摘要
2020年底,国家医疗保障局确定71个区域点数法总额预算和按病种分值付费(DIP)试点城市,公布了《按病种分值付费(DIP)技术规范和DIP病种目录库(1.0版)》《按病种分值付费(DIP)医疗保障经办管理规程》。那么,试点城市要如何按照国家的规范和要求来开展本地的病种分值付费(DIP)工作呢?本文通过介绍病种分值付费的发祥地——淮安市在此次DIP试点工作中紧抓国家规范对标找差、突出支付与监管双轮驱动一体化理念、着力打造信息系统建设提质升级等做法,希望能为其他城市提供一些参考和借鉴。
At the end of 2020,the National Healthcare Security Administration identifi ed 71 pilot cities for DIP work,and published The First Edition of DIP Technical Specifi cations and DIP Disease Catalogue Database and The DIP Healthcare Security Handling Management Procedures.Then,how should pilot cities carry out local DIP work in accordance with national norms and requirements?This paper introduces the practices of Huai'an City,the birthplace of payment by disease score,in this DIP pilot work,including paying close attention to the national standard,highlighting the concept of integration of payment and supervision,and striving to build the construction,quality and upgrading of information system,hoping to provide some references for other cities.
作者
印亚琴
Yin Yaqin(Huai'an Healthcare Security Bureau,Huai'an,223001)
出处
《中国医疗保险》
2021年第10期47-50,共4页
China Health Insurance
