The impact of DRG payment reform on stroke inpatient costs: a propensity score matching and difference-in-differences analysis of a large public hospital in Northeast China

Lingxiao Gao, Ruinan Li, Huaizhi Cheng, Xiaoyu Dong, Yanrui Liu, Ruotong Tian, Tingting Zhang, Bin Guo · 2025

Read The impact of DRG payment reform on stroke inpatient costs: a propensity score matching and difference-in-differences analysis of a large public hospital in Northeast China by Lingxiao Gao, Ruinan Li, Huaizhi Cheng, Xiaoyu Dong, Yanrui Liu, Ruotong Tian, Tingting Zhang, Bin Guo (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-12853749.txt.

Description

Lingxiao Gao and co-authors measure what happened to stroke care bills when a large hospital in northeast China moved to diagnosis-based lump payments. Under the new system, hospitals get a fixed sum per case group instead of billing item by item. The reform aims to slow cost growth and protect insurance funds.

Records ran from 2018 through 2024, spanning the switch. Matching methods paired like patients across the change, and a difference-in-differences design isolated the policy's effect. Stay length, cost makeup, and the patients' own share of bills were all tracked. Payment rules quietly steer ward behavior. This study shows the steering in numbers.

Catalog record

CREATORLingxiao Gao, Ruinan Li, Huaizhi Cheng, Xiaoyu Dong, Yanrui Liu, Ruotong Tian, Tingting Zhang, Bin Guo
YEAR2025
COLLECTIONPAPERS
FORMATTXT
FILE SIZE60 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC12853749

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