总额控制下复合付费方式的实践探索

Practical Exploration of Compound Payment under the Total Budget Control

广西百色市在总额控制下实行"按服务单元付费+大额医疗费用补偿+弹性结算+超额分担+结余补贴"的复合付费方式,有效控制了医疗费用的不合理增长,促进了医保基金收支平衡。

Through more than two years of practice, compound payment methods of＆quot;paid by service units, large medical expenses compensation, elastic settlement, share excessive balance”have been implemented in Baise, Guangxi. As a result, it has effectively control the unreasonable growth of medical expense, and ensured the medical insurance fund balance.