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class=\"p3\">\u6211\u56fd\u533b\u4fdd\u90e8\u95e8\u5728\u652f\u4ed8\u65b9\u5f0f\u6539\u9769\u5b9e\u8df5\u4e2d\u6700\u521d\u51e0\u4e4e\u90fd\u91c7\u53d6\u4e86\u603b\u989d\u9884\u7b97\uff08\u63a7\u5236\uff09\u652f\u4ed8\u65b9\u5f0f\u3002\u5927\u90e8\u5206\u5730\u533a\u6240\u8c13\u7684\u201c\u603b\u989d\u63a7\u5236\u201d\u4e8b\u5b9e\u4e0a\u662f\u603b\u989d\u63a7\u5236\u4e0b\u7684\u6309\u9879\u76ee\u4ed8\u8d39\u5236\uff0c\u8fd9\u79cd\u201c\u603b\u989d\u63a7\u5236\u201d\u4ed8\u8d39\u65b9\u5f0f\u5e76\u4e0d\u80fd\u5f88\u597d\u5730\u63a7\u5236\u8fc7\u5ea6\u533b\u7597\u548c\u8d39\u7528\u589e\u957f\u3002\u76ee\u524d\u6b63\u5728\u5927\u529b\u63a8\u884cDRGs\u4ed8\u8d39\u65b9\u5f0f\u6539\u9769\uff0c\u8fd9\u79cd\u65b9\u5f0f\u7684\u6307\u5bfc\u601d\u60f3\u662f\uff1a\u901a\u8fc7\u7edf\u4e00\u7684\u75be\u75c5\u8bca\u65ad\u5206\u7c7b\u5b9a\u989d\u652f\u4ed8\u6807\u51c6\u7684\u5236\u5b9a\uff0c\u8fbe\u5230\u533b\u7597\u8d44\u6e90\u5229\u7528\u6807\u51c6\u5316\uff0c\u6709\u52a9\u4e8e\u6fc0\u52b1\u533b\u9662\u52a0\u5f3a\u533b\u7597\u8d28\u91cf\u7ba1\u7406\uff0c\u4f7f\u533b\u9662\u4e3a\u83b7\u5f97\u5229\u6da6\u4e3b\u52a8\u964d\u4f4e\u6210\u672c\uff0c\u51cf\u5c11\u8bf1\u5bfc\u6027\u533b\u7597\u8d39\u7528\u652f\u4ed8\u3002\u6839\u636e\u56fd\u9645\u7ecf\u9a8c\uff0c\u4e3a\u4fdd\u969cDRGs\u6539\u9769\u6548\u679c\uff0c\u9700\u8981\u9010\u6b65\u63d0\u9ad8\u533b\u4fdd\u7ecf\u529e\u673a\u6784\u72ec\u7acb\u6027\u548c\u4e13\u4e1a\u6027\uff0c\u534f\u540c\u63a8\u52a8\u533b\u836f\u670d\u52a1\u4f9b\u7ed9\u4fa7\u6539\u9769\u3002<\/p>\n<p style=\"text-indent:2em;\" class=\"p4\">\u52a0\u5f3a\u7ecf\u529e\u80fd\u529b\u5efa\u8bbe\uff0c\u63a8\u8fdb\u533b\u4fdd\u6cbb\u7406\u521b\u65b0<\/p>\n<p