On-site of the assessment meeting.
Recently, the Wuzhou Municipal Medical Insurance Bureau and the Municipal Health Commission organized relevant experts to carry out the pilot evaluation of the DRG payment reform for characteristic TCM diseases. The evaluation team conducted a comprehensive evaluation on the effectiveness, safety and economy of 70 cases, and agreed that Wuzhou Hospital of Traditional Chinese Medicine has achieved remarkable results in the pilot work of 5 diseases including distal radius fractures.
According to incomplete statistics, compared before and after the pilot, the hospitalization medical expenses and personal burden of patients were reduced by as much as 70%, and they were free from the suffering of secondary operations such as “removal of steel plates”. Patients welcomed the pilot practice of no surgery, low risk, and the same good efficacy as surgery. The proportion of cases receiving conservative treatment increased from 44% before the pilot to 61% after the pilot. Conservative treatment with traditional Chinese medicine has become the first choice for patients.
Since the launch of the DRG payment reform pilot program for characteristic TCM diseases in September 2021, the Wuzhou Medical Insurance Bureau has strengthened coordination and linkage, strived to create a good atmosphere for the coordinated development of medical insurance, medicine, and medical care, and deepened the reform of medical insurance payment methods. Give play to the regulatory role of the strategic purchase of medical insurance funds, guide the behavior of medical service providers, standardize diagnosis and treatment, develop key disciplines, assist the healthy development of medical institutions, and effectively protect the rights and interests of patients. For cases that meet the pilot requirements, the medical insurance department will increase the DRG payment standard, pay according to the weight of the corresponding surgical group, and support the inheritance, innovation and development of traditional Chinese medicine with practical measures.
In the next step, on the basis of the pilot, Wuzhou will expand the scope of pilot institutions and select more characteristic TCM diseases to be included in the pilot scope, fully supporting the development of TCM and benefiting the masses.
Source: Wuzhou Medical Security Bureau