新型农村合作医疗保险费用结算策略与医疗费用控制

Strategies of medical insurance payment and medical expense control of the New Rural Cooperative Medical System in China

从结算管理对医疗费用控制的理论意义、现实价值及实现策略等方面进行了探讨,明确了完善支付方式改革是新农合保险方案科学结算设计的必由之路,以及在当前中国的现实情况下,可采用混合的支付方式来实现。

This paper discusses the theoretical significance,reality value and actualization strategies of payment management.The paper shows that developing payment reform is necessary for scientific settlement of the New Rural Cooperative Medical System（NRCMS）clearly.It is suggested that compound payment method could be implemented in current China.