How does TRICARE determine the current Diagnostic Related Group (DRG) Weights and Rates?

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How does TRICARE determine the current Diagnostic Related Group (DRG) Weights and Rates?

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A payment system for inpatient facilities sets payment levels for each DRG. The rates are based on the average cost of treatment for all TRICARE patients in a specific DRG. Note: Although there are basic similarities between Medicare and TRICARE DRGs, there are significant differences in the final calculations. Find out more about theTRICARE DRG-Based Payment System.

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