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