Q&A Updated Following Changes to DPC Short-Stay Surgery Basic Fee 3 and Re

This timeThe tightening of rules for DPC system's Short-Stay Surgery Basic Fee 3 and re-transfers for the same diagnosisfundamentally shakes the revenue structure of acute care hospitals. In particular, restrictions on calculation in the area of "short-stay," which should inherently aim for efficiency, are a decisive blow forcing medical institutions that have secured profits through specific surgical procedures and admission/discharge flows to reconsider their management strategies.

In the field of medical M&A, such subtle changes in calculation rulesdirectly impact the transfer price (valuation)Buyers rigorously evaluate not only past financial statements but also "the sustainability of future earnings based on current interpretations of doubts." Therefore, hospitals relying on old calculation practices bear the risk of unexpected valuation reductions. The quality of medical administrative systems will likely be one of the most critical items in DD (due diligence).

For managers struggling with a lack of successors, adapting to thisincreasingly complex medical fee systemalone is reaching its limits. Becoming a subsidiary of a major group with advanced coding skills and efficient bed management know-how is not only a path to management stabilization but also a realistic solution for achieving sound business succession in compliance with regulations.