Exploration of new mode of hospital medical insurance management under DRG payment reform environment
DRG支付改革环境下对医院医保管理新模式的探索

摘要

疾病诊断相关分组（DRG）医保支付改革是医疗保险制度改革的重要组成部分，其针对医疗服务进行分类，以服务性质以及难度为基础进行付费，有效解决了以往按数量支付的不足，确保了医疗服务的质量以及公平，但在实际开展工作的过程中仍存在一定的问题。本文综述了DRG支付改革环境下对医院医保管理新模式所存在的问题，以及针对性的解决措施。

Abstract

Disease diagnosis related group (DRG) payment reform is an important part of medical insurance system reform, the classification of medical services, paid on the basis of service nature and difficulty, effectively solve the payment of the past, to ensure the quality of medical services and fair, but at the same time has brought various challenges. This paper summarizes the problems existing in the new model of hospital medical insurance management in the environment of DRG payment reform.