| Arizona |
None |
| Connecticut |
None |
| Maryland |
For a sample of hospitals (including all large hospitals), a Guaranteed Inpatient Revenue (GIR) amount is calculated for each hospital, based on its own diagnostic distribution and average charges by diagnosis (adjusted for inflation plus 1 percent for growth and technology). Hospitals are then rewarded when total revenues are below the GIR and penalized when total revenues are higher. |
| Massachusetts Medicaid |
An occupancy penalty is incorporated in rate calculation, whereby allowable costs are divided by base year patient days or, if higher, the number of patient days that would have been experienced if minimum occupancy standards had been met. |
| Charge-Control |
None |
| Minnesota |
None |
| New Jersey |
Budget review system sometimes provides intensity allowances, depending on a hospital's standing within its peer group. |
| New York |
An occupancy penalty is incorporated in rate calculation, whereby additional patient days are imputed to increase the denominator—and hence lower the per diem rate if hospital occupancy falls below minimum standards. A length of stay penalty is the basis for computation of disallowances, if a hospital's length of stay is above the group mean plus ½ day. Disallowance consists of “excess” days multiplied by the lower of the group's or the hospital's routine per diem. |
| Western Pennsylvania |
None |
| Washington |
None |
