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健康精准扶贫中的医保责任及思考
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作者 张霄艳 杨诗雨 《河南科技学院学报(社会科学版)》 2020年第11期30-35,共6页
健康扶贫工程是“十三五”期间打赢脱贫攻坚战的重要举措。医保作为健康扶贫的主力之一,在精准“防贫、脱贫、助贫”中发挥了至关重要的作用,在贫困人口参与医疗保险、就医保障及医疗费用等方面取得了一定的成效,但也产生了医保扶贫政... 健康扶贫工程是“十三五”期间打赢脱贫攻坚战的重要举措。医保作为健康扶贫的主力之一,在精准“防贫、脱贫、助贫”中发挥了至关重要的作用,在贫困人口参与医疗保险、就医保障及医疗费用等方面取得了一定的成效,但也产生了医保扶贫政策缺乏持续性、工作被动、医保基金透支风险及“过度”扶贫等难点问题。基于可行能力、嵌入型理论及精准扶贫的相关政策,从精准识别健康扶贫对象着手,加强医保经办部门间的合作协同,优化医保扶贫兜底政策以促进健康扶贫的正向激励,同时强化健康扶贫相关衔接政策措施,提高医保扶贫政策的可持续性,正确树立医保责任。 展开更多
关键词 健康扶贫 医保责任 精准扶贫
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医保“413”模式
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作者 方亮 《河北国土资源》 2001年第B04期45-45,共1页
为解决我国现有医疗保险体系弊端。江西九江医疗保险研究中心推出“413”医保模式,部分城市今年将试运行。
关键词 险体系 江西 “413”模式 费用 医保责任
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Research on the path of medical service combination from the perspective of departmental cooperation
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作者 YANG Huazhen 《International English Education Research》 2018年第3期59-61,共3页
As an innovative mode of social endowment, combining medical care with modern medical care technology and old-age service is an important direction of a series of social problems caused by the deepening of aging and t... As an innovative mode of social endowment, combining medical care with modern medical care technology and old-age service is an important direction of a series of social problems caused by the deepening of aging and the intensification of aging process in China. It is the inevitable choice for the development of Chinese characteristics for the aged. At present, with the continuous development of the combination of medical care and rehabilitation, the process of combination of medical care and breeding is slow, and the problems of inter departmental cooperation, high cost of resource integration and low service efficiency have emerged. The paper puts forward that multi head management of different responsibility management body is a bottleneck problem that hinders the integration of medical care. From the objective and subjective two points of view, the administrative system level barrier