The Analyst's Path

Glossary

Case mix

M5.07

Also called case mix, payer mix.

The composition of a hospital's work across specialties and payer types, which determines revenue per bed far more than list prices do.

A hospital where 35% of cases are high-acuity at ₹55,000 a day and 65% are general at ₹18,000 averages about ₹30,950.

Shifting toward cardiac, oncology and transplant work raises revenue per occupied bed without raising any individual price, which is why hospital chains talk about specialty mix rather than tariffs.

Payer mix works the same way. Government scheme patients pay less than insured or cash patients.