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随着全民医保的不断深入及人口老龄化的不断加剧,医保基金收入增长率已经开始低于医保基金支出的增长率,以“以收定支、收支平衡、略有结余”为原则的总额控制医保付费方式已成趋势。总额控制下的付费方式主要有按定额付费、按人头付费、按病种付费、按诊断相关组(DRGs)付费等,其中病种费用管理将在医保管理中发挥越来越
With the continuous deepening of universal coverage and aging population, the growth rate of Medicare funds has started to fall below the growth rate of Medicare Fund expenditures, taking the principle of “receiving payment, balance of payments and slight balance” The total amount of control Medicare payment has become a trend. The total amount of payment under the control of the main pay according to fixed, pay per head, pay by type, according to the diagnosis of related groups (DRGs) pay, etc., of which the cost management of the disease will play more and more in health care management