2024 Norwegian DRG system released

In December 2023, the Norwegian Directorate of Health published a final version of the DRG system (Innsatsstyrt finansiering, ISF) for 2024. ISF is activity-based funding to the regional health authorities (Regionale Helseforetak, RHF) through the national budget. In general, no significant changes were introduced in 2024. The financing of the RHFs is mainly two-fold and consists of a basic grant and activity-based funding (ISF). For 2024, the ISF share for somatic specialist care is about 40%, and the basic grant is about 60% (no changes from 2023).

The Norwegian DRG system (ISF) consists of three parts:

• Diagnosis-related groups (DRG);
• Special Service Groups (Særtjenestegrupper, STG), which cover specialist health services that take place in other than traditional inpatient and outpatient settings, are extended over a long period of time so that the patient himself is more responsible for the administration of the treatment (e.g., patient-administered peritoneal dialysis or hemodialysis, telemedicine);
• Service Course Groups (Tjenesteforløps grupper, TFG), which refer to "bundled payments," so it is an aggregated level above DRG and STG, providing financing of a patient treatment course with several stays and activities (e.g., dialysis treatment, insertion of hip prostheses).

No new DRGs will be added in 2024. One new STG for light treatment and five new TFGs (without tariffs, to be used for data collection) concerning maternity care pathways will be introduced. Some examples of new TFGs are provided below:

• PT11 Pregnancy and childbirth pathway with complicating factors;
• PT14 Pregnancy and childbirth pathway with resource-intensive interventions without complicating factors.

In 2024, to obtain DRG/STG/TFG tariffs for somatic care, cost-weights must be multiplied on a base tariff of 52,248 NOK.

See more information in Norwegian here.

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