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Case-Mix Development

Nimitt helps foreign governments implement new health care financing mechanisms incorporating case-mix principles (including DRGs) into health care delivery models. We work directly with foreign governments and under contract with the World Bank, World Health Organization, U.S. Agency for International Development, etc. We assist government officials, policymakers, and local technical experts to develop, test, and implement case-mix based financing reform projects.

Technical Assistance

Nimitt provides short- and long-term technical assistance to support governments as they pilot-test and implement case-mix-based financing systems. We are experienced in every aspect of case-mix development, including implementing and providing training on new coding and costing systems, collecting data, analyzing existing policies, designing new payment system parameters, drafting new legal frameworks, and providing general project oversight.

Training & Education

Nimitt designs and conducts intensive, individualized educational programs, trainings, and high-level policy seminars to help government officials and others better understand the risks and benefits of implementing case-mix systems. We train national and local stakeholders to use appropriate case-mix processes to finance health care, manage hospitals, measure quality, and conduct on-going fraud and abuse monitoring.

Patient Classification Systems International (PCSI)

Jugna Shah is PCSI’s past Vice-President, and a faculty member at its educational conferences. PCSI is the leading international organization for sharing case-mix research, analysis, and implementation experiences. As a forum for sharing best practices, PSCI coordinates programs including an annual conference and educational offerings on a wide variety of case-mix concepts from beginner to advanced levels.

Click here for more information and to visit PCSI’s website.


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