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    Home > Medical News > Latest Medical News > National pilot!

    National pilot!

    • Last Update: 2021-08-04
    • Source: Internet
    • Author: User
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    Medical Network News on August 2 DRG payment is also called disease diagnosis-related group payment, and it is an advanced medical insurance payment method widely used at home and abroad
    .
    In 2020, Nanping City was successfully selected as the first batch of simulated cities in the DRG paying country pilot
    .
    This year, our city has successfully accepted the assessment before actual payment
    .
    The reporter learned from the Nanping Medical Security Bureau that from August 1st, Nanping began to enter the actual DRG payment stage
    .
    Today's "Nanping Medical Insurance Online" let's talk about the topic of DRG payment
    .
     
    DRG payment, to put it simply-is to change the payment method of medical insurance settlement according to the medical service items prescribed by the doctor, and adopt the case of similar diagnosis and treatment process and similar cost consumption, put them in a DRG group, and pay according to the unified payment.
    Standard payment
    .
     
    For example, in the past, we paid for the medical examinations, surgical treatments, and treatments we needed in the hospital on a project-by-project basis
    .
    The DRG payment is to classify diseases with similar treatment processes into the same group.
    Based on the historical average cost of this type of disease in recent years, according to the requirements of national technical regulations, scientific calculation of the fixed payment standard for this disease group
    .

     
    However, to adopt a packaged payment method like DRG, the first task is to improve the DRG payment information system and develop a DRG grouping system
    .
     
    The reporter learned that since Nanping launched the DRG pilot work in 2019, the Municipal Medical Insurance Bureau has established a policy through careful analysis of historical data, scientific calculation of payment standards, improvement of relevant information construction, and introduction of supporting policies for medical insurance payments in strict accordance with the requirements of relevant national documents.
    Set up a DRG medical insurance payment management system that is in line with Nanping’s reality
    .
    At the same time, the medical insurance department also actively guides the medical institutions participating in the DRG pilot, improves the internal medical management system, strengthens the supervision of medical behavior, medical record coding, service quality, etc.
    , to ensure smooth connection with the medical insurance payment system
    .

     
      DRG payment is not only a reform of the medical insurance payment method, but also an important lever for leveraging the medical reform of public hospitals, and an important weapon for the development of hospitals
    .
    Judging from the analysis of the preliminary simulation operation of our hospital, the total number of disease groups in the national grouping plan is 618, and we have covered more than 560 disease groups
    .

     
      Nanping No.
    1 Hospital is one of the pilot hospitals for DRG payment in our city, and it is also the pilot medical institution that first enters the actual payment of DRG
    .
    Since the launch of the pilot work, under the leadership of the Municipal Medical Insurance Bureau, the hospital has actively promoted the pilot work in terms of medical quality, cost control, performance guarantee, and information transformation, further standardizing medical service behaviors and reducing unreasonable consumption of medical insurance funds
    .

     
      DRG payment will guide medical institutions to actively control medical costs, further standardize medical behaviors, and strengthen their own refined management, which can not only ensure the rational use of medical insurance funds, but also fully guarantee the quality and safety of patients' diagnosis and treatment, and promote the high-quality development of hospitals.

    .
    Realize a win-win situation for medical insurance hospitals and patients
    .

     
      It is understood that the city is about to officially enter the actual payment stage of DRG
    .
    Nanping No.
    1 Hospital will start the actual payment work first
    .

     
      7 May 25 Ri -7 May 31, Ri policy transition period
     
      Nanping No.
    1 Hospital will start the actual payment work first, and do a good job of linking DRG payment with other payment methods such as disease-based payment during the transition period
    .
     
      8 Yue 1 date
     
      Patients discharged from Nanping No.
    1 Hospital are discharged and settled in accordance with the DRG payment method
    .
     
