新形势下公立医院医保管理的现状及对策

The Current Situation and Countermeasures of Medical Insurance Management in Public Hospitals under the New Situation

公立医院不仅要规范医院医疗活动,监管医保基金的正确使用,还要做好医疗服务的价格管理,协调医、患、保三者的利益。新形势下,从各大公立医院的医保制度实施情况来看,仍存在一定的不足,需引起各方的关注。基于此,该文阐述了新形势下公立医院加强医保管理的意义,并分析公立医院医保管理中存在的问题,提出新形势下加强公立医院医保管理的对策,以期为提高公立医院的医保管理水平提供借鉴。

Public hospitals must not only regulate the medical activities of their hospitals and supervise the correct use of medical insurance funds,but also do a good job in price management of medical services,and coordinate the interests of doctors,patients,and insurance.Under the new situation,judging from the implementation of the medical insurance system of major public hospitals,there are still certain shortcomings that need to arouse the attention of all parties.Based on this,this article expounds the significance of strengthening medical insurance management in public hospitals under the new situation,and analyzes the problems existing in the medical insurance management of public hospitals.It puts forward the countermeasures to strengthen the medical insurance management of public hospitals under the new situation,in order to provide reference for improving the medical insurance management level of public hospitals.