最新发布!事关医保!
<section data-tools="135编辑器" data-id="118141"><section style="text-align: left;margin: 10px auto;"><section></section><section style="border-width: 1px;border-style: solid;border-color: rgb(54, 71, 150);padding: 8px;"><section style="background-color: rgb(243, 245, 251);padding: 30px 25px;"><section data-autoskip="1" style="text-align: justify;line-height: 1.75em;letter-spacing: 1.5px;font-size: 16px;color: #333333;background: transparent;"><p style="text-indent:2.21428em;">你听说过“医保T指数”吗?近日,市医保局在全省范围内率先创新建立“医保T指数”考评和通报机制,那么为什么建立这一机制,又有什么作用呢?咱们一起到市医保局召开的新闻发布会上看看吧。</p></section></section></section></section></section><p style="margin-top: 5px;margin-bottom: 5px;color: rgb(0, 0, 0);font-size: 16px;font-family: sans-serif;text-align: center;"></p><p><section style="margin-top: 5px;margin-bottom: 0in;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-indent: 0.39in;line-height: normal;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><br/></section><section data-tools="135编辑器" data-id="132230"><section data-tools="135编辑器" data-id="118141"><section><section><section data-autoskip="1"><section data-role="outer" label="edit by 135editor" style="outline: 0px;visibility: visible;"><section data-role="paragraph" style="outline: 0px;visibility: visible;"><section style="margin-top: 5px;margin-bottom: 0in;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-indent: 0.39in;line-height: normal;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><br style="outline: 0px;"/></section><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: left;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section style="padding-left: 10px;outline: 0px;display: inline-block;width: auto;vertical-align: top;min-width: 10%;height: auto;border-left: 3px solid rgb(0, 112, 192);border-bottom-left-radius: 0px;line-height: 0;"><section style="outline: 0px;transform: translate3d(-13px, 0px, 0px);"><section style="outline: 0px;display: inline-block;vertical-align: top;overflow: hidden;height: 10px;width: 25px;line-height: 0;border-style: solid solid none;border-width: 3px 3px 2px;border-radius: 0px;border-color: rgb(0, 112, 192);"><br style="outline: 0px;"/></section></section><section style="outline: 0px;transform: translate3d(-1px, 0px, 0px);"><section style="outline: 0px;color: rgb(0, 112, 192);text-align: justify;font-size: 18px;line-height: 1.5;"><p style="outline: 0px;"><strong style="outline: 0px;letter-spacing: 1px;font-size: 16px;line-height: 1.5em;">为什么建立“医保T指数”考评和通报机制</strong></p></section></section><section style="outline: 0px;transform: translate3d(-13px, 0px, 0px) rotateX(180deg);"><section style="outline: 0px;display: inline-block;vertical-align: top;overflow: hidden;height: 10px;width: 24px;line-height: 0;border-style: solid solid none;border-width: 3px 3px 2px;border-radius: 0px;border-color: rgb(0, 112, 192);"><br style="outline: 0px;"/></section></section></section></section><section style="margin-top: 16px;margin-bottom: 16px;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);line-height: 1.75em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;height: 0px;overflow: hidden;"><br style="outline: 0px;"/></section><p style="outline: 0px;"><br style="outline: 0px;"/></p><p style="margin-top: 5px;margin-bottom: 5px;outline: 0px;text-align: left;color: rgb(0, 0, 0);font-size: 16px;text-indent: 2em;font-family: sans-serif;"><span style="outline: 0px;text-indent: 2em;caret-color: red;text-align: justify;">一、建立“医保T指数”考评和通报机制是促进“三医联动”改革的具体举措,将推动医保、医疗“同频共振”,有力保障医保基金的安全平稳可持续运行。</span><br style="outline: 0px;"/></p><p style="margin-top: 5px;margin-bottom: 15px;outline: 0px;color: rgb(0, 0, 0);font-size: 16px;text-indent: 2em;line-height: 1.5em;font-family: sans-serif;">二、“医保T指数”考评和通报机制是医疗机构高质量发展的“助燃剂”,公平公正公开的“医保T指数”考评能够为医疗机构高质量发展提供正向引导,并最终落脚在提升广大群众看病就医的获得感和满意度。