Economics & Sociology

ISSN: 2071-789X eISSN: 2306-3459 DOI: 10.14254/2071-789X
Index PUBMS: f5512f57-a601-11e7-8f0e-080027f4daa0
Article information
Title: Inpatient Dialysis in Germany – Financing and Economic Challenges
Issue: Vol. 9, No 3, 2016
Published date: 09-2016 (print) / 09-2016 (online)
Journal: Economics & Sociology
ISSN: 2071-789X, eISSN: 2306-3459
Authors: Markus Krohn
Sylvia Stracke
Steffen Flessa
Keywords: inpatient dialysis, diagnosis related groups, additional charges, health care management, Germany
DOI: 10.14254/2071-789X.2016/9-3/5
Index PUBMS: 04d3a54d-020e-11e8-94c4-fa163e5d4f72
Language: English
Pages: 52-62 (11)
JEL classification: M00, I11, I19, G20

This paper shows the financing situation of inpatient dialysis in the German healthcare system from the providers’ perspective. Due to two predominant financing options – Diagnosis Related Groups (DRGs) and additional charges – decision makers need knowledge on the revenue per treatment as well as arising economic challenges. The analysis explains the financing options, compares the revenue per treatment of both options and explains advantages, disadvantages and risks of each option. The results show that the revenues per treatments in case of DRGs including dialysis are in average higher than the revenues generated through additional charges. However, the discussion analyzes the risks and uncertainties which clearly indicate that more than only the average revenue based on the DRG-Report-Browser data has to be regarded.