DRG三医协同监管应用
Search documents
费用更透明 支付更便捷
Ren Min Ri Bao· 2026-01-26 21:47
Core Viewpoint - The healthcare reform in Chongqing's Changshou District has significantly improved the medical insurance reimbursement process, making it more convenient and transparent for the public [1] Group 1: Reform Achievements - The Changshou District Medical Insurance Bureau has implemented a three-dimensional reform system focusing on dual efforts in reform, digital empowerment for strong regulation, and long-term operation for collaboration [1] - The integration of single disease management into the Diagnosis-Related Group (DRG) payment system has achieved full coverage in secondary hospitals, with the fund proportion reaching 84.16%, leading multiple indicators in the city [1] - The single disease settlement rate increased from 35% to 100% within five months [1] Group 2: Digital Empowerment - The district has connected medical insurance and health data systems, developing the "DRG Three-Medical Coordination Supervision" application for intelligent regulation and three-tiered prevention [1] - A "2+N" joint meeting system has been established for collaborative monitoring and rectification between medical insurance and health departments, along with an expert database to guide standardized diagnosis and treatment [1] Group 3: Benefits to the Public - The average medical insurance cost per resident and employee in Changshou District is lower than the city average, effectively reducing the medical burden on the public [1] - The Medical Insurance Bureau plans to continue deepening reforms and innovating measures to enhance fund efficiency, contributing to the high-quality development of medical insurance and supporting the construction of a healthy China [1]