Non-Participating Hospitals

Non-Participating Hospital Per Diem Rates

Development of non-participating hospital rates effective January 2007 (PDF)

Development of non-participating hospital rates effective January 2006  (PDF)

Relationship of non-participating hospital per diems to capitation rates  (PDF)

History: PricewaterhouseCoopers Memos

These memoranda document the history of the development of the non-participating hospital payment methodology.

2005

1/7/05: Per diem methodology

1/20/05: Per diem with out-of-area threshold

1/24/05: Non-participating hospital payment options

2004

1/13/04: Per diem calculation options

1/26/04: Per diem methodology

9/15/04: Hospital-specific DRG methodology

10/25/04: DRG weight update

11/17/04: Questions and answers

12/23/04: In-area and out-of-area per diems

2003

10/3/03: Base rates

10/30/03: Base rate questions and answers

10/31/03: Outpatient discount factors

12/23/03: In-area and out-of-area per diems