The big data diagnosis-intervention packet payment method: experience from Shanghai and Guangzhou / 中华医院管理杂志
Chinese Journal of Hospital Administration
; (12): 186-190, 2021.
Article
in Zh
| WPRIM
| ID: wpr-912720
Responsible library:
WPRO
ABSTRACT
Medical insurance payment model is transforming from project-based purchases to service bundle-based strategic purchases. The new form of bundled purchases should found on a scientifically-led design process of such bundles. The core to bundled purchase would be the payment standard, and the key to its success would be process control. Establishment of such a foundation, a core, and a key, would promote the current price standards, and lead service providers to a standardized medical service standard, so as to ensure a precise rewarding system of payment and service. The big data diagnosis-intervention packet(DIP)is able to fulfill mentioned ambitions by integrating insurance payment and supervision into one management. DIP is a full-process payment mode that encompasses pre-service estimation, in-service process control, post-service grading, and resource allocation. It is an innovative practice in line with China′s national conditions for the modern governance of medical security and medical services.
Full text:
1
Index:
WPRIM
Type of study:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Language:
Zh
Journal:
Chinese Journal of Hospital Administration
Year:
2021
Type:
Article