</p><section style="margin-top: 5px;margin-bottom: 0in;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-indent: 0.39in;line-height: normal;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><br style="outline: 0px;"/></section><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: left;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section style="padding-left: 10px;outline: 0px;display: inline-block;width: auto;vertical-align: top;min-width: 10%;height: auto;border-left: 3px solid rgb(0, 112, 192);border-bottom-left-radius: 0px;line-height: 0;"><section style="outline: 0px;transform: translate3d(-13px, 0px, 0px);"><section style="outline: 0px;display: inline-block;vertical-align: top;overflow: hidden;height: 10px;width: 25px;line-height: 0;border-style: solid solid none;border-width: 3px 3px 2px;border-radius: 0px;border-color: rgb(0, 112, 192);"><br style="outline: 0px;"/></section></section><section style="outline: 0px;transform: translate3d(-1px, 0px, 0px);"><section style="outline: 0px;color: rgb(0, 112, 192);text-align: justify;font-size: 18px;line-height: 1.5;"><p style="outline: 0px;"><strong style="outline: 0px;letter-spacing: 1px;font-size: 16px;line-height: 1.5em;">“医保T指数”考评和通报机制包括什么内容</strong></p></section></section><section style="outline: 0px;transform: translate3d(-13px, 0px, 0px) rotateX(180deg);"><section style="outline: 0px;display: inline-block;vertical-align: top;overflow: hidden;height: 10px;width: 24px;line-height: 0;border-style: solid solid none;border-width: 3px 3px 2px;border-radius: 0px;border-color: rgb(0, 112, 192);"><br style="outline: 0px;"/></section></section></section></section><section style="margin-top: 16px;margin-bottom: 16px;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);line-height: 1.75em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><br style="outline: 0px;"/></section><p style="margin-top: 5px;margin-bottom: 15px;outline: 0px;color: rgb(0, 0, 0);font-size: 16px;text-indent: 2em;line-height: 1.5em;font-family: sans-serif;"><span style="outline: 0px;text-indent: 2em;caret-color: red;">具体来讲,“医保T指数”考评和通报机制包括七个指数内涵:</span></p><p style="margin-top: 5px;margin-bottom: 15px;outline: 0px;color: rgb(0, 0, 0);font-size: 16px;text-indent: 2em;line-height: 1.5em;font-family: sans-serif;"><span style="outline: 0px;color: rgb(46, 130, 166);"><strong style="outline: 0px;">一是医保专项考核指数</strong></span>,以国考核心指标为主要内容,促进医疗机构提升服务能力,落实分级功能定位。对不同级别的医疗机构进行了指数内涵的区分和明确。比如,在制定对二、三级医疗机构的专项考核指标时,除了都考核国家组织药品集中采购中标药品使用比例、门诊人次数与出院人次数比、出院患者手术占比、大型医用设备检查阳性率、高值医用耗材收入占比等指标外,我们还将出院患者三级、四级手术比例和基础病组平均费用变化情况纳入对二级医疗机构考评,对三级医疗机构则重点考评的是出院患者四级手术比例和基础病组费用占比。二者在出院患者不同级别手术比例、基础病组费用上的考评做了一定的区别。</p><p style="margin-top: 5px;margin-bottom: 15px;outline: 0px;color: rgb(0, 0, 0);font-size: 16px;text-indent: 2em;line-height: 1.5em;font-family: sans-serif;"><span style="outline: 0px;color: rgb(46, 130, 166);"><strong style="outline: 0px;">二是重点支持病种指数</strong></span>,支持淮海经济区医疗高地建设急需发展的低谷病种(外转较多病种)和具有引领作用的高峰病种(本地优势病种)。</p><p style="margin-top: 5px;margin-bottom: 15px;outline: 0px;color: rgb(0, 0, 0);font-size: 16px;text-indent: 2em;line-height: 1.5em;font-family: sans-serif;"><span style="outline: 0px;color: rgb(46, 130, 166);"><strong style="outline: 0px;">三是急诊抢救指数</strong></span>,提升医疗机构,特别是县级医疗机构提升就近救治能力,避免推诿急诊患者情况发生。</p><p style="margin-top: 5px;margin-bottom: 15px;outline: 0px;color: rgb(0, 0, 0);font-size: 16px;text-indent: 2em;line-height: 1.5em;font-family: sans-serif;"><span style="outline: 0px;color: rgb(46, 130, 166);"><strong style="outline: 0px;">四是住院医疗费用年终清算指数</strong></span>,作为年终清算系数。</p><p style="margin-top: 5px;margin-bottom: 15px;outline: 0px;color: rgb(0, 0, 0);font-size: 16px;text-indent: 2em;line-height: 1.5em;font-family: sans-serif;"><span style="outline: 0px;color: rgb(46, 130, 166);"><strong style="outline: 0px;">五是基金绩效考核指数</strong></span>,落实省医保局文件要求,主要用于分配预留考核保证金(5%)。</p><p style="margin-top: 5px;margin-bottom: 15px;outline: 0px;color: rgb(0, 0, 0);font-size: 16px;text-indent: 2em;line-height: 1.5em;font-family: sans-serif;"><span style="outline: 0px;color: rgb(46, 130, 166);"><strong style="outline: 0px;">六是基金支付指数</strong></span>,逐月公开基金总体运行情况,基金总体收支、结余情况和每家医疗机构基金支付情况,实现医保部门和医疗机构之间的公开透明。</p><p style="margin-top: 5px;margin-bottom: 15px;outline: 0px;color: rgb(0, 0, 0);font-size: 16px;text-indent: 2em;line-height: 1.5em;font-family: sans-serif;"><span style="outline: 0px;color: rgb(46, 130, 166);"><strong style="outline: 0px;">七是定期公示通报指数</strong></span>,以信息公开透明破解医患信息不对称难题,引导患者就医流向。在系统内、两定单位内进行通报,促进比学赶超。结合次均费用、发生例次、门诊次均费用增长率等关键内容,设计了8个具体指标。</p><p style="margin-top: 5px;margin-bottom: 15px;outline: 0px;color: rgb(0, 0, 0);font-size: 16px;text-indent: 2em;line-height: 1.5em;font-family: sans-serif;"><br style="outline: 0px;"/></p><section data-role="title" data-tools="135编辑器" data-id="124227" style="outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section style="margin: 10px auto;outline: 0px;display: flex;"><section style="outline: 0px;flex-shrink: 0;"><section style="outline: 0px;width: 4px;height: 51.1875px;background-image: linear-gradient(rgb(0, 32, 96), rgb(79, 129, 189));background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;overflow: hidden;"><br style="outline: 0px;"/></section></section><section style="padding-left: 5px;outline: 0px;"><section style="outline: 0px;font-size: 16px;color: rgb(51, 51, 51);text-align: left;letter-spacing: 1.5px;"><span style="outline: 0px;color: rgb(0, 112, 192);font-size: 15px;"><strong data-brushtype="text" style="outline: 0px;">市医保中心副主任姚惊雪</strong></span></section><section style="outline: 0px;font-size: 12px;color: rgb(220, 211, 211);text-align: left;letter-spacing: 1.5px;"><span style="outline: 0px;color: rgb(0, 0, 0);font-size: 15px;"><br/></span></section></section></section></section><section data-tools="135编辑器" data-id="132230" style="outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section style="margin: 10px auto;outline: 0px;"><section style="padding: 15px;outline: 0px;background-color: rgb(245, 248, 255);"><section data-autoskip="1" style="outline: 0px;line-height: 1.75em;letter-spacing: 1.5px;font-size: 14px;color: rgb(51, 51, 51);background: transparent;"><p style="cursor: text;color: rgb(0, 0, 0);font-size: 17px;caret-color: rgb(255, 0, 0);line-height: 34px;text-indent: 2.1333em;font-family: 微软雅黑, sans-serif;max-inline-size: 100%;outline: none 0px !important;"><span style="cursor: text;caret-color: red;font-size: 15px;letter-spacing: 1px;line-height: 1.6em;max-inline-size: 100%;outline: none 0px !important;">“总体而言,建立“医保T指数”考评和通报机制是依托管用高效的医保支付机制,增强对医疗服务的激励约束作用,促进医保、医疗、医药协同发展和治理,努力为广大群众提供优质、便捷、实惠的全方位全生命周期健康服务,全面加快健康徐州建设。”</span></p></section></section><section style="margin-top: -30px;outline: 0px;display: flex;justify-content: flex-end;"><section style="outline: 0px;width: 45px;height: 0px;overflow: hidden;"><br style="outline: 0px;"/></section></section></section></section><p style="outline: 0px;letter-spacing: 0.544px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><br style="outline: 0px;"/></p><p style="outline: 0px;letter-spacing: 0.544px;line-height: 1.75em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;font-size: 15px;letter-spacing: 1px;caret-color: red;"></span></p></section></section><p style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;line-height: 1.75em;"><br style="outline: 0px;letter-spacing: 0.544px;"/></p><p><a target="_blank" href="https://a.app.qq.com/o/simple.jsp?pkgname=com.hoge.android.xuzhou" textvalue="你已选中了添加链接的内容" linktype="text" imgurl="" tab="outerlink" data-linktype="1" style="font-size: var(--articleFontsize);text-align: center;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;outline: 0px;color: var(--weui-LINK);cursor: pointer;letter-spacing: 0.578px;"></a></p></section></section></section></section></section></p><p style="display: none;"><mp-style-type data-value="3"></mp-style-type></p><p style="color:#999;font-size:.8em;margin-top:1em">转载声明:本文转载自无线徐州</p><link rel="stylesheet" href="//bbs.221700.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_L9E" id="wcn_editor_css"/> 让老百姓看病方便 便民 实惠的全方位全生命周期健康服务{:13_571:} 收到 感谢分享
页:
[1]