style=\"text-indent:2em;\" class=\"p3\">\u4ece\u56fd\u9645\u53d1\u5c55\u7ecf\u9a8c\u6765\u770b\uff0c\u533b\u4fdd\u7ecf\u529e\u673a\u6784\u4e13\u4e1a\u5316\u3001\u72ec\u7acb\u5316\u3001\u6cd5\u4eba\u5316\u662f\u5efa\u7acb\u5f15\u5bfc\u533b\u7597\u670d\u52a1\u4f9b\u65b9\u5408\u7406\u914d\u7f6e\u533b\u7597\u8d44\u6e90\u7684\u652f\u4ed8\u673a\u5236\u7684\u91cd\u8981\u4fdd\u969c\u3002\u6b64\u6b21\u300a\u610f\u89c1\u300b\u4e5f\u63d0\u51fa\u8981\u52a0\u5f3a\u7ecf\u529e\u80fd\u529b\u5efa\u8bbe\uff0c\u6784\u5efa\u5168\u56fd\u7edf\u4e00\u7684\u533b\u7597\u4fdd\u969c\u7ecf\u529e\u7ba1\u7406\u4f53\u7cfb\uff0c\u6301\u7eed\u63a8\u8fdb\u533b\u4fdd\u6cbb\u7406\u521b\u65b0\uff0c\u63a8\u8fdb\u533b\u7597\u4fdd\u969c\u7ecf\u529e\u673a\u6784\u6cd5\u4eba\u6cbb\u7406\uff0c\u79ef\u6781\u5f15\u5165\u793e\u4f1a\u529b\u91cf\u53c2\u4e0e\u7ecf\u529e\u670d\u52a1\uff0c\u63a2\u7d22\u5efa\u7acb\u5171\u5efa\u5171\u6cbb\u5171\u4eab\u7684\u533b\u4fdd\u6cbb\u7406\u683c\u5c40\u3002\u89c4\u8303\u548c\u52a0\u5f3a\u4e0e\u5546\u4e1a\u4fdd\u9669\u673a\u6784\u3001\u793e\u4f1a\u7ec4\u7ec7\u7684\u5408\u4f5c\uff0c\u5b8c\u5584\u6fc0\u52b1\u7ea6\u675f\u673a\u5236\u3002<\/p>\n<p style=\"text-indent:2em;\" class=\"p3\">\u53d1\u8fbe\u7ecf\u6d4e\u4f53\u666e\u904d\u5728\u6c11\u95f4\u533b\u7597\u4fdd\u9669\u81ea\u53d1\u81ea\u4e3b\u53d1\u5c55\u5230\u4e00\u5b9a\u9636\u6bb5\u540e\uff0c \u653f\u5e9c\u4ecb\u5165\u533b\u7597\u4fdd\u9669\u5236\u5ea6\u5efa\u8bbe\uff0c\u5efa\u7acb\u5168\u6c11\u533b\u7597\u4fdd\u9669\u3002\u5176\u4e2d\uff0c\u5fb7\u56fd\u548c\u65e5\u672c\u901a\u8fc7\u4f01\u4e1a\u548c\u5176\u96c7\u5458\u5171\u540c\u7f34\u7eb3\u533b\u7597\u4fdd\u9669\u8d39\u7684\u65b9\u5f0f\u8fdb\u884c\u7b79\u8d44\uff0c\u4e2d\u56fd\u5927\u9646\u548c\u4e2d\u56fd\u53f0\u6e7e\u5730\u533a\u4e5f\u662f\u8fd9\u79cd\u7b79\u8d44\u6a21\u5f0f\uff1b\u82f1\u56fd\u548c\u52a0\u62ff\u5927\u5219\u91c7\u53d6\u4e00\u822c\u7a0e\u6536\u7b79\u8d44\u6a21\u5f0f\u3002\u7f8e\u56fd\u8fc4\u4eca\u4e3a\u6b62\u6ca1\u6709\u5efa\u7acb\u7edf\u4e00\u7684\u5168\u6c11\u533b\u4fdd\u5236\u5ea6\uff0c\u5176\u4e2d\uff0c\u8054\u90a6\u8001\u4eba\u533b\u7597\u4fdd\u9669\uff08Medicare\uff09\u7684\u4f4f\u9662\u4fdd\u9669\uff08Part A\uff09\u7531\u96c7\u4e3b\u548c\u96c7\u5458\u5171\u540c\u7f34\u7eb3\u4fdd\u9669\u8d39\uff0c\u95e8\u8bca\uff08Part