Health Economics

Project: Determining the share of fix costs of additional cases in inpatient care

Project Duration

03/2016 - 09/2016 (finalized)

Commissioned by

Niedersächsische Krankenhausgesellschaft e.V. in Vertretung aller Landeskrankenhausgesellschaften

Project Team (RWI)

Prof. Dr. Boris Augurzky (Chief), Prof. Dr. Christian Bünnings

Cooperation

Alfried Krupp von Bohlen und Halbach Stiftungslehrstuhl für Medizinmanagement der Universität Duisburg-Essen

Summary

As part of the German hospital restructuring act (KHSG), a new regulation concerning hospital funding became effective. From 2016 onwards, the contracting parties are supposed to bargain on a deduction on the case rate of additional cases in inpatient care. This deduction is supposed to reflect the share of fix costs of an additional case in inpatient care, which will not be reimbursed. The aim of this report is to determine the deduction on the case rate of additional cases. To estimate the share of fix costs and, hence, the deduction on the case rate, multivariate regression models are applied. More specifically, the relative change in overall costs is regressed on the relative change in the number of cases and further confounding factors.

Selected project related publications

RWI Reports

2016

RWI and Lehrstuhl für Medizinmanagement der UDE (2016), Bestimmung des Fixkostenanteils von zusätzlichen Leistungen in der stationären Versorgung. RWI Projektberichte download

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