendation for Askes in a preparation as an Organizing Bodies of Social Security in 2014. These three objectives are answered by calculating 10 most expensive inpatient diagnoses of Askes 2011 and comparing the cost and Length Of Stay (LOS) of both tariff. Askes’ tariff doesn’t have severity level, whereas INA-CBGs has three severity levels with five different accommodation classes (III, II, I, VIP and VVIP). The study uses variety of the lowest cost (III accommodation, severity level i), the moderate cost (II accommodatio ...