以功能改善为核心的医疗保险和长护险评价与支付思路

Evaluation And Payment Path Of Medical Insurance And Long-term Care Insurance With Function Improvement As The Core

人们能否与环境相适应是新时代健康观的关键标志。医疗和长护的目的不仅是挽救生命、治愈疾病和提供生活料理,更是要让人们尽可能改善功能、恢复独立生活能力并融入社会。在当前大部分疾病都无法根本治愈的情况下,功能改善已经成为医疗的核心价值。效率是医保高质量发展的基本要求,医保支持治疗效果更好、功能改善更加明显的医疗。实践证明,基于功能改善的医疗服务评价是敏感、可行、有效、可信的。应积极推行以功能改善为核心的医疗保险和长护险评价与支付思路,建立新型保险支付方式。

Whether people can adapt to the environment is the key sign of the health concept in the new era.The purpose of medical treatment and long-term care is not only to save lives,cure diseases and provide daily food,but also to improve people's function,restore their ability to live independently and integrate into society.In the current situation that most diseases can not be fundamentally cured,functional improvement has become the core value of medical treatment.Effi ciency is the basic requirement of high-quality development of medical insurance.Medical insurance supports better treatment eff ect and more obvious function improvement.Practice has proved that the medical service evaluation based on function improvement is sensitive,feasible,eff ective and credible.We should actively promote the evaluation and payment path of medical insurance and long-term care insurance with function improvement as the core,and establish a new insurance payment method.