Exploration of "Online plus Offline" Supervision Mode under the DRG Payment in Meishan City

China Health Insurance ›› 2022, Vol. 0 ›› Issue (4) : 53-58.

China Health Insurance ›› 2022, Vol. 0 ›› Issue (4) : 53-58. DOI: 10.19546/j.issn.1674-3830.2022.4.011
Management Platform

Exploration of "Online plus Offline" Supervision Mode under the DRG Payment in Meishan City

Author information +
History +

Abstract

Under the DRG payment, medical institutions have new violations different from the traditional fee-for-service. The supervision of these violations is one of the necessary measures to further deepen the reform of the medical insurance payment method. Taking the practice of DRG supervision in Meishan City, Sichuan Province as an example, this paper explores methods, achievements and concerns of the "online plus offline" supervision mode and offers suggestions accordingly, providing reference for other regions in China.

Key words

DRG / "online plus offline" supervision mode / new medical violations / online review / on-site examination

Cite this article

Download Citations
Exploration of "Online plus Offline" Supervision Mode under the DRG Payment in Meishan City[J]. China Health Insurance. 2022, 0(4): 53-58 https://doi.org/10.19546/j.issn.1674-3830.2022.4.011

References

[1] 国家医保局.国家医疗保障疾病诊断相关分组(CHS-DRG)分组与付费技术规范[S].2019.
[2] 王涛. 大数据背景下医疗保险信息化建设的问题分析[J].电脑知识与技术,2021,17(09):35-36.DOI:10.14004/j.cnki.ckt.2021.0824.
[3] 乔荣荣,乔荣华.高额病案医保违规问题分析——以江苏省某统筹区为例[J].中国医疗保险,2021(05):65-67.DOI:10.19546/j.issn.1674-3830.2021.5.018.
[4] 王坚强,王奕婷.DRG医保支付方式改革对医疗行为的影响[J].湖南社会科学,2021(01):133-139.
[5] 朱晓亚. 如何加强医保基金监管队伍建设[J].人力资源,2021(14):24-25.
[6] 吴桂秀.大数据在医保服务中的创新应用.中国保险[J].2021,(06).
[7] 杨峰,李永祥.大数据在医保服务中的创新应用.中国医疗保险[J].2020,(03).
[8] 国务院. 医疗保障基金使用监督管理条例[S].国令第735号.
[9] 王志刚. 将DRG付费改革作为建设高质量医保的关键机制[J].中国医疗保险,2021(01):18-20.

Accesses

Citation

Detail

Sections
Recommended

/