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    Home > Medical News > Latest Medical News > The National Medical Insurance Administration officially launched the three-year action plan for the reform of DRG/DIP payment methods

    The National Medical Insurance Administration officially launched the three-year action plan for the reform of DRG/DIP payment methods

    • Last Update: 2021-12-25
    • Source: Internet
    • Author: User
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    The first China CHS-DRG/DIP payment method reform conference was held in Beijing a few days ago.
    The National Medical Insurance Administration announced the official launch of the three-year action plan for the reform of the diagnosis-related group (DRG)/disease points (DIP) payment method
    .
     
    According to the "Three-year Action Plan for the Reform of DRG/DIP Payment Methods" that has been issued, by the end of 2024, all coordinated areas across the country will carry out DRG/DIP payment method reforms.
    By the end of 2025, DRG/DIP payment methods will cover all eligible developments.
    Inpatient medical institutions
    .
     
    Since 2019, the National Medical Insurance Administration has successively launched DRG-paying national pilots in 30 cities and DIP-paying national pilots in 71 cities
    .
    According to the relevant person in charge of the National Medical Insurance Administration, since the pilot three years, all pilot cities have entered the actual payment, basically achieved the expected effect, and promoted the profound transformation of the medical insurance management mechanism, including the change of medical insurance payment from payment by project to payment by value.
    In the end, the purchase order changed to active action, from pure manual review to the use of big data, and from extensive supply-side management to fine supply-side management
    .
     
    According to reports, from the preliminary results of the pilot, medical institutions in some pilot areas have more standardized medical service behaviors, more reasonable inspections and medications, and more targeted treatment.
    Medical institutions, medical insurance funds, and insured people have benefited to varying degrees.
    Shows a win-win effect
    .
     
       "After years of exploration and practice, the thinking on the reform of the payment method has been relatively clear
    .
    " Huang Huabo , Director of the Medical Service Management Department of the National Medical Insurance Administration, said that in the next step, the medical insurance department will reform the action plan for the next three years in accordance with the CHS-DRG/DIP payment method.
    Efforts to improve a set of standardized and mature technical standards , establish a set of medical institution operating mechanisms that adapt to CHS-DRG/DIP changes, create a highly qualified medical insurance professional team, and continue to promote reforms in depth
    .
     
      Long Xuewen, head of the Medical Insurance Business Management Center of the National Medical Insurance Administration, introduced that the purpose of the payment method reform is to improve the efficiency of the use of medical insurance funds, use limited medical insurance funds to purchase higher-quality medical services for insured persons, and at the same time encourage medical institutions and doctors Actively standardize medical service behaviors, enhance the endogenous motivation to control costs, promote hierarchical diagnosis and treatment, and allow medical insurance and medical treatment to "go together"
    .
     
      It is understood that the two-day session of the General Assembly, 15 minutes online forum brought together more than 40 doctors expert in the field of security managers, academics, and representatives of medical institutions, from different perspectives analysis hot and difficult issues of current payment reform together for The reform of the medical insurance payment method "breaks the problem
    .
    "
      The first China CHS-DRG/DIP payment method reform conference was held in Beijing a few days ago.
    The National Medical Insurance Administration announced the official launch of the three-year action plan for the reform of the diagnosis-related group (DRG)/disease points (DIP) payment method
    .
     
      According to the "Three-year Action Plan for the Reform of DRG/DIP Payment Methods" that has been issued, by the end of 2024, all coordinated areas across the country will carry out DRG/DIP payment method reforms.
    By the end of 2025, DRG/DIP payment methods will cover all eligible developments.
    Inpatient medical institutions
    .
     
      Since 2019, the National Medical Insurance Administration has successively launched DRG-paying national pilots in 30 cities and DIP-paying national pilots in 71 cities
    .
    According to the relevant person in charge of the National Medical Insurance Administration, since the pilot three years, all pilot cities have entered the actual payment, basically achieved the expected effect, and promoted the profound transformation of the medical insurance management mechanism, including the change of medical insurance payment from payment by project to payment by value.
    In the end, the purchase order changed to active action, from pure manual review to the use of big data, and from extensive supply-side management to fine supply-side management
    .
     
