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Standardising DRG (Diagnosis Related Groups) payment

October 25th, 2019 | by

On October 23rd, the National Medical Insurance Bureau issued the “Notification on Technical Specifications and Grouping Plans of Pilot Works of DRG Payment” including the “Technical Specifications of DRG Grouping and Payment” and “Grouping Plans of DRG(CHS-DRG) Payment.” The “Notification” stipulated that because the CHS-DRG covers nearly all treatments of diseases, it will become the only standard for DRG payment implemented by the National Medical Insurance. In addition, pilot cities of DRG payment should execute the “Grouping Plan” and formulate local subdivided DRGs according to the unified guidelines of grouping and the actual situation of each city.

国家医保局发文 DRG付费标准正式走向统一

来源: 医药网 2019.10.25

10月23日,国家医保局正式公布《关于疾病诊断相关分组(DRG)付费国家试点技术规范和分组方案的通知》,包含《国家医疗保障DRG分组与付费技术规范》和《国家医疗保障DRG(CHS-DRG)分组方案》。《通知》指出,CHS-DRG可基本实现疾病治疗全覆盖,将成为全国医保部门实行DRG付费的唯一标准;各试点城市应严格执行《分组方案》,按照统一的分组操作指南,并结合各地实际情况制定本地的细分DRG分组。

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