在寻求医疗质量与医疗费用平衡的新形势下公立医院医保管理要点分析

Public Hospital Insurance Management Point Analysis Under the New Situation of Seeking Medical Quality and Medical Expenditure Balance

目的:探讨在寻求医疗质量与医疗费用平衡的新形势下公立医院医保管理要点。方法医保管理部门应当通过加强与医疗保险机构及临床各科室沟通、协作,有效发挥自身作为医院医保工作管理者和医疗保险政策推行者的身份,积极实施医保政策探索并对医院医保政策执行情况严格监督。结果明确了医院医保管理要点,有助于提高管理效率,有益于保证医疗质量和控制医疗费用。结论医保管理在医院管理中的重要地位逐步彰显,医院医保管理部门必须狠抓管理要点,充分发挥医保科的职能作用,有效促进医、保、患的和谐发展。

Objective:To investigate the management of public hospitals under the new situation of medical insurance for medical quality and medical expenses balance.Methods:the medical insurance management department should strengthen the communication,and medical insurance mechanism and clinical departments col aboration,ef ective play to their work as management hospital medical insurance and medical insurance policy executors of identity,and actively implement the medical insurance policy and the implementation of strict supervision of the hospital medical insurance policy.Results:the essentials of hospital medical insurance management,help to improve the management ef iciency,is beneficial to ensure the quality of medical care and control the medical expense.Conclusion:the importance of health management in hospital management gradual y highlight,hospital medical insurance management departments must pay close at ention to management,and give ful play to the functions of medical insurance,medical insurance,promote the harmonious development of patients,.