淮北:探索“復合型”醫(yī)療保險付費方式成效顯著
發(fā)布時間:2018-12-09 14:04
【摘要】:正近年來,安徽省淮北市不斷加大城鎮(zhèn)基本醫(yī)療保險付費方式改革力度,積極探索"總額預算、彈性結算、按病種付費"的復合型費用結算方式,為控制醫(yī)藥費用不合理增長和保障基金安全等發(fā)揮了重要作用?傤~預付控制。通過總額控制,有效控制醫(yī)院任意擴大服務項目、增加住院天數(shù)和病人數(shù)量,遏制醫(yī)療機構追求經濟利益最大化的行為,促使醫(yī)療機構積極控制醫(yī)療消費。
[Abstract]:In recent years, Huai Bei City, Anhui Province, has continuously intensified the reform of the basic medical insurance payment method in cities and towns, and has actively explored the compound cost settlement method of "total budget, flexible settlement and payment by disease". It plays an important role in controlling the unreasonable growth of medical expenses and ensuring the safety of the fund. Total advance control. Through the total amount control, the hospital can effectively control the arbitrary expansion of service items, increase the number of patients and days in hospital, restrain the medical institutions from pursuing the maximization of economic benefits, and urge the medical institutions to actively control the medical consumption.
【分類號】:F842.6
[Abstract]:In recent years, Huai Bei City, Anhui Province, has continuously intensified the reform of the basic medical insurance payment method in cities and towns, and has actively explored the compound cost settlement method of "total budget, flexible settlement and payment by disease". It plays an important role in controlling the unreasonable growth of medical expenses and ensuring the safety of the fund. Total advance control. Through the total amount control, the hospital can effectively control the arbitrary expansion of service items, increase the number of patients and days in hospital, restrain the medical institutions from pursuing the maximization of economic benefits, and urge the medical institutions to actively control the medical consumption.
【分類號】:F842.6
【相似文獻】
相關期刊論文 前10條
1 孫永民;;加強基本醫(yī)療保險定點醫(yī)療機構管理之我見[J];中國醫(yī)藥指南;2006年11期
2 ;資訊[J];中國社會保障;2004年12期
3 ;人力資源和社會保障部關于進一步推進醫(yī)療保險付費方式改革的意見[J];中國勞動;2011年07期
4 ;人力資源和社會保障部關于進一步推進醫(yī)療保險付費方式改革的意見[J];山東人力資源和社會保障;2011年07期
5 胡曉義;;實現(xiàn)四大轉變 鞏固全民醫(yī)保——“十二五”時期我國醫(yī)療保險主要形勢和任務[J];中國醫(yī)療保險;2011年04期
6 邱靜梅;王健;;醫(yī)療保險定點醫(yī)療機構監(jiān)管中的問題及對策[J];衛(wèi)生軟科學;2009年03期
7 ;醫(yī)保動態(tài)[J];就業(yè)與保障;2011年08期
8 劉曉峰;楊芳;王平霞;范麗娟;;談談對定點醫(yī)療機構的管理[J];經濟師;2009年04期
9 倪霜;;基本醫(yī)療保險定點醫(yī)療機構評級管理擬實行[J];天津社會保險;2009年01期
10 秦U,
本文編號:2369481
本文鏈接:http://sikaile.net/jingjilunwen/bxjjlw/2369481.html
最近更新
教材專著