Research on Medical Insurance Payment Method of New Medical Technology Under DRG/DIP Payment System

China Health Insurance ›› 2023, Vol. 0 ›› Issue (2) : 40-44.

China Health Insurance ›› 2023, Vol. 0 ›› Issue (2) : 40-44. DOI: 10.19546/j.issn.1674-3830.2023.2.006
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Research on Medical Insurance Payment Method of New Medical Technology Under DRG/DIP Payment System

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Abstract

Objective: The paper attempts to explore the mechanism of medical insurance payment for new medical technology under DRG/DIP system. Methods: Based on literature review and theoretical research, the experience of new medical technology payment methods under package payment at home and abroad was summarized, and the design of medical insurance payment policy under DRG/DIP system was analyzed. Results: The countries and regions that implement DRG payment usually pay the new medical technology by exclusion payment or set new groups and rates at the initial stage of the new medical technology, and then incorporate it into the DRG general payment system after accumulating sufficient information. The idea of pilot experience in China is basically consistent with international experience, but the specific system and process is still fuzzy and needs to be improved. Conclusion: On the basis of evaluating the financing ability, we should learn from the experience of typical countries and regions and consider the short-term and long-term payment mechanism, so as to make a reasonable payment for the new medical technology under the DRG/DIP payment system.

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DRG / DIP / innovative medical technology

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Research on Medical Insurance Payment Method of New Medical Technology Under DRG/DIP Payment System[J]. China Health Insurance. 2023, 0(2): 40-44 https://doi.org/10.19546/j.issn.1674-3830.2023.2.006

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