      9 Yue 1 date
     
      Shaowu Municipal Hospital, Jianyang First Hospital, Wuyishan Municipal Hospital, and Jian'ou Municipal Hospital officially started actual payment
    .
      Medical Network News on August 2 DRG payment is also called disease diagnosis-related group payment, and it is an advanced medical insurance payment method widely used at home and abroad
    .
    In 2020, Nanping City was successfully selected as the first batch of simulated cities in the DRG paying country pilot
    .
    This year, our city has successfully accepted the assessment before actual payment
    .
    The reporter learned from the Nanping Medical Security Bureau that from August 1st, Nanping began to enter the actual DRG payment stage
    .
    Today's "Nanping Medical Insurance Online" let's talk about the topic of DRG payment
    .
     
      DRG payment, to put it simply-is to change the payment method of medical insurance settlement according to the medical service items prescribed by the doctor, and adopt the case of similar diagnosis and treatment process and similar cost consumption, put them in a DRG group, and pay according to the unified payment.
    Standard payment
    .
     
      For example, in the past, we paid for the medical examinations, surgical treatments, and treatments we needed in the hospital on a project-by-project basis
    .
    The DRG payment is to classify diseases with similar treatment processes into the same group.
    Based on the historical average cost of this type of disease in recent years, according to the requirements of national technical regulations, scientific calculation of the fixed payment standard for this disease group
    .

     
      However, to adopt a packaged payment method like DRG, the first task is to improve the DRG payment information system and develop a DRG grouping system
    .
     
      The reporter learned that since Nanping launched the DRG pilot work in 2019, the Municipal Medical Insurance Bureau has established a policy through careful analysis of historical data, scientific calculation of payment standards, improvement of relevant information construction, and introduction of supporting policies for medical insurance payments in strict accordance with the requirements of relevant national documents.
    Set up a DRG medical insurance payment management system that is in line with Nanping’s reality
    .
    At the same time, the medical insurance department also actively guides the medical institutions participating in the DRG pilot, improves the internal medical management system, strengthens the supervision of medical behavior, medical record coding, service quality, etc.
    , to ensure smooth connection with the medical insurance payment system
    .

     
      DRG payment is not only a reform of the medical insurance payment method, but also an important lever for leveraging the medical reform of public hospitals, and an important weapon for the development of hospitals
    .
    Judging from the analysis of the preliminary simulation operation of our hospital, the total number of disease groups in the national grouping plan is 618, and we have covered more than 560 disease groups
    .

     
      Nanping No.
    1 Hospital is one of the pilot hospitals for DRG payment in our city, and it is also the pilot medical institution that first enters the actual payment of DRG
    .
    Since the launch of the pilot work, under the leadership of the Municipal Medical Insurance Bureau, the hospital has actively promoted the pilot work in terms of medical quality, cost control, performance guarantee, and information transformation, further standardizing medical service behaviors and reducing unreasonable consumption of medical insurance funds
    .

     
      DRG payment will guide medical institutions to actively control medical costs, further standardize medical behaviors, and strengthen their own refined management, which can not only ensure the rational use of medical insurance funds, but also fully guarantee the quality and safety of patients' diagnosis and treatment, and promote the high-quality development of hospitals.

    .
    Realize a win-win situation for medical insurance hospitals and patients
    .

     
      It is understood that the city is about to officially enter the actual payment stage of DRG
    .
    Nanping No.
    1 Hospital will start the actual payment work first
    .

     
      7 May 25 Ri -7 May 31, Ri policy transition period
     
      Nanping No.
    1 Hospital will start the actual payment work first, and do a good job of linking DRG payment with other payment methods such as disease-based payment during the transition period
    .
     
      8 Yue 1 date
     
      Patients discharged from Nanping No.
    1 Hospital are discharged and settled in accordance with the DRG payment method
    .
     
