柳州市建立医保激励付费机制的探索和思考

The Exploration and Consideration of Establishing Medical Insurance Incentive Payment Mechanism in Liuzhou

医疗保险支付制度是控制基金支出水平的"牛鼻子",是"总闸门",是建设更加公平更可持续医保制度的核心环节。柳州市不断探索创新,深化医疗保险付费制度改革,从而逐步形成总额控制下的按项目付费、按人头付费、按人头病种付费、按均值付费、按床日付费、按单病种付费、按DGRs点数付费等复合式"精准付费"机制,对医疗机构主动合理控费发挥激励作用,医、保、患三方形成和谐共赢的良好局面。

The payment system of medical insurance is an important link to control the level of fund expenditure. Liuzhou is constantly exploring and innovating, deepening the reform of the payment system of medical insurance, and gradually forming a compound precision payment mechanism, which plays an incentive role for medical institutions to control fees actively and reasonably. The three parties of hospitals, medical insurance and patients have formed a harmonious and win-win situation.