![]() ![]() However, as in many other countries, the basic DRGs structure has undergone numerous revisions since its creation, leading to a less stable, more complex, and often confusing process. ![]() Īiming at allowing for more ‘outside’ control on hospital expenditure, several pieces of common grouping software have been developed to standardise and facilitate hospital payments in China. In the DRGs system, excessive drugs and treatment provided by hospitals will not be paid for, which improves healthcare quality and stabilises costs. The medical expenses that patients and medical insurance need to pay are only related to the results of grouping. Originating from Yale University and first implemented in the United States in 1983, DRGs is a payment system that can gather patients with similar clinical symptoms and similar resource consumption patterns into the same group. Until 2016, two national DRG groupings, CN-DRGs and C-DRGs, were developed and tested in Sanming, Shenzhen and Karamay, and nearly twenty of the thirty-two provinces in mainland China implemented the simplified DRGs. In 2009, the Chinese government announced the initiation of the prospective DRG-based payment reform. One of the core measures is provider payment reform, in which diagnosis-related groups (DRGs) payment is perceived as a valuable alternative to the conventional fee-for-service (FFS) payment method. With the enhancement and standardisation of medical information systems and clinical pathways, the Chinese government has paid closer attention to payment reform and enhanced supervision of the quality of medical care in the new round of healthcare reform, hoping to curb soaring medical expenditures. However, gaps remain in efficiency in the delivery and control of health expenditures. In the most recent healthcare reform, China has made substantial progress in improving equal access to care and enhancing financial protection. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. May 2022.Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. A Special Workforce Edition of the National Hospital Flash Report. Some hospitals rake in high profits while their patients are loaded with medical debt. Hospitals made $21B on Wall Street last year, but are patients seeing those profits? NBC News. Why Major Hospitals Are Losing Money By The Millions. Health Resources & Services Administration. Estimate of Federal Payment Reductions to Hospitals Following the ACA 2010-2028. ![]() ![]() September 2, 2020.ĭobson DaVanzo & Associates, LLC. Fiscal Year (FY) 2021 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Final Rule (CMS-1735-F). Acute Inpatient PPS.Ĭenters for Medicare and Medicaid Services. Bundled Payments for Care Improvement (BPCI) Initiative.Ĭenters for Medicare and Medicaid Services. Background.Ĭenters for Medicare and Medicaid Services. COVID-19 Update.Ĭenters for Medicare and Medicaid Services. International Classification of Disease (ICD) Codes in Medicare Files.Ĭenters for Medicare and Medicaid Services. ![]()
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