The storm is coming, DRG is going to change the life of "dealers"!

On the 24th, the National Health Insurance Bureau held a video conference on "launching the pilot work of DRG payment countries", which announced the list of 30 pilot cities in DRG payment countries, and briefly introduced the main contents of DRG payment countries' pilot work DRG (diagnosis related groups) is one of the most advanced payment methods in the world, which is called diagnosis related groups DRG is a kind of patient classification scheme and a classification coding standard specially used for medical insurance prepayment system According to the age, gender, length of stay, clinical diagnosis, disease, operation, severity of disease, complications, outcome and other factors, it divides the same type of patients into a group, and compares each diagnosis step, length of stay, treatment plan and so on So the emergence of any difference in medical big data will attract all attention This is undoubtedly a huge blow to pharmaceutical companies and distributors In addition, DRG is scientifically calculated on the basis of classification, and a fixed advance payment is given In other words, DRG is a kind of payment system that medical insurance institutions reach an agreement with the hospital on the payment standard of diseases When the hospital receives the patients who participate in medical insurance, the medical insurance institutions pay the expenses to the hospital according to the prepayment standard of diseases, and the excess part is borne by the hospital The specific contents are as follows: the meeting released the list of 30 pilot cities in DRG paying countries, and introduced the preparations and main contents of the pilot work in DRG paying countries In accordance with the "top-level design, simulation operation and actual payment", the pilot work will be carried out in three years in an orderly manner Through the pilot work, the goal of "five ones" will be achieved, that is, to formulate a set of standards, improve a series of policies, establish a set of procedures, train a team and create a batch of models It was stressed that the importance of DRG paid country pilot should be fully recognized Improving the payment mechanism of medical insurance is a major strategic decision of the Party Central Committee and the State Council We should make full use of big data, promote the supply side reform of medical services, strengthen the standardized and refined management of medical insurance, improve the incentive and restraint mechanism of medical services, and better protect the people's health level through the reform of payment methods According to the meeting, all pilot areas should strengthen organization and leadership, implement relatively unified DRG grouping rules, payment policies and handling management standards, improve the medical insurance information system and improve the hospital management level Establish a level by level training, regular evaluation, regular reporting, communication and coordination mechanism, and do a good job in publicity Leaders from relevant departments and bureaus of the Ministry of finance, the National Health Commission, the State Administration of traditional Chinese medicine and the state health insurance bureau attended the meeting The provincial medical insurance departments of the pilot cities of DRG paying countries, the local finance, health, TCM management and medical insurance departments of the pilot cities, and the representatives of the medical institutions participating in the pilot attended the meeting through the video system List of pilot cities attached: Beijing, Tianjin, Handan, Shanxi, Wuhai, Inner Mongolia, Shenyang, Jilin, Harbin, Shanghai, Wuxi, Jinhua, Hefei, Nanping, Shangrao, Qingdao, Anyang, Wuhan and lake Xiangtan City in south province, Foshan City in Guangdong Province, Wuzhou City in Guangxi Zhuang Autonomous Region, Danzhou City in Hainan Province, Chongqing City, Panzhihua City in Sichuan Province, Liupanshui City in Guizhou Province, Kunming City in Yunnan Province, Xi'an City in Shaanxi Province, Qingyang City in Gansu Province and Xining City in Qinghai Province Urumqi is designated as a pilot city by Xinjiang Uygur Autonomous Region and Xinjiang production and Construction Corps This article is reprinted by yaozhi.com The copyright belongs to the original author The purpose of reprint is to transmit more information, which does not represent the view of this platform If the content of the work, copyright and other issues are involved, please contact our website message, we will delete the content in the first time.