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Opportunities, risks and policy implications of using health facility mortality data to inform DRG payment design under Ghana’s NHIS

Year: 2026

Type: article

Abstract: Using mortality data to inform Diagnosis-Related Group (DRG) design offers an opportunity to make provider payment systems more responsive to differences in clinical severity and resource needs. Mortality data could support refinement of case-mix classification and cost calibration, while providing a complementary signal for quality monitoring. Using Ghana as an example, this paper explores how facility-level mortality data could enhance the country’s maturing G-DRG system and inform broader reforms across low- and middle-income settings.

Source: npj Health Systems

DOI: 10.1038/s44401-026-00162-4

Authors: Regina Titi-Ofei, Doris Osei Afriyie, Hillary Kipruto, Justice Nonvignon, Clementine Rossier, Anthony Adofo-Ofosu

Institutions: University of Geneva, Global Fund to Fight AIDS, Tuberculosis and Malaria, Binghamton University, World Health Organization Regional Office for Africa, University of Ghana, Management Sciences for Health, Ghana Health Service, University of Health and Allied Sciences

Language: English

Topic: Healthcare Systems and Reforms

Subfield: Finance

Field: Economics, Econometrics and Finance

Domain: Social Sciences

Open Access status: gold

Estimated APC paid: $2,790

OpenAlex ID: W7225228721

FWCI:

Cites: 26

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