城乡居民医保支付制度改革谈判协商框架研究

Research on the Negotiation and Consultation Frame in Rural and Urban Residents Medical Insurance Provider Payment System Reform

建立医保经办机构,医疗机构等利益相关方之间的谈判协商机制,能有效促进医保支付制度改革的开展。文章探讨了城乡居民医保支付制度改革谈判协商的政策依据、基本原则和主要目标,并进一步分析了谈判协商的主体、层次与模式、内容、结果的执行与监管等。

The establishment of negotiation and consultation mechanism between medical insurance management agency and medical institution, could proceed the development of provider payment system reforms. This paper discussed the policy basis and the basic principle of negotiation and consultation in provider payment system reforms, and the subject, level and model, content, the carrying out and so on.