B\uff09\u548c\u836f\u54c1\u4fdd\u9669\uff08Part D\uff09\u7531\u53c2\u4fdd\u4eba\u6309\u6708\u7f34\u8d39\uff1b\u653f\u5e9c\u8d1f\u8d23\u7b79\u8d44\u7684\u662f\u533b\u7597\u6551\u52a9\uff08M e d i c a i d\uff09\u548c\u513f\u7ae5\u533b\u7597\u4fdd\u9669\uff08CHIP\uff09\u3002\u5728\u4e0a\u8ff0\u53d1\u8fbe\u7ecf\u6d4e\u4f53\u4e2d\uff0c \u4e0d\u7ba1\u662f\u65bd\u884c\u56fd\u6c11\u5065\u5eb7\u5236\u5ea6\u7684\u82f1\u56fd\uff0c \u8fd8\u662f\u5b9e\u65bd\u793e\u4f1a\u533b\u4fdd\u5236\u5ea6\u7684\u5fb7\u56fd\u3001\u52a0\u62ff\u5927\u3001\u65e5\u672c\u548c\u4e2d\u56fd\u53f0\u6e7e\u5730\u533a\uff0c\u653f\u5e9c\u5747\u4e0d\u5bf9\u533b\u7597\u670d\u52a1\u8fdb\u884c\u884c\u653f\u5b9a\u4ef7\u3002\u533b\u7597\u4ef7\u683c\u53ca\u76f8\u5e94\u7684\u533b\u4fdd\u652f\u4ed8\u6807\u51c6\u5747\u901a\u8fc7\u4f9b\u9700\u53cc\u65b9\u5e73\u7b49\u8c08\u5224\u534f\u5546\u5f62\u6210\u3002\u9700\u65b9\u7531\u533b\u4fdd\u7ecf\u529e\u673a\u6784\u7ec4\u6210\uff0c\u4f9b\u65b9\u5219\u5305\u62ec\u533b\u7597\u673a\u6784\uff08\u534f\u4f1a\uff09\u3001\u533b\u5e08\uff08\u534f\u4f1a\uff09\u548c\u533b\u836f\u53ca\u5668\u68b0\u4f01\u4e1a\uff08\u534f\u4f1a\uff09\u4e09\u65b9\u3002<\/p>\n<p style=\"text-indent:2em;\" class=\"p2\">\u5728\u6210\u719f\u5e02\u573a\u7ecf\u6d4e\u4f53\u4e2d\uff0c\u533b\u751f\u4f5c\u4e3a\u72ec\u7acb\u7684\u533b\u7597\u670d\u52a1\u4f9b\u7ed9\u8005\uff0c\u800c\u975e\u4ece\u5c5e\u4e8e\u533b\u7597\u673a\u6784\u7684\u96c7\u5458\uff0c\u72ec\u7acb\u53c2\u4e0e\u533b\u7597\u670d\u52a1\u4ef7\u683c\u548c\u533b\u4fdd\u652f\u4ed8\u65b9\u5f0f\u8c08\u5224\u3002\u533b\u4fdd\u4ea6\u5c06\u533b\u751f\u4f5c\u4e3a\u72ec\u7acb\u7684\u533b\u7597\u670d\u52a1\u4f9b\u7ed9\u8005\u7b7e\u8ba2\u670d\u52a1\u5408\u540c\u3002\u7b80\u8a00\u4e4b\uff0c\u793e\u4f1a\u533b\u7597\u4fdd\u9669\u5236\u5ea6\u4e0b\uff0c\u653f\u5e9c\u4e13\u53f8\u653f\u7b56\u5236\u5b9a\u548c\u884c\u4e1a\u76d1\u7ba1\u804c\u80fd\uff0c\u4e0d\u76f4\u63a5\u53c2\u4e0e\u4ef7\u683c\u548c\u652f\u4ed8\u6807\u51c6\u8c08\u5224\uff0c\u66f4\u4e0d\u80fd\u8fdb\u884