医院内涵建设与医保预算管理双赢路径

The Win-win Path of the Hospital Connotation Construction and Medical Insurance Budget

医保支付制度改革与医院形成联动格局,才能实现双赢目标。上海市医保管理部门在推进医保预算管理及总额预付制改革中探索的"医保统筹协调、医院自主协商"机制,增强了医院参与医保支付制度改革的积极性,为医保与医院的联动和双赢注入了活力和动力。

In order to achieve the win-win goal,the reform of the medical insurance payment system and hospital should form a linkage pattern. The ＂medical insurance co-ordination and hospital autonomy coordination＂ mechanism, which explored by Shanghai＇s management department of medical insurance in the promotion of medical insurance budget management and the prepaying system of total amount, has enhanced the hospitals＇ enthusiasm in participating in the reform of medical insurance payment system, and injected vitality and power for the linkage and win-win between medical insurance and hospitals.