哈尔滨市DRG支付政策分析及启示

Analysis and enlightenment of DRG payment policy in Harbin

简述哈尔滨市DRG分组方案及支付政策,总结实施效果,与国内实施现状进行分析比较,并提出在DRG实施过程中,要重视分组规则设置和编码字典映射,综合考虑地区医保基金承受能力和医疗技术发展需要,医保经办部门应与医疗机构建立畅通的沟通机制,对医疗机构进行合理补偿等建议。

To state the DRG grouping scheme and payment policy in Harbin,summarize the implementation effect,and analyze and compare with domestic implementation status.It puts forward reasonable suggestions of that,in the process of DRG payment implementation,we should pay more attention to grouping rules setting and coding dictionary mapping,comprehensively consider to the bearing capacity of regional medical insurance fund and the needs of medical technology development,medical insurance agencies should establish a smooth communication mechanism with medical institutions and make reasonable compensation to medical institutions.