Practices and inspirations of the DRGs payment rate calculation for seniors medical insurance in the United States
10.3760/cma.j.issn.1000-6672.2018.07.022
- VernacularTitle:美国老年医保按病种付费支付标准借鉴与启示
- Author:
Xiaoyu QIU
1
;
Xuan ZHU
;
Jing WU
Author Information
1. 300072,天津大学管理与经济学部
- Keywords:
Rate setting and review;
Case management;
Diagnosis-related-groups payment;
Medicare;
Enlightenment
- From:
Chinese Journal of Hospital Administration
2018;34(7):612-614
- CountryChina
- Language:Chinese
-
Abstract:
In terms of the definition of normal cases and abnormal ones, the paper systematically analyzed the DRGs payment for American seniors Medicare, focusing on the mechanism of the basic payment rate and additional payment rate for normal and abnormal cases. These experiences prompt to maintain the stability of the payment modes transition, motivate medical institutions, and pay attention to differences among such institutions for fine management of medical insurance.
