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International Journal of Social Psychiatry
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The Impact of Diagnosis Related Group Profitability on the Skimming and Dumping of Psychiatric Diagnosis Related Groups

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

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.

International Journal of Social Psychiatry, Vol. 39, No. 2, 108-120 (1993)
DOI: 10.1177/002076409303900204
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