Es war eine böse Überraschung, als sich einige Jahre nach Einführung des morbiditätsorientierten Risikostrukturausgleichs (Morbi-RSA) im Jahr 2009 herausstellte, dass etliche Krankenkassen die Ärzte mit diversen Anreizen ermuntert hatten, bei der Kodierung von Krankheiten auf ausgleichsrelevante Diagnosen für ihre jeweiligen Versicherten zu achten. Dabei ging es damals um 80 Krankheitsgruppen. Seit der letzten großen RSA-Reform müssen alle Krankheiten im Ausgleich berücksichtigt werden.
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