对基本医疗保险拒付标准及流程的探讨

Discussion of Refuse Payment Standard and Process in Basic Medical Insurance

通过本病例在抢救中的治疗用药剂量、天数,分析当前医保政策中存在的不足,提出医保部门依据医学新进展新技术适当放宽支付标准、组织专家集体讨论等建议,通过建立科学有效的付费结算机制,促进医、保、患三方利益的统一。

analysis of the current shortcomings in medical insurance policy from this rescue in the treatment of patients in the dose, days, Comment that Medical insurance sector need relax the standards of payment according to new progress in medical technology, and organizate discussion of expert group, then suggested that establish settlement mechanism with scientific and effective to promote interests of the unity in medical care,hospital and patient.