实现医保支付方式改革 助力医疗医保联动发展

Realize Medical Insurance Payment Reform and Promote Linkage Development of Medical Treatment and Medical Insurance

基本医疗保险支付方式不仅是医保支付制度的核心组成部分,同时对医疗服务体系优化具有杠杆调节作用。深圳市罗湖区探索落实医保与医疗联动机制,以医保支付方式改革促进医疗服务供给侧改革,通过"总额管理、结余留用"的支付方式改革,转变医疗机构的办医导向,促进医疗机构主动关注居民健康、重视预防保健工作、控制医疗费用不合理增长,形成医疗、医保联动发展的良好局面。

Basic medical insurance payment mode is the core part of medical insurance payment system, which optimizes medical service system with leverage regulation. Luohu District, Shenzhen City explores the linkage mechanism between medical in- surance and medical treatment, promotes supply-side reform of medical service with medical insurance payment reform. The good sit- uation of linkage development of medical treatment and medical insurance exists with the reform of management of the total and re- ward with balances, changes of hospital operation guidance in medical institutions, and the improvement in medical institution paying active attention to resident health, focusing on preventive health care and controlling irrational growth of medical expenses.