Medicare DRG payment is payment by disease diagnosis-related grouping. That is to say, related diseases are divided into a group for packaged payment, and no longer paid item by item.
Through DRG payment, the medical insurance fund is not overspent, the use of efficiency is more efficient, the management of medical institutions and medical insurance patients is more accurate; to promote more standardized diagnostic and treatment behaviors of medical institutions; the patient side to enjoy high-quality health care services, reduce the financial burden of disease, while the settlement method is also more convenient.
The benefits of DRG payment.
DRG payment can make the cost of medical treatment more intuitive and clearer. After the patient's condition and treatment are determined, he or she knows how much it will cost, how much the individual will pay, and how much will be reimbursed by the medical insurance, so that he or she can have a clear idea of what to expect, reduce unnecessary tests, avoid taking medicines he or she shouldn't take, and avoid being over-medicated, thus lowering the cost of seeing a doctor.
The hospital provides patients with a categorized billing list when they are discharged from the hospital, reflecting the patient's medical expenses for the hospitalization, other additional charges for consumables, special medical services, and clinical use of blood in a categorized manner, so that the people can see the doctor and do it clearly, and in an unambiguous manner.