摘要
为有效保障医保基金安全运行,维护参保人员医保权益,实现医、保、患三方共赢,东营市在实施医保医师管理、次均定额控费、开展付费方式改革等方面进行了有益探索,遏制了医疗费用的不合理增长,基金运行更加健康规范。
In order to effectively protect the security of medical insurance fund, to maintain the right and interest of the insured, and to achieve a win-win goal for medical service providers, insurance and the insured, implementing of management on medical insurance contract- physicians, controlling the time quota cost, reforming payment method and so on has been explored in Dongying. It has basically stopped the unreasonable increase of medical expenses, and made the operation of insurance fund going to a standardized way.
出处
《中国医疗保险》
2015年第6期45-48,共4页
China Health Insurance
关键词
医保医师
次均定额控费
付费方式改革
按病种分值结算
health insurance contract-physicians
control time-quota fee
payment method reform
settlement according to disease scores