c\u884c\u653f\u5b9a\u4ef7\uff0c\u4e5f\u4e0d\u4f1a\u76f4\u63a5\u53c2\u4e0e\u533b\u7597\u670d\u52a1\u4f9b\u7ed9\u548c\u533b\u4fdd\u7ecf\u529e\u4e1a\u52a1\u3002\u4f8b\u5982\uff0c\u7f8e\u56fd\u8054\u90a6\u8001\u4eba\u533b\u7597\u4fdd\u9669\u7684\u4f4f\u9662\u548c\u95e8\u8bca\u7531\u72ec\u7acb\u7b7e\u7ea6\u65b9\uff08Medicare A dm inis t ra t iv e C o nt ra c t o rs\uff0c MACs\uff09\u8d1f\u8d23\u5177\u4f53\u7ecf\u529e\u3002\u5168\u7f8e\u88ab\u5212\u5206\u4e3a15\u4e2a\u7ba1\u8f96\u533a\uff0c\u6bcf\u4e2a\u8f96\u533a\u901a\u5e38\u5305\u62ec\u51e0\u4e2a\u5dde\uff0c\u6bcf\u4e2a\u8f96\u533a\u90fd\u6709\u4e00\u4e2a\u7b7e\u7ea6\u65b9\u8d1f\u8d23\u4e3a\u8be5\u533a\u57df\u7684\u533b\u7597\u673a\u6784\u548c\u88ab\u4fdd\u9669\u4eba\u63d0\u4f9b\u670d\u52a1\uff0c\u5305\u62ec\u7406\u8d54\u3001\u533b\u7597\u673a\u6784\u52a0\u5165\u5408\u7ea6\u3001\u533b\u7597\u673a\u6784\u670d\u52a1\u3001\u533b\u7597\u5ba1\u67e5\u3001\u4e0a\u8bc9\u7b49\u3002\u4f5c\u4e3a\u76d1\u7ba1\u90e8\u95e8\uff0cMedicare\u548cMedicaid\u670d\u52a1\u4e2d\u5fc3\uff08Centers for Medicare and Medicaid Services\uff09\u8d1f\u8d23\u5236\u5b9a\u6807\u51c6\uff0c\u5305\u62ec\u8d54\u4ed8\u901f\u5ea6\u3001\u533b\u7597\u673a\u6784\u670d\u52a1\u8d28\u91cf\u7b49\u3002\u5fb7\u56fd\u7684\u6cd5\u5b9a\u533b\u7597\u4fdd\u9669\u7531\u4e0a\u767e\u5bb6\u5206\u6563\u7684\u75be\u75c5\u57fa\u91d1\u4f1a\uff08Sickness Funds\uff09\u5177\u4f53\u7ecf\u529e\u7ba1\u7406\u3002\u75be\u75c5\u57fa\u91d1\u4f1a\u662f\u975e\u8425\u5229\u51c6\u516c\u5171\u7ec4\u7ec7\uff0c\u5728\u6027\u8d28\u4e0a\u5c5e\u4e8e\u516c\u6cd5\u4e0a\u7684\u81ea\u6cbb\u6027\u6cd5\u4eba\uff0c\u81ea\u8d1f\u76c8\u4e8f\u3002\u5fb7\u56fd\u76ee\u524d\u6709\u516d\u5927\u7c7b\u3001134\u5bb6\u75be\u75c5\u57fa\u91d1\u4f1a\uff0c\u5c45\u6c11\u53ef\u4ee5\u81ea\u7531\u9009\u62e9\u52a0\u5165\u5176\u4e2d\u4efb\u4f55\u4e00\u5bb6\uff0c\u75be\u75c5\u57fa\u91d1\u4f1a\u4e0d\u5f97\u62d2\u7edd\u7533\u8bf7\u8005\u3002<\/p>\n<p style=\"text-indent:2em;\" 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