      9 Yue 1 date
     
      Shaowu Municipal Hospital, Jianyang First Hospital, Wuyishan Municipal Hospital, and Jian'ou Municipal Hospital officially started actual payment
    .
      Medical Network News on August 2 DRG payment is also called disease diagnosis-related group payment, and it is an advanced medical insurance payment method widely used at home and abroad
    .
    In 2020, Nanping City was successfully selected as the first batch of simulated cities in the DRG paying country pilot
    .
    This year, our city has successfully accepted the assessment before actual payment
    .
    The reporter learned from the Nanping Medical Security Bureau that from August 1st, Nanping began to enter the actual DRG payment stage
    .
    Today's "Nanping Medical Insurance Online" let's talk about the topic of DRG payment
    .
     
      DRG payment, to put it simply-is to change the payment method of medical insurance settlement according to the medical service items prescribed by the doctor, and adopt the case of similar diagnosis and treatment process and similar cost consumption, put them in a DRG group, and pay according to the unified payment.
    Standard payment
    .
     
      For example, in the past, we paid for the medical examinations, surgical treatments, and treatments we needed in the hospital on a project-by-project basis
    .
    The DRG payment is to classify diseases with similar treatment processes into the same group.
    Based on the historical average cost of this type of disease in recent years, according to the requirements of national technical regulations, scientific calculation of the fixed payment standard for this disease group
    .

    Hospital Hospital Hospital Disease Disease Disease Standard Standard Standard
     
      However, to adopt a packaged payment method like DRG, the first task is to improve the DRG payment information system and develop a DRG grouping system
    .
     
      The reporter learned that since Nanping launched the DRG pilot work in 2019, the Municipal Medical Insurance Bureau has established a policy through careful analysis of historical data, scientific calculation of payment standards, improvement of relevant information construction, and introduction of supporting policies for medical insurance payments in strict accordance with the requirements of relevant national documents.
    Set up a DRG medical insurance payment management system that is in line with Nanping’s reality
    .
    At the same time, the medical insurance department also actively guides the medical institutions participating in the DRG pilot, improves the internal medical management system, strengthens the supervision of medical behavior, medical record coding, service quality, etc.
    , to ensure smooth connection with the medical insurance payment system
    .

     
      DRG payment is not only a reform of the medical insurance payment method, but also an important lever for leveraging the medical reform of public hospitals, and an important weapon for the development of hospitals
    .
    Judging from the analysis of the preliminary simulation operation of our hospital, the total number of disease groups in the national grouping plan is 618, and we have covered more than 560 disease groups
    .

     
      Nanping No.
    1 Hospital is one of the pilot hospitals for DRG payment in our city, and it is also the pilot medical institution that first enters the actual payment of DRG
    .
    Since the launch of the pilot work, under the leadership of the Municipal Medical Insurance Bureau, the hospital has actively promoted the pilot work in terms of medical quality, cost control, performance guarantee, and information transformation, further standardizing medical service behaviors and reducing unreasonable consumption of medical insurance funds
    .

     
      DRG payment will guide medical institutions to actively control medical costs, further standardize medical behaviors, and strengthen their own refined management, which can not only ensure the rational use of medical insurance funds, but also fully guarantee the quality and safety of patients' diagnosis and treatment, and promote the high-quality development of hospitals.

    .
    Realize a win-win situation for medical insurance hospitals and patients
    .

     
      It is understood that the city is about to officially enter the actual payment stage of DRG
    .
    Nanping No.
    1 Hospital will start the actual payment work first
    .

     
      7 May 25 Ri -7 May 31, Ri policy transition period
      7 May 25 Ri -7 May 31, Ri policy transition period
     
      Nanping No.
    1 Hospital will start the actual payment work first, and do a good job of linking DRG payment with other payment methods such as disease-based payment during the transition period
    .
     
      8 Yue 1 date
      8 Yue 1 date
     
      Patients discharged from Nanping No.
    1 Hospital are discharged and settled in accordance with the DRG payment method
    .
     
      9 Yue 1 date
      9 Yue 1 date
     
      Shaowu Municipal Hospital, Jianyang First Hospital, Wuyishan Municipal Hospital, and Jian'ou Municipal Hospital officially started actual payment
    .
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