Implications of DRG Classification in a Bundled Payment Initiative for COPD.
Trisha M ParekhSurya P BhattAndrew O WestfallJames M WellsDenay KirkpatrickAnand S IyerMichael MugaveroJames H WilligMark T DransfieldPublished in: American journal of accountable care (2017)
The use of DRGs to identify patients with COPD for inclusion in the BPCI initiative led to the exclusion of more than one-third of patients with acute exacerbations who had more severe illness and worse outcomes and who may benefit most from the additional interventions provided by the initiative.