Abstracts by key term: compensation
Postpartum hemorrhage (PPH), defined as blood loss ≥500 ml within 24 hours of birth, is one of the most common causes of maternal mortality worldwide. In Germany, PPH occurred in 7.8% of the 693,000 births in 2023. In addition to medical therapy and uterine (balloon) tamponade, a vacuum-induced uterine compression (VUC) procedure has been available since 2024, enabling rapid hemostasis. Innovations such as VUC and the associated costs are initially not reflected in the DRG flat-rate fees in the inpatient sector, which is why additional fees are necessary for refinancing. At the same time, the product costs can be offset by resource-saving effects (including shorter lengths of stay, reduction in surgical procedures). To demonstrate these effects and evaluate them in monetary terms, a model was conducted: A resource saving in the DRG system leads to a downgrade of the DRG. Thus, a one-level reduction in the most common DRG results in a cost reduction of €983.24. The recent establishment of a specific procedure code for VUT will enable real-world analyses based on billing data in the future, as well as the long-term adjustment of case rates.