Table 1. Extent of DRG Use, by Payer Type.
Payer Type | Use of DRGs (Percentage) |
---|---|
BCBSA Member Plans | 37 of 55 plans (67) |
Medicaid | 21 of 51 programs (41) |
CHAMPUS | 1 of 1 plan (100) |
Workers' Compensation | 3 of 51 plans (6) |
Health Maintenance Organizations | 64 of 546 (12) |
Commercial Indemnity Plans | Rarely |
Self-Insured Employers | Rarely; Growing? |
NOTES: DRGs are diagnosis-related groups. BCBSA is Blue Cross and Blue Shield Association. CHAMPUS is Civilian Health and Medical Program of the Uniformed Services.
SOURCE: Carter, G.M., Jacobson, P.D., Kominski, G.F., and Perry, M.J., RAND, 1994.