采用醫(yī)保按人頭付費(fèi)應(yīng)注意的問(wèn)題
本文選題:醫(yī)保基金 切入點(diǎn):參保人 出處:《中國(guó)財(cái)政》2016年21期 論文類型:期刊論文
【摘要】:正新醫(yī)改以來(lái),政府多次發(fā)文強(qiáng)調(diào)完善支付制度,積極探索實(shí)行按人頭付費(fèi)等方式。與其他付費(fèi)方式相比,按人頭付費(fèi)有更多的優(yōu)點(diǎn),但如果不重視操作細(xì)節(jié),它的優(yōu)點(diǎn)也難以發(fā)揮。筆者認(rèn)為必須注意以下四個(gè)方面的問(wèn)題:一是按人頭付費(fèi)是指按"定點(diǎn)"人頭付費(fèi),而非按"就診"人頭付費(fèi)。顧名思義,前者是按參保人在醫(yī)院"定點(diǎn)"的人頭數(shù)向醫(yī)院支付醫(yī);,而后者是按參保人在醫(yī)院"就診"的人頭數(shù)(同
[Abstract]:Since the new health care reform, the government has repeatedly issued papers emphasizing the improvement of the payment system and actively exploring ways to implement head-to-head payment. Compared with other payment methods, head-to-head payment has more advantages, but if it does not attach importance to operational details, The author thinks that we must pay attention to the following four problems: first, paying by head means paying by "fixed point", not by "seeing a doctor." as the name implies, The former is to pay the medical insurance fund to the hospital according to the number of people who are "designated" by the insured person in the hospital, while the latter is the number of people who "see a doctor" in the hospital according to the insured person (same as
【作者單位】: 中國(guó)經(jīng)濟(jì)體制改革研究會(huì)公共政策研究部;
【分類號(hào)】:F842.684;R197.1
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