Abstract
This study analyzed the difference in health insurance coverage rates between the new diagnosis related group-based system and the fee-for-service system in order to examine the effect of the new diagnosis related group-based system on hospital management performance to health insurance coverage Reinforce ment. The purpose of this study was to analyze the effect on medical expenses. For this purpose, 6,703 patients who were discharged from the new diagnosis related group-based system. The results obtained in this study are as follows. First, when the new diagnosis related group-based system and the fee-for-service system were applied, the total billed medical cost, that is, the health insurance coverage ratio, showed that the new comprehensive fee increased more than the fee-for-service rate. Second, it was found that the total medical expenses, claimed total medical expenses, legal out-of-pocket medical expenses. Third, there was a correlation between the length of stay and the total cost of treatment by activity, and the number of days and age.
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