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Hospital financing 2016 will be influenced by the prospects of the approaching considerable changes. It is assumed that the following years will lead to a considerable reallocation of financial resources between hospitals. While not directly targeted by new regulations, reallocations always also affect specialties like rheumatology. Compared to the alterations in the legislative framework the financial effects of the yearly adaptation of the German diagnosis-related groups system are subordinate. Only by comprehensive consideration of current and expected changes a forward-looking and sustainable strategy can be developed. The following article presents the relevant changes and discusses the consequences for hospitals specialized in rheumatology.

The announced major reforms will most probably not have an impact on hospital financing before 2016. Nevertheless, the numerous minor changes in the legislative framework and the new version of the German diagnosis-related groups (G-DRG) system can be important for hospitals specialized in rheumatology. The following article presents the relevant changes and discusses the consequences for hospitals specialized in rheumatology.

As with others medical disciplines hospitals specialized in rheumatology again face heavy economic burdens in 2014. To meet the challenges knowledge of the new German diagnosis-related groups (G-DRG) system, the legislative framework and current jurisprudence can be helpful. The following article presents the major changes and discusses the consequences for hospitals specialized in rheumatology.

Hospital financing is again subjected to a multitude of reforms that can be of relevance for rheumatology in 2013. Besides changes in the German diagnosis-related group (G-DRG) classification system and coding, modifications in the legislation and legal framework conditions have a growing impact on the economic situation and strategy of hospitals. The following article presents the major changes and discusses consequences for hospitals specialized in rheumatology.

Der folgende Beitrag stellt die wesentlichen allgemeinen und fachspezifischen Anderungen in der Finanzierung von Leistungen der Rheumatologie in Deutschland fur das Jahr 2012 dar. Neben den relevanten Anderungen im G-DRG-System 2012 und fur die Kodierung wird auch auf die neuen gesetzlichen Rahmenbedingungen sowie auf die Anreize des Vergutungssystems eingegangen. Die sich aus den Veranderungen ergebenden Konsequenzen fur Rheumakliniken werden diskutiert.

The following article presents the major general and specific changes for rheumatology in the financing of inpatient care in Germany for 2011. In addition to relevant changes in the G-DRG classification system and coding, the new legislation and insurance company auditing procedures are covered. The impact these changes will have on hospitals specialized in rheumatology is discussed.

The following article presents the major general and specific changes in the G-DRG system, in the classification systems for diagnoses and procedures as well as for the billing process for 2010. Since the G-DRG system is primarily a tool for the redistribution of resources, every hospital needs to analyze the economic effects of the changes by applying the G-DRG transition-grouper to its own cases. Depending on their clinical focus, rheumatological departments may experience positive or negative consequences from the adjustments. In addition, relevant current case law is considered.

Das DRG-System 2008 bringt erneut viele Veranderungen fur rheumatologische Fachabteilungen. Der folgende Beitrag stellt die wesentlichen allgemeinen und rheumatologiespezifischen Anderungen im G-DRG-System, den Diagnose- und Prozedurenklassifikationssystemen sowie fur die Abrechnung fur 2008 vor. Da das G-DRG-System nur als Umverteilungsinstrument genutzt wird, muss jedes Krankenhaus mit Hilfe eines Ubergangs-Groupers anhand der eigenen Daten analysieren, welche okonomischen Auswirkungen die Veranderungen haben. Rheumatologische Fachabteilungen konnen je nach individuellem Leistungsspektrum zu den Gewinnern oder Verlierern der Systemanpassung gehoren. Von der Umverteilungswirkung des G-DRG-Systems zu trennen ist der Anpassungsdruck, der durch die inadaquate Refinanzierung gestiegener Kosten im Gesundheitssystem entsteht.