Hospital Price Factors Sample Clauses

Hospital Price Factors. Estimates of hospital price increases or decreases are calculated quarterly on a liability per unit basis. For DRG hospitals, the inpatient measure is liability per case and for others it is liability per day. For outpatient services, liability per visit is used for all hospitals. The time frame for measuring increases are hospital fiscal years (ending September 30). For the current fiscal year, liability for year-to-date claims data is annualized/completed and then modified to reflect any applicable year-end adjustments as provided for in the hospital contracts. For DRG hospitals, a projection of case mix change is provided separately and incorporated into the calculations. Prior year liabilities are then updated for all hospitals before calculating the price increases. For subsequent fiscal years, the factors reflect best estimates available for inflationary increases or decreases, as well as projected changes in case mix based on historical trends. In addition, other types of influences--either known or anticipated--are incorporated into the calculations whenever possible, provided that some basis exists for estimating the impact.
Sample 1
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Related to Hospital Price Factors

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