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} </style> <div id="apnrwuq" class="container"> <div id="wemryro" class="content" style="margin-top: 40px;"> <div style="margin-bottom: 40px;background-color: #f8f8f8;"> <style> .now_location { display: inline-block; line-height: 40px; padding: 0 10px; padding-top: 14px; } .now_location table { display: unset; vertical-align: top; } @media screen and (max-width: 768px) { .now_location table tr{ display: flex; flex-wrap: wrap; } } </style> <div id="yq3k8hp" class="now_location"> 当前位置： <a href="/index.html" class="bt_link">首页</a> <TABLE WIDTH=100% CELLSPACING=0 CELLPADDING=0 BORDER=0> <TR> <TD> > <a href="/col/col1229356048/index.html" class="bt_link"> 专题专栏 </a> </TD><TD> > <a href="/col/col1229659654/index.html" class="bt_link"> 数字化改革专栏 </a> </TD><TD> > <a href="/col/col1229659655/index.html" class="bt_link"> 数字化改革动态 </a> </TD> </TR></TABLE> </div> </div> <div id="88tcdby" class="nav-l"> <div id="cccr3mb" class="title"> <style> .nav-l{ display:none; } .nav-r{ width: 100% !important; } </style> </div> <div id="muedeti" class="hr"></div> <ul>  </ul> </div> <div id="p78bedy" class="nav-r"> <div id="kwov2ry" class="wrap main main_height"> <h1 class="news_title text-tag" tabindex="32"> 杭州医保：数字赋能靶向施策构建“三全三化”医?；鸺喙苄路妒? </h1> <div id="n7viifb" class="news_date"> <span tabindex="33" class="text-tag" style="display:none">索引号：</span> <span tabindex="34" class="text-tag">发布时间： 2025-03-25 11:26:55 </span> <span>来源单位：潮新闻 </span> <span>作者： </span> <span>编辑：刘思彤 </span> <span>点击数： </span></span> <div id="qtc2hmt" class="fr share share-component social-share" id="share-2"></div> </div> <div id="aasuu7s" class="news_content"> <meta name="ContentStart"><p style="text-align: left; text-indent: 2em;">医保改革是三医联动改革的深水区，也是新医改的驱动力。杭州医保以“数字赋能、综合巡查、靶向施策”为核心，探索构建“全要素一体化、全方位常态化、全链条长效化”的“三全三化”医?；鸺喙苄路妒?，守好人民群众的“看病钱”“救命钱”。</p><p style="text-align: left; text-indent: 2em;">依托数字化基因，杭州医保构建起覆盖药品流通、诊疗行为、费用结算的全要素一体化数字监管网络?；贫ǖ懔闶垡┑暝冻淌悠翟萍嗫厝哺?，药品追溯码接口改造率达100%，形成全流程可追溯体系。智能审核系统上线规则清单28大类、37万条。创新DRG付费监管新路径，建立DRG付费监管系统，涵盖“病案校验”“病案审核”“病案在线交叉评审”三大应用。同时，开发诊间结算提醒功能，上线运行“住院异?！薄懊耪镆斐！薄案咂稻驼铩钡绕叽笫菁喙苣Ｐ?。</p><p style="text-align: left; text-indent: 2em;">在数字监管基础上，杭州医保通过综合巡查、行刑衔接、行纪衔接等方式打造全方位常态化协同治理体系。纵深实施“八查行动”，一体推进国家、省、市三级飞行检查。2024年现场稽查定点医药机构8909家次，对全市1647家定点医药机构开展综合巡查，对180家定点医疗机构开展“百日行动”专项飞行检查。</p><p style="text-align: left; text-indent: 2em;">此外，为进一步突出靶向施策，杭州医保不断完善全链条长效化综合管理机制。以“大监管”理念为指引，发挥支付方式改革、协议管理等手段在控费方面的作用。严控预算指标，对预算执行过程中指标升降较大、费用增长过快等情况进行及时约谈，持续推动门诊特病费用逐年下降、趋向合理。对长期住院费用实行分类、分期、分级、分型的按床日梯度付费管理，五年来已实现床日均费下降超30%。医?；鹗褂眯艹中嵘?，群众获得感、满意度持续增强。</p><p style="text-align: left; text-indent: 2em;">下一步，杭州医保将依托数字技术优化智能监管模式，延伸数智监管至医师药师群体，达成全流程智能监控的目标。创新监管执法模式，通过“柔性引导+刚性约束”规范基金使用。继续完善政策体系，强化源头治理，持续推动“三全三化”医?；鸺喙苣Ｊ较蜃萆罘⒄?，全力筑牢医?；鸢踩老?，为医?；鸺喙芄毕赘嗍橇α?。</p><p style="text-align:center"><a target="_blank"><img title="1902546993661825026_1280px.jpg" alt="1902546993661825026_1280px.jpg" style="border: none; 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