医疗保险分担机制应用实践——青岛市起付线、分担比例、封顶线的运行效果

Contribution Mechanism of Medical Insurance Application——Running Effect of Qingdao City’s Pay Line,Sharing Proportion and Top Line

起付线、分担比例、封顶线是医疗保险需方控费的三种基本方式,是医疗保险管理的杠杆之一。三种基本方式的设置和应用情况,对确保基金安全和发挥基金的使用效率具有重要意义。

The pay line,sharing proportion and the top line are three kinds of basic mode of medical insurance buyer＇s control for fund, also is one of the lever of the medical insurance management.The setting and application of the three kinds of basic mode have a great significance in ensuring the safety of the fund and improving the efficiency of fund utilization.