Preliminary 2025 Norwegian DRG system released

In October 2024, the Norwegian Directorate of Health published a preliminary version of the DRG system (Innsatsstyrt finansiering, ISF) for 2025. 

The following preliminary documents were published:

• DRG manual (ISF-regelverk);
• ISF basic regulations (Grunnlagsdokument ISF);
• Diagnosis-related groups (DRG) list;
• Special Service Groups (Særtjenestegrupper, STG) list. STGs cover specialist health services that take place in other than traditional inpatient and outpatient settings, as extended over a long period of time and so that the patient himself is more responsible for the administration of the treatment (e.g., patient-administered peritoneal dialysis or hemodialysis, telemedicine);
• Service Progress Groups (Tjenesteforløps grupper, TFG) list. TFGs 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);
• Grouping logic definition tables.

The financing of the Regional Health Authorities (Regionale Helseforetak, RHF) is mainly two-fold and consists of a basic grant and activity-based funding (ISF). For 2025, the ISF share for somatic specialist care will be decreased from 40% to 30%, and the share of a basic grant will be increased from 60% to 70%.

Two new DRGs will be added in 2025 concerning men’s health and dental areas. Furthermore, three new STGs concerning patient-administered medication and one new TFG in the orthopedic area will be introduced. 

In 2025, to obtain DRG/STG/TFG tariffs for somatic care, cost-weights must be multiplied on a base rate of 54,412 NOK.

See the full details in Norwegian here.

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