医保谈判买方主导的优势及利用分析

The Advantages and Use Analysis of Buyer-led Medicare Negotiations

医疗保险谈判已经具备买方主导的诸多优势,并在镇江、淮安取得了合理控制费用、医疗质量提升的良好效果;但仍然存在着基金管理分散、谈判能力不足等问题;下一步应在发挥医保优势,完善谈判机制,利用谈判成果上下功夫。

Buyer-led Medical insurance negotiations already have many advantages, and have achieved good results in reasonable cost control and improving medical care quality of Zhenjiang and Huai＇an. Problems as decentralized fund management and lack of negotiating capacity still exist. Further efforts should be made in bringing Medicare advantage into play, perfecting negotiation mechanism, and use of negotiations＇ outcome.