“互联网+”医疗服务医保支付中的问题及对策解析

Analysis of Problems and Countermeasures in Medical Insurance Payment of"Internet Plus"Medical Service

以全面实现医疗服务的信息化转型为目标,分析“互联网+”医疗服务医保支付存在的问题。首先阐述“互联网+”医疗服务背景,总结该模式特点。其次总结“互联网+”医疗服务面临问题,以此为依据提出科学制定医保支付范围价格、提高医保支付管理规范性、促进医保数据交流以及共享、增强各级医保统筹4点建议,针对性地化解当下“互联网+”医疗服务医保支付推行中遇到的阻碍,为全面实现医疗服务医保支付的普及创造条件,对于医疗行业在“互联网+”时代下的转型与发展也提供其所需要的动力,以期能够通过“互联网+”新模式为人们提供更加便利的医疗服务。

With the goal of fully realizing the informatization transformation of medical services,this paper analyzes the problems of medical insurance payment for"Internet plus"medical services.First,the background of"Internet plus"medical service is described,and the characteristics of this model are summarized.Secondly,we summarized the problems faced by"Internet plus"medical services,and put forward four suggestions based on this to scientifically formulate the price of medical insurance payment scope,improve the standardization of medical insurance payment management,promote the exchange and sharing of medical insurance data,and strengthen the medical insurance system at all levels,so as to address the obstacles encountered in the implementation of medical insurance payment for current"Internet plus"medical services,and create conditions for the popularization of medical insurance payment for medical services in an all-round way.The transformation and development of the medical industry in the era of"Internet plus"also provide the power it needs,in order to provide more convenient medical services for people through the new model of"Internet plus".