Inpatient reimbursement system in Italy: how do tariffs relate to costs?

Fattore, Giovanni; Torbica, Aleksandra
August 2006
Health Care Management Science;Aug2006, Vol. 9 Issue 3, p251
Academic Journal
journal article
In 1995 the Italian National Health Service begun to fund its hospitals on a per case basis, classified according to a DRGs system. Five out of 21 Italian regions developed a regional DRG tariff system, while the majority adopted the system set at national level. The article presents how tariffs are set by the national government and by the Lombardy Region. Production cost (mainly assessed according to a top-down, gross-costing approach) is only one of the variables used for setting tariffs. Microcosting is not used and, apparently, is not deemed as an appropriate methodology. After 10 years since their introduction national and regional tariffs are still not derived from explicit algorithms.


Related Articles

  • Costs and prices for inpatient care in England: mirror twins or distant cousins? Epstein, David; Mason, Anne // Health Care Management Science;Aug2006, Vol. 9 Issue 3, p233 

    The National Health Service (NHS) in England is introducing a national cost-per-case tariff system for the reimbursement of hospital services. Unlike most other countries with similar payment mechanisms, hospitals in England will have few alternative sources of income once the tariff system is...

  • Cost accounting to determine prices: how well do prices reflect costs in the German DRG-system? Schreyögg, Jonas; Tiemann, Oliver; Busse, Reinhard; Schreyögg, Jonas // Health Care Management Science;Aug2006, Vol. 9 Issue 3, p269 

    Germany has recently introduced a system of Diagnosis Related Groups (DRGs) to engender more appropriate resource allocation. The following article describes the German DRG-system and the methodologies used to determine prices. It analyses the extent to which prices, or calculated cost weights,...

  • Methods to determine reimbursement rates for diagnosis related groups (DRG): a comparison of nine European countries. Schreyögg, Jonas; Stargardt, Tom; Tiemann, Oliver; Busse, Reinhard; Schreyögg, Jonas // Health Care Management Science;Aug2006, Vol. 9 Issue 3, p215 

    Over the past 20 years, most European countries have introduced DRGs or similar grouping systems as instruments for hospital reimbursement. This paper compares and analyzes the methods used to determine prices for inpatient care within DRGs or similar grouping systems employed in nine EU member...

  • Accounting and reimbursement schemes for inpatient care in France. Bellanger, Martine; Tardif, Laurent; Bellanger, Martine M // Health Care Management Science;Aug2006, Vol. 9 Issue 3, p295 

    The new French case-mix system of hospital payment was adopted in 2004 for public hospitals and in March 2005 for private-for-profit hospitals. Implementing this reform requires a period of transition but the challenges ahead can already be predicted. Prices will have to change before this mode...

  • Cost accounting and public reimbursement schemes in Spanish hospitals. Sánchez-Martínez, Fernando; Abellán-Perpiñán, José-María; Martínez-Pérez, Jorge-Eduardo; Puig-Junoy, Jaume; Sánchez-Martínez, Fernando; Abellán-Perpiñán, José-María; Martínez-Pérez, Jorge-Eduardo // Health Care Management Science;Aug2006, Vol. 9 Issue 3, p225 

    The objective of this paper is to provide a description and analysis of the main costing and pricing (reimbursement) systems employed by hospitals in the Spanish National Health System (NHS). Hospitals cost calculations are mostly based on a full costing approach as opposite to other systems...

  • Cost accounting methodologies in price setting of acute inpatient services in Hungary. Gaal, Peter; Stefka, Nóra; Nagy, Júlia; Stefka, Nóra; Nagy, Júlia // Health Care Management Science;Aug2006, Vol. 9 Issue 3, p243 

    On the basis of documentary analysis and interviews with decision makers, this paper discusses the cost accounting methodologies used for price setting of inpatient services in the Hungarian health care system focusing on sector of acute inpatient care, which is financed through the Hungarian...

  • The definition of prices for inpatient care in Poland in the absence of cost data. Kozierkiewicz, Adam; Stamirski, Maciej; Stylo, Waldemar; Trąbka, Wojciech; Trabka, Wojciech // Health Care Management Science;Aug2006, Vol. 9 Issue 3, p281 

    The health reform of 1999 in Poland introduced market-like relations in the health care sector. The oligopsonic and the current monopsomic position of the payer makes prices for health care products purchased in this quasi-market low and does not usually take into account the costs of...

  • Why Medicare Advantage Plans Pay Hospitals Traditional Medicare Prices. Berenson, Robert A.; Sunshine, Jonathan H.; Helms, David; Lawton, Emily // Health Affairs;Aug2015, Vol. 34 Issue 8, p1289 

    The policy community generally has assumed Medicare Advantage (MA) plans negotiate hospital payment rates similar to those for commercial insurance products and well above those in traditional Medicare. After surveying senior hospital and health plan executives, we found, however, that MA plans...

  • Relevance of outlier cases in case mix systems and evaluation of trimming methods. Cots, Francesc; Elvira, David; Castells, Xavier; Sáez, Marc; Sáez, Marc // Health Care Management Science;Feb2003, Vol. 6 Issue 1, p27 

    Objectives: To determine the most appropriate outlier trimming method when the main source of information for case mix classification is length of stay (LOS) because cost information is unavailable.Methods: Discharges (35,262) from two public hospitals were analysed....


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics