江西医保支付方式将有大变化，今后看病不知道这些就亏...
<p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); box-sizing: border-box !important;"><br></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">江西医疗保险支付方式</p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">将有大变化</p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">近日<br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">江西出台了相关实施意见</p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">其中明确</p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">开展门诊特殊慢性病按人头付费</p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">探索普通门诊按人头付费</p><section class="" data-tools="135编辑器" data-id="24" style="max-width: 100%; box-sizing: border-box; line-height: 25.6px;"><section class="" style="margin: 10px auto; max-width: 100%; box-sizing: border-box !important;"><section class="" style="margin: 3px; padding: 15px; max-width: 100%; box-sizing: border-box; line-height: 24px; box-shadow: rgb(170, 170, 170) 0px 0px 3px; border-width: 2px; border-style: solid; border-color: rgb(240, 240, 240);"><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;">过去</p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;">我们往往觉得患上同一种病</p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;">治疗费用相差很大</p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;">即便是感冒</p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;">也会发生几十到几百不同的差额</p><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;">如今<br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;">实行按人头付费</p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;">按病种收费<br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;">价格固定了</p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;">不用去医院</p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;">就知道要花费多少钱</p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">做越多检查</strong></span></p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">开越多的药</strong></span></p><p style="max-width: 100%; min-height: 1em; text-align: center; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">医院反而会亏损</strong></span></p></section></section></section><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">简单来说</p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">可有效杜绝小病花大钱</p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">改革到底还有哪些干货</p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">让我们一起看过来~</p><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><br></p><section class="" data-id="85798" data-tools="135编辑器" style="max-width: 100%; box-sizing: border-box; line-height: 25.6px; font-family: 微软雅黑; border-width: 0px;"><section class="" style="margin-right: auto; margin-left: auto; max-width: 100%; box-sizing: border-box !important;"><section class="" data-width="100%" style="padding: 5px; max-width: 100%; box-sizing: border-box; border-radius: 4px; border-width: 1px; border-style: solid; border-color: rgb(55, 74, 174); width: 670px;"><section style="padding: 5px; max-width: 100%; box-sizing: border-box; border-radius: 4px; border-width: 1px; border-style: dashed; border-color: rgb(55, 74, 174); color: inherit;"><section style="margin: 5px; max-width: 100%; color: inherit; box-sizing: border-box !important;"><p style="max-width: 100%; min-height: 1em; border-color: rgb(55, 74, 174); text-align: center; color: rgb(55, 74, 174); line-height: 24px; box-sizing: border-box !important;"><strong class="" data-brushtype="text" style="max-width: 100%; box-sizing: border-box !important;">改革目标</strong></p></section></section></section></section></section><p><br></p><section class="" data-id="85375" data-tools="135编辑器" style="max-width: 100%; box-sizing: border-box; line-height: 25.6px; font-family: 微软雅黑; border-width: 0px;"><section style="margin-top: 0.5em; max-width: 100%; box-sizing: border-box; border-width: 1px; border-style: solid; border-color: rgb(89, 155, 171);"><section style="margin-bottom: 0.3em; max-width: 100%; box-sizing: border-box !important;"><section data-width="100%" style="max-width: 100%; box-sizing: border-box; border-color: rgb(89, 155, 171); width: 667.778px; text-align: center; color: rgb(254, 254, 254); font-size: 1em; font-weight: bold; text-decoration: inherit;"><section class="" data-brushtype="text" style="padding: 0.6em; max-width: 100%; box-sizing: border-box; border-color: rgb(89, 155, 171); color: inherit; line-height: 1.2em; font-size: 1.2em; background-color: rgb(89, 155, 171);">2017年</section><section style="margin-right: auto; margin-left: auto; max-width: 100%; box-sizing: border-box; width: 0px; height: 10px; color: inherit; border-top: 0.8em solid rgb(89, 155, 171); border-bottom-color: rgb(89, 155, 171); border-right: 0.8em solid transparent !important; border-left: 0.8em solid transparent !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></section></section></section><section style="margin: 10px; max-width: 100%; box-sizing: border-box; text-align: center; color: inherit; font-weight: bold; text-decoration: inherit;"><section style="padding: 0.5em; max-width: 100%; box-sizing: border-box; color: inherit; line-height: 1.2em; font-size: 1em; background-color: rgb(254, 254, 254);"><section data-style="text-align: justify; line-height: 1.75em; color: rgb(127,127,127);" style="margin: 5px; max-width: 100%; box-sizing: border-box !important;"><p style="max-width: 100%; min-height: 1em; text-align: justify; color: inherit; line-height: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;">■</span><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;"> </span><span style="max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important;">全面推行以按病种付费为主的多元复合式医保支付方式。</span></p><p style="max-width: 100%; min-height: 1em; text-align: justify; color: inherit; line-height: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;">■</span> <span style="max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important;">各地选择实行按病种付费的<span style="max-width: 100%; color: rgb(49, 133, 155); box-sizing: border-box !important;">病种不少于100个。</span></span></p><p style="max-width: 100%; min-height: 1em; text-align: justify; color: inherit; line-height: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;">■</span><span style="max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important;">有条件的地区，开展按疾病诊断相关分组（DRGs）付费试点</span></p><p style="max-width: 100%; min-height: 1em; text-align: justify; color: inherit; line-height: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important;"><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;">■</span> 鼓励各地完善<span style="max-width: 100%; color: rgb(49, 133, 155); box-sizing: border-box !important;">按人头、按床日等多种付费方式</span>。</span></p></section></section></section></section></section><p><br></p><section class="" data-id="85375" data-tools="135编辑器" style="max-width: 100%; box-sizing: border-box; line-height: 25.6px; font-family: 微软雅黑; border-width: 0px;"><section style="margin-top: 0.5em; max-width: 100%; box-sizing: border-box; border-width: 1px; border-style: solid; border-color: rgb(89, 155, 171);"><section style="margin-bottom: 0.3em; max-width: 100%; box-sizing: border-box !important;"><section data-width="100%" style="max-width: 100%; box-sizing: border-box; border-color: rgb(89, 155, 171); width: 667.778px; text-align: center; color: rgb(254, 254, 254); font-size: 1em; font-weight: bold; text-decoration: inherit;"><section class="" data-brushtype="text" style="padding: 0.6em; max-width: 100%; box-sizing: border-box; border-color: rgb(89, 155, 171); color: inherit; line-height: 1.2em; font-size: 1.2em; background-color: rgb(89, 155, 171);">2020年</section><section style="margin-right: auto; margin-left: auto; max-width: 100%; box-sizing: border-box; width: 0px; height: 10px; color: inherit; border-top: 0.8em solid rgb(89, 155, 171); border-bottom-color: rgb(89, 155, 171); border-right: 0.8em solid transparent !important; border-left: 0.8em solid transparent !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></section></section></section><section style="margin: 10px; max-width: 100%; box-sizing: border-box; text-align: center; color: inherit; font-weight: bold; text-decoration: inherit;"><section style="padding: 0.5em; max-width: 100%; box-sizing: border-box; color: inherit; line-height: 1.2em; font-size: 1em; background-color: rgb(254, 254, 254);"><section data-style="text-align: justify; line-height: 1.75em; color: rgb(127,127,127);" style="margin: 5px; max-width: 100%; box-sizing: border-box !important;"><p style="max-width: 100%; min-height: 1em; text-align: justify; color: inherit; line-height: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;">■</span><span style="max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important;">医保支付方式改革覆盖所有定点医疗机构及医疗服务。</span></p><p style="max-width: 100%; min-height: 1em; text-align: justify; color: inherit; line-height: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;">■</span> <span style="max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important;">全省范围内普遍实施适应不同疾病、不同服务特点的多元复合式医保支付方式，按项目付费占比明显下降。</span></p></section></section></section></section></section><p><br></p><p><br></p><section class="" data-id="85798" data-tools="135编辑器" style="max-width: 100%; box-sizing: border-box; line-height: 25.6px; font-family: 微软雅黑; border-width: 0px;"><section class="" style="margin-right: auto; margin-left: auto; max-width: 100%; box-sizing: border-box !important;"><section class="" data-width="100%" style="padding: 5px; max-width: 100%; box-sizing: border-box; border-radius: 4px; border-width: 1px; border-style: solid; border-color: rgb(55, 74, 174); width: 670px;"><section style="padding: 5px; max-width: 100%; box-sizing: border-box; border-radius: 4px; border-width: 1px; border-style: dashed; border-color: rgb(55, 74, 174); color: inherit;"><section style="margin: 5px; max-width: 100%; color: inherit; box-sizing: border-box !important;"><p style="max-width: 100%; min-height: 1em; border-color: rgb(55, 74, 174); text-align: center; color: rgb(55, 74, 174); line-height: 24px; box-sizing: border-box !important;"><strong class="" data-brushtype="text" style="max-width: 100%; box-sizing: border-box !important;">改革主要内容</strong></p></section></section></section></section></section><p><br></p><section class="" data-id="85375" data-tools="135编辑器" style="max-width: 100%; box-sizing: border-box; line-height: 25.6px; font-family: 微软雅黑; border-width: 0px;"><section style="margin-top: 0.5em; max-width: 100%; box-sizing: border-box; border-width: 1px; border-style: solid; border-color: rgb(89, 155, 171);"><section style="margin-bottom: 0.3em; max-width: 100%; box-sizing: border-box !important;"><section data-width="100%" style="max-width: 100%; box-sizing: border-box; border-color: rgb(89, 155, 171); width: 667.5px; text-align: center; color: rgb(254, 254, 254); font-size: 1em; font-weight: bold; text-decoration: inherit;"><section class="" data-brushtype="text" style="padding: 0.6em; max-width: 100%; box-sizing: border-box; border-color: rgb(89, 155, 171); color: inherit; line-height: 1.2em; font-size: 1.2em; background-color: rgb(89, 155, 171);">推进医保支付方式分类改革</section><section style="margin-right: auto; margin-left: auto; max-width: 100%; box-sizing: border-box; width: 0px; height: 10px; color: inherit; border-top: 0.8em solid rgb(89, 155, 171); border-bottom-color: rgb(89, 155, 171); border-right: 0.8em solid transparent !important; border-left: 0.8em solid transparent !important;"></section></section></section><section style="margin: 10px; max-width: 100%; box-sizing: border-box; text-align: center; color: inherit; font-weight: bold; text-decoration: inherit;"><section style="padding: 0.5em; max-width: 100%; box-sizing: border-box; color: inherit; line-height: 1.2em; font-size: 1em; background-color: rgb(254, 254, 254);"><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: inherit; line-height: 2em; box-sizing: border-box !important;">（资料图/图文无关）</p><section data-style="text-align: justify; line-height: 1.75em; color: rgb(127,127,127);" style="margin: 5px; max-width: 100%; box-sizing: border-box !important;"><p style="max-width: 100%; min-height: 1em; text-align: justify; color: inherit; line-height: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;">■</span><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;"> </span><span style="max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important;">对住院医疗服务，主要按病种、按疾病诊断相关分组付费；</span></p><p style="max-width: 100%; min-height: 1em; text-align: justify; color: inherit; line-height: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;">■</span><span style="max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important;">长期、慢性病住院医疗服务可<span style="max-width: 100%; color: rgb(49, 133, 155); box-sizing: border-box !important;">按床日付费，日间手术可按病种付费</span>；</span></p><p style="max-width: 100%; min-height: 1em; text-align: justify; color: inherit; line-height: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;">■</span> <span style="max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important;">对基层医疗服务，可按人头、按床日付费，积极探索将按人头付费与慢性病管理相结合<span style="max-width: 100%; color: rgb(49, 133, 155); box-sizing: border-box !important;"></span>；</span></p><p style="max-width: 100%; min-height: 1em; text-align: justify; color: inherit; line-height: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important;"><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;">■</span> 对不宜打包付费的复杂病例和门诊费用，可<span style="max-width: 100%; color: rgb(49, 133, 155); box-sizing: border-box !important;">按项目付费</span>；</span></p><p style="max-width: 100%; min-height: 1em; text-align: justify; color: inherit; line-height: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(127, 127, 127); box-sizing: border-box !important;"><span style="max-width: 100%; border-color: rgb(89, 155, 171); color: rgb(89, 155, 171); box-sizing: border-box !important;">■</span> 探索符合中医药服务特点的支付方式，鼓励提供和使用适宜的中医药服务。</span></p></section></section></section></section></section><p><br></p><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"><br></p><p><br></p><section class="" data-id="85798" data-tools="135编辑器" style="max-width: 100%; box-sizing: border-box; line-height: 25.6px; font-family: 微软雅黑; border-width: 0px;"><section class="" style="margin-right: auto; margin-left: auto; max-width: 100%; box-sizing: border-box !important;"><section class="" data-width="100%" style="padding: 5px; max-width: 100%; box-sizing: border-box; border-radius: 4px; border-width: 1px; border-style: solid; border-color: rgb(55, 74, 174); width: 670px;"><section style="padding: 5px; max-width: 100%; box-sizing: border-box; border-radius: 4px; border-width: 1px; border-style: dashed; border-color: rgb(55, 74, 174); color: inherit;"><section style="margin: 5px; max-width: 100%; color: inherit; box-sizing: border-box !important;"><p style="max-width: 100%; min-height: 1em; border-color: rgb(55, 74, 174); text-align: center; color: rgb(55, 74, 174); line-height: 24px; box-sizing: border-box !important;"><strong class="" data-brushtype="text" style="max-width: 100%; box-sizing: border-box !important;"> 探索普通门诊按人头付费</strong></p></section></section></section></section></section><p><br></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;">我省将完善按人头付费、按床日付费等支付方式，开展门诊特殊慢性病<span style="max-width: 100%; color: rgb(0, 112, 192); font-size: 18px; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">按人头付费</strong></span>，从糖尿病、高血压、慢性肾功能衰竭等治疗方案标准、评估指标明确的慢性病入手，开展特殊慢性病按人头付费，对参保患者在基层定点医疗机构进行慢性病治疗的，由医保经办机构与基层定点医疗机构签订专项协议，鼓励基层定点医疗机构做好慢性病医保服务和健康管理。</p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"><br></p><section class="" data-tools="135编辑器" data-id="391" style="max-width: 100%; box-sizing: border-box; line-height: 25.6px;"><section style="margin: 1.5em 1em 1em; max-width: 100%; box-sizing: border-box; border-width: 0px; border-style: initial; border-color: rgb(157, 180, 194); line-height: 25px; display: inline-block;"><section style="margin-left: -0.5em; max-width: 100%; line-height: 1.4; box-sizing: border-box !important;"><section style="padding: 3px 8px; max-width: 100%; border-color: rgb(0, 0, 0); border-radius: 4px; color: rgb(254, 254, 254); font-size: 1em; display: inline-block; transform-origin: 0% 100% 0px; transform: rotate(-10deg); background-color: rgb(157, 180, 194); box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 255, 255); box-sizing: border-box !important;">按人头付费</span></section></section><section class="" data-style="line-height:24px;color:rgb(89, 89, 89); font-size:14px" style="margin-top: -24px; padding: 22px 16px 16px; max-width: 100%; box-sizing: border-box; border-width: 1px; border-style: solid; border-color: rgb(157, 180, 194); color: rgb(0, 0, 0); font-size: 14px;"><p style="max-width: 100%; min-height: 1em; line-height: 24px; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(89, 89, 89); font-size: 16px; box-sizing: border-box !important;">简而言之就是医保部门与定点医院制定出以一个签约患者（即人头）为单位的合理支付额度，以此为标准，按人头结算给定点医院。</span></p><p style="max-width: 100%; min-height: 1em; line-height: 24px; box-sizing: border-box !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 24px; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(89, 89, 89); font-size: 16px; box-sizing: border-box !important;">目前医保实行的是按项目付费，<span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); box-sizing: border-box !important;">医生的检查项目、用药数量越多，意味着收入越多</span></strong></span>，推行按人头付费，<span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">医保支付按“人头”结算，开药的数量越多，检查项目越多，反而可能会亏钱。</strong></span></span></p><p style="max-width: 100%; min-height: 1em; line-height: 24px; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(89, 89, 89); font-size: 16px; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(0, 112, 192); font-size: 18px; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></strong></span></span></p><p style="max-width: 100%; min-height: 1em; line-height: 24px; box-sizing: border-box !important;"><span style="max-width: 100%; font-size: 16px; box-sizing: border-box !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important;">医院只能通过改善服务态度，提高服务质量及完善签约服务来吸引病人就医</span><span style="max-width: 100%; font-size: 20px; box-sizing: border-box !important;">。</span></span></p></section></section></section><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 255, 255); font-size: 18px; background-color: rgb(0, 112, 192); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;"><span style="max-width: 100%; text-indent: 2em; box-sizing: border-box !important;">开展按床日付费</span></strong></span><span style="max-width: 100%; color: rgb(255, 255, 255); background-color: rgb(0, 112, 192); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;"><span style="max-width: 100%; text-indent: 2em; box-sizing: border-box !important;"></span></strong></span><span style="max-width: 100%; text-indent: 2em; box-sizing: border-box !important;">。根据定点医疗机构特点和服务范围，对于</span><span style="max-width: 100%; text-indent: 2em; color: rgb(255, 0, 0); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">精神病、安宁疗护、医疗康复</strong></span><span style="max-width: 100%; text-indent: 2em; box-sizing: border-box !important;">等需要长期住院治疗且日均费用较稳定的疾病，可采取按床日付费的方式，在严格测算床日费用的基础上，协商确定按床日付费包干标准。同时，加强对平均住院天数、日均费用以及治疗效果的考核评估。</span></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"><br></p><section class="" data-tools="135编辑器" data-id="391" style="max-width: 100%; box-sizing: border-box; line-height: 25.6px;"><section style="margin: 1.5em 1em 1em; max-width: 100%; box-sizing: border-box; border-width: 0px; border-style: initial; border-color: rgb(157, 180, 194); line-height: 25px; display: inline-block;"><section style="margin-left: -0.5em; max-width: 100%; box-sizing: border-box; line-height: 1.4;"><section style="padding: 3px 8px; max-width: 100%; box-sizing: border-box; border-color: rgb(0, 0, 0); border-radius: 4px; color: rgb(254, 254, 254); font-size: 1em; display: inline-block; transform-origin: 0% 100% 0px; transform: rotate(-10deg); background-color: rgb(157, 180, 194);"><span class="" data-brushtype="text" style="max-width: 100%; color: rgb(255, 255, 255); box-sizing: border-box !important;">住院按床日付费</span></section></section><section class="" data-style="line-height:24px;color:rgb(89, 89, 89); font-size:14px" style="margin-top: -24px; padding: 22px 16px 16px; max-width: 100%; box-sizing: border-box; border-width: 1px; border-style: solid; border-color: rgb(157, 180, 194); color: rgb(0, 0, 0); font-size: 14px;"><p style="max-width: 100%; min-height: 1em; line-height: 24px; box-sizing: border-box !important;"><span style="max-width: 100%; text-indent: 28px; color: rgb(89, 89, 89); font-size: 16px; box-sizing: border-box !important;">住院按床日付费制度是指在住院治疗中，根据病情严重程度和治疗进展情况，对疾病进行分类和分段，在严格测算基础上，制定新农合保险认定的各级（类）医院、各类疾病和各时间段的每床日费用标准，病人出院后按实际发生费用和规定补偿比与医疗机构结算，经办机构以实际住院天数和规定付费标准与医疗机构结算的一种付费制度。</span></p><p style="max-width: 100%; min-height: 1em; line-height: 24px; box-sizing: border-box !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 24px; box-sizing: border-box !important;"><span style="max-width: 100%; text-indent: 28px; color: rgb(89, 89, 89); font-size: 16px; box-sizing: border-box !important;">按床日付费将根据病人的实际情况，分为急、危、重症病人，择期手术病人，12周岁以下儿科病人，非急、危、重症病人等几个等级，再结合不同级别的医院，核算出不同病人“日床费用”。</span></p></section></section></section><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">（资料图/图文无关）</p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;">实施意见要求，各地要严格执行江西省基本医疗保险药品、诊疗项目和医疗服务设施范围三个目录及支付标准。<span style="max-width: 100%; color: rgb(255, 0, 0); font-size: 18px; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">公共卫生费用、特需医疗服务费用、与疾病治疗无直接关系的体育健身或养生保健消费等，不得纳入医保支付范围。</strong></span><span style="max-width: 100%; font-size: 20px; color: rgb(255, 0, 0); box-sizing: border-box !important;"></span></p><p style="text-align: center; max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;">（资料图/图文无关）</p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;">建立医疗机构效率和费用信息公开机制，<span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); box-sizing: border-box !important;">将费用、患者负担水平等指标定期公开</span></strong></span>，进一步规范医疗机构明码标价和收费公示行为，接受社会监督，并为参保人就医选择提供参考。<br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;">另外，加快人事薪酬制度改革，完善公立医疗机构内部绩效考核和收入分配机制，医务人员考核应突出岗位工作量、服务质量、行为规范、技术难度、风险程度和服务对象满意度等指标，体现多劳多得、优劳优酬。<span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">考核结果与政府投入、医保支付、人员职业发展等挂钩。</strong></span>规范和推动医务人员多点执业，引导医疗资源和人才下沉到基层，提升基层医疗卫生服务能力。<br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; box-sizing: border-box !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">今后看病知道要花多少钱了</strong></span></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">也不用担心医生不停地开检查项目了</strong></span></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">住院也可以按床日付费</strong></span></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">省下一大笔</strong></span></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">赶紧把这个好消息</strong></span></p><p style="max-width: 100%; min-height: 1em; line-height: 25.6px; text-align: center; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 41, 65); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">告诉身边的小伙伴吧！</strong></span></p><hr style="max-width: 100%; box-sizing: border-box !important;"><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><strong style="max-width: 100%; font-family: 微软雅黑; line-height: 1.6; color: rgb(136, 136, 136); box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></strong></p><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><strong style="max-width: 100%; font-family: 微软雅黑; line-height: 1.6; color: rgb(136, 136, 136); box-sizing: border-box !important;">来源：江南都市报 手机江西网</strong><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; line-height: 23.2727px; border-width: 0px; border-style: none; border-color: initial; text-align: center;"><br></p><p></p>
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