      According to reports, from the preliminary results of the pilot, medical institutions in some pilot areas have more standardized medical service behaviors, more reasonable inspections and medications, and more targeted treatment.
    Medical institutions, medical insurance funds, and insured people have benefited to varying degrees.
    Shows a win-win effect
    .
     
       "After years of exploration and practice, the thinking on the reform of the payment method has been relatively clear
    .
    " Huang Huabo , Director of the Medical Service Management Department of the National Medical Insurance Administration, said that in the next step, the medical insurance department will reform the action plan for the next three years in accordance with the CHS-DRG/DIP payment method.
    Efforts to improve a set of standardized and mature technical standards , establish a set of medical institution operating mechanisms that adapt to CHS-DRG/DIP changes, create a highly qualified medical insurance professional team, and continue to promote reforms in depth
    .
     
      Long Xuewen, head of the Medical Insurance Business Management Center of the National Medical Insurance Administration, introduced that the purpose of the payment method reform is to improve the efficiency of the use of medical insurance funds, use limited medical insurance funds to purchase higher-quality medical services for insured persons, and at the same time encourage medical institutions and doctors Actively standardize medical service behaviors, enhance the endogenous motivation to control costs, promote hierarchical diagnosis and treatment, and allow medical insurance and medical treatment to "go together"
    .
     
      It is understood that the two-day session of the General Assembly, 15 minutes online forum brought together more than 40 doctors expert in the field of security managers, academics, and representatives of medical institutions, from different perspectives analysis hot and difficult issues of current payment reform together for The reform of the medical insurance payment method "breaks the problem
    .
    "
      The first China CHS-DRG/DIP payment method reform conference was held in Beijing a few days ago.
    The National Medical Insurance Administration announced the official launch of the three-year action plan for the reform of the diagnosis-related group (DRG)/disease points (DIP) payment method
    .
     
      According to the "Three-year Action Plan for the Reform of DRG/DIP Payment Methods" that has been issued, by the end of 2024, all coordinated areas across the country will carry out DRG/DIP payment method reforms.
    By the end of 2025, DRG/DIP payment methods will cover all eligible developments.
    Inpatient medical institutions
    .
     
      Since 2019, the National Medical Insurance Administration has successively launched DRG-paying national pilots in 30 cities and DIP-paying national pilots in 71 cities
    .
    According to the relevant person in charge of the National Medical Insurance Administration, since the pilot three years, all pilot cities have entered the actual payment, basically achieved the expected effect, and promoted the profound transformation of the medical insurance management mechanism, including the change of medical insurance payment from payment by project to payment by value.
    In the end, the purchase order changed to active action, from pure manual review to the use of big data, and from extensive supply-side management to fine supply-side management
    .
     
      According to reports, from the preliminary results of the pilot, medical institutions in some pilot areas have more standardized medical service behaviors, more reasonable inspections and medications, and more targeted treatment.
    Medical institutions, medical insurance funds, and insured people have benefited to varying degrees.
    Shows a win-win effect
    .
     
       "After years of exploration and practice, the thinking on the reform of the payment method has been relatively clear
    .
    " Huang Huabo , Director of the Medical Service Management Department of the National Medical Insurance Administration, said that in the next step, the medical insurance department will reform the action plan for the next three years in accordance with the CHS-DRG/DIP payment method.
    Efforts to improve a set of standardized and mature technical standards , establish a set of medical institution operating mechanisms that adapt to CHS-DRG/DIP changes, create a highly qualified medical insurance professional team, and continue to promote reforms in depth
    .
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      Long Xuewen, head of the Medical Insurance Business Management Center of the National Medical Insurance Administration, introduced that the purpose of the payment method reform is to improve the efficiency of the use of medical insurance funds, use limited medical insurance funds to purchase higher-quality medical services for insured persons, and at the same time encourage medical institutions and doctors Actively standardize medical service behaviors, enhance the endogenous motivation to control costs, promote hierarchical diagnosis and treatment, and allow medical insurance and medical treatment to "go together"
    .
     
      It is understood that the two-day session of the General Assembly, 15 minutes online forum brought together more than 40 doctors expert in the field of security managers, academics, and representatives of medical institutions, from different perspectives analysis hot and difficult issues of current payment reform together for The reform of the medical insurance payment method "breaks the problem
    .
    "
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