浅谈医保支付方式对医疗机构的激励和风险

The Influence of Medical Insurance Payment Methods on Medical Institutions

医保支付方式是我国医疗保障体系的核心内容之一,也是控制基本医疗服务成本的有效措施。一直以来我国都是按医疗服务项目收费的,这种医保支付方式导致了医疗费用持续增长,给我国的基本医疗保险基金造成了沉重的经济负担,老百姓“看病难、看病贵”的问题和人们对健康的渴望和需求之间的矛盾日益增大,如何控制不合理的医疗费用增长的同时又改善老百姓的就医问题?如何在高速发展的市场经济的同时保证医疗机构的合理利益?科学的医保支付方式可以提高医疗服务质量、控制医疗服务成本的增加,并改善医院的经营绩效。本文从不同支付方式对医院激励和风险进行讨论,以期为相关人士提供借鉴和参考。

The medical insurance payment method is one of the core contents of my country’s medical security system,and it is also an effective measure to control the cost of basic medical services.China has always charged fees based on medical service items.This medical insurance payment method has led to a continuous increase in medical expenses,and has caused a heavy economic burden on China’s basic medical insurance fund.The contradiction between the desire for health and the demand is increasing.How to control the unreasonable growth of medical expenses while improving the medical problems of the common people?How to ensure the reasonable interests of medical institutions while the rapid development of the market economy?Scientific medical insurance Payment methods can improve the quality of medical services,control the increase in medical service costs,and improve the operating performance of the hospital.This article discusses hospital incentives and risks from different payment methods,hoping to provide reference and reference for related parties.