“三考”并举管“两定”——基于湖南“两定”机构考核实践

Three Exam and Tube Two Fixed——Based on the Hunan Two Fixed Institutions Evaluation Practice

对定点机构考核是落实医保对医疗服务系统管理的重要抓手。通过考核定点医疗机构的定点资格、服务协议和信用等级,进一步完善对定点机构的管理机制,适度控制定点机构总量,规范定点机构服务,较好发挥医保的监督制约作用。进一步改进对定点机构的考核,平衡考核内容,完善考核指标体系,提高考核执行力度。

] Assessment of the designated agency is an important starting point of the implementation of the Medicare health care system management. Accreditation for the assessment of designated medical institutions, protocols, services and credit rating, to further improve the management mechanism of the designated agency to appropriately control the total of the designated agency, designated agency service specification, better play the role of supervision and control health insurance. To further improve the assessment of the designated agency to balance the assessment content, improve the assessment index system, to improve the implementation of the assessment.