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What does medical insurance dip payment mean?

Medical insurance DIP payment is to convert medical items, types of diseases, bed days, etc. into a certain number of points within a certain area.

To put it simply, the current pricing is changed to the corresponding points. Finally, based on the total points of medical services provided by all medical institutions in the area, and corresponding to the expenditure amount of the local medical insurance fund, the value represented by each point is calculated, and then the value is obtained.

The final amount each medical institution actually received.

Medical insurance DIP payment means that based on the previous payment by disease type, the point payment is made after classification and combination using big data technology.

As we all know, the previous single-disease payment method has limited disease coverage. For example, once there are complications, a single-disease withdrawal mechanism is adopted, which is not easy to promote. However, medical insurance dip payment can avoid this drawback to a large extent.

This is also a medical insurance payment method with Chinese characteristics. It can discover the inherent laws and correlations between diseases and treatments, extract data features for combination, and compare the average of each disease and treatment resource consumption in the region with

The average resource consumption of the entire sample is compared to form a dip score.

DIP serves as China's unique medical insurance payment model. Against the background of the continuous accumulation of medical big data and the rapid development of technology, it has been inherited in terms of regional total budget, payment by disease, payment by disease, and point settlement.

and innovation.

Its basic idea is to use big data as the core, use a large amount of real-life data to restore the overall situation of the disease, and objectively fit out the medical expenses and expenses based on the characteristics and laws of the disease, and establish a measurement system

, so that the payment of medical insurance funds can be scientifically and accurately supported.

The design idea of ??DIP is of great significance to reducing fund risks, improving fund supervision efficiency, reducing patients' medical burden, and improving medical service efficiency.

The focus of DIP is to give full play to the basic role of disease classification, the core role of disease point values, the supervisory role of medical behavior, the fund payment of medical insurance agencies, the supervision of processes, and the internal refined management of hospitals.