[Impact of Outpatient Care and Hybrid DRG - Impact on Hospitals].

Hybrid DRG is a new form of remuneration in the German healthcare system. Selected OPS codes apply to all sectors, which, in combination with a specified ICD, result in a flat fee, regardless of whether the patient is managed as an outpatient or inpatient. This new form of billing has a huge impact on hospitals. The revenue situation is significantly worse than under the previous form of billing and requires adjustments at the locations. If these changes are not made, supply would be demonstrably deficient. Therefore, increased outsourcing to an outpatient setting is necessary. The advantages are the efficient use of staff and a structured selection of patients. Ideally, outpatient surgical units have an advantage here, but outpatient paths can also be created via separate areas in the central operating theatre. Using the example of inguinal hernia, over 50% of patients can be treated on an outpatient basis if selection is optimised. The disadvantage of this form of billing is the necessary financial reserve for innovations, training and the use of expensive operational aids. With the addition of incisional hernias to the hybrid catalogue in 2025, future care will become more cost-oriented.