TRICARE Updates Diagnosis Related Group (DRG) Payment System for Fiscal Year 2005

Summary

The TRICARE program has made changes to its Diagnosis Related Group (DRG)-based payment system to align with the Medicare Prospective Payment System (PPS) updates, effective for Fiscal Year 2005. The updated system includes new fixed loss cost outlier threshold, cost-to-charge ratios, and access to updated standardized amounts and DRG relative weights.