pk10永久可用出号公式技巧

继续访问电脑版 Please select to enter the mobile version | continue to access the desktop version
Ma On Shan OK Forum

The death of Dr. Yang had to mention the medical insurance system.

只看楼主 Published on 2019-12-29 23:54:59 5628 people read 34 people responded only to the landlord

1 2 3 下一页 page
Back to list Post new
First memorial to Dr. Yang Wen.

That year, I was not a medicine god. After the movie was released, it caused everyone's concern about major diseases and cancer drugs. When some drugs were included in medical insurance reimbursement, everyone cheered, including me! But shortly after I saw on Weibo, some people raised concerns and anxieties about expensive drugs being included in medical insurance ... The main concern is that the medical insurance fund has a certain amount, not uncontrolled. Anxiety is that medical insurance is focused on general medical reimbursement, and expensive drugs will expedite the consumption of medical insurance funds (sorry I don't know how to use words to correctly express the text I saw at the time, but this is probably the meaning).

The recent murder of Dr. Yang Wen is also reflecting a problem: the medical insurance system. For example, some hospitals' medical insurance reimbursement limits are 10,000 yuan, some are 5 million, etc. If you spend 9 million in the first half of the year, you will not dare to exceed 1 million in the second half of the year, so some medical problems and conflicts make hospitals and medical care Took on ...

Everyone who has an understanding of medical insurance can talk in detail.

From: iPhone client
share to: QQ friends and groups QQ friends and groups QQ space QQ space Tencent Weibo Tencent Weibo Tencent friends Tencent friends
Favorite Favorites share it Amoy Posts awesome 10 Likes Step on Step on
2 #
发表于2019-12-29 21:03:35 该帖来自手机版 | 只看该作者 Posted on 2019-12-29 21:03:35 This post is from mobile version | Only the author
Friends who need to perform medium and large surgery, remember to do it in the first half of the year!
From: Android Client
In the future, China's medical insurance payment reform will present four trends.

First, budget management has become the basic premise for the reform of payment methods.

Strengthening budget management and total amount control is a basic experience of medical insurance payment. Medical insurance should always pursue quality assurance for the insured, and fund balance for the sustainable development of the system. Therefore, the medical insurance fund must establish a budget management mechanism, and expenditure must be controlled by the total amount. If there is no total amount control mechanism, even the implementation of DRGs will not escape the surge in hospitalization rates and cost overruns.

There are various payment methods under the total amount control budget management. Most regions choose the "direct division method", that is, the total budget is divided into each medical institution based on the previous three years. The direct division method is simple and intuitive, and easy to implement, but there are problems such as simple and rude and insufficient supervision in practical operations. Combined with DRGs or the "points method", etc., the implementation of general control in the fund coordination area has become the direction, and the regional medical consortium package payment has become a supplementary path.

Secondly, multiple and compound payment methods have become a feasible path.

The core of the reform of the medical insurance payment method is to focus on promoting the reform of the multiple and compound medical insurance payment methods, which are mainly based on the type of payment. According to the diversity of medical services and the policy support environment, it is the best choice to innovate and adopt multiple payment methods. For example, pay per capita for grass-roots institutions. For special and difficult diseases, pay by project. The disease can be paid on a case-by-case basis.

Paying by disease type not only includes a single disease payment model, but also includes day surgery, outpatient chronic disease, outpatient major disease, and DRGs. At present, it is difficult to implement the payment of single diseases. On the one hand, the standard design is unreasonable, which is not conducive to tiered diagnosis and treatment and encourages the application of medical institutions; on the other hand, the expansion of profitable operating models of public medical institutions has become an obstacle to promotion.

Third, the negotiation and purchase of drugs for national health insurance became the norm.

In 2018, special anti-cancer drug medical insurance access negotiations negotiated an average price reduction of 17% for 17 anticancer drugs, and “4 + 7” cities brought an average price reduction of 25% for 25 drugs. This "bring your own drink" type of medical insurance purchase and payment attempt has achieved the "quality assurance" and "fund balance" functions of medical insurance payments.

In 2019, the state intends to summarize experiences and formulate and improve new policy documents for the procurement of concentrated supplies of pharmaceutical consumables. The “consumption ratio” of public hospitals is constantly rising, and the state and local governments have been paying close attention to it. It can be predicted that it is only a matter of time before negotiations on high-value consumables for medical insurance or volume procurement are organized.

Fourth, the regional master control combined with the point method was tried out.

The "point method" fully integrates the total budget with other payment methods, and can realize payment by disease based on regional budget management, thereby encouraging hospitals to provide services and control costs according to patient needs, and can achieve medical insurance control. Cost goals, while taking into account the development of medical technology and the reflection of service value.


From: iPhone client
Reply to support Against

Report using props

4 #
发表于2019-12-29 21:09:47 该帖来自手机版 | 只看该作者 Posted by 2019-12-29 21: 09: 47This post is from mobile version | Only look at the author
Wind from your fingertips Posted at 2019-12-29 21:04
In the future, China's medical insurance payment reform will present four trends.

First, budget management has become the basic premise for the reform of payment methods.

It looks like it should be the latest policy. I don't know how it will be implemented in the end. Medical insurance deficits are estimated to be the norm ...
From: Android Client
5 #
只看该作者 Published on 2019-12-29 21:12:03 | Only the author
Custom Ah Posted on 2019-12-29 21:03
Friends who need to perform medium and large surgery, remember to do it in the first half of the year!

why
Reply to support Against

Report using props

Didn't the landlord say that?
From: Android Client
Reply to support Against

Report using props


Didn't the landlord say that?
From: Android Client
Reply to support Against

Report using props

8 #
发表于2019-12-29 21:20:48 该帖来自手机版 | 只看该作者 Posted by 2019-12-29 21: 20: 48This post is from mobile version | Only look at the author

You didn't take it seriously. If the medical insurance limit is 10 million and the operation has been done in the first half of the year, it has already cost 9 million. What can be done in the second half of the year?
From: Android Client
Reply to support Against

Report using props

Custom Ah Posted on 2019-12-29 21:03
Friends who need to perform medium and large surgery, remember to do it in the first half of the year!

Why come from: Android Client
Reply to support Against

Report using props

10 #
发表于2019-12-29 21:23:06 该帖来自手机版 | 只看该作者 Posted on 2019-12-29 21:23:06 This post is from a mobile version | Only the author
Wulin League published on 2019-12-29 21:19
Didn't the landlord say that?

Eyesight
From: Android Client
Reply to support Against

Report using props

11 #
发表于2019-12-29 21:30:40 该帖来自手机版 | 只看该作者 Posted by 2019-12-29 21: 30: 40This post is from mobile version | Only look at the author

Please see the reply to others in the comments, in fact, you will know it carefully.
From: Android Client
Reply to support Against

Report using props

What are you thinking? Would n’t it matter if the health insurance medicine was given? After the expiry date, it is said that there is no medicine. There are targets for this hospital for medical insurance reimbursement.
From: iPhone client
13 #
发表于2019-12-29 22:02:22 该帖来自手机版 | 只看该作者 Posted on 2019-12-29 22:02:22 This post is from a mobile version | Only the author
Uncle porridgePosted on 2019-12-29 21:44
What are you thinking? Would n’t it matter if the health insurance medicine was given? After the expiry date, it is said that there is no medicine. There are targets for this hospital for medical insurance reimbursement.

You are serious, most doctors are competent.
From: Android Client
Reply to support Against

Report using props

Oh oh from: Android client
Reply

Report using props

Silence for the dead from: Android client
Reply to support Against

Report using props

1 2 3 下一页 page
Back to list Post new
You need to log in before you can reply to post | Free registration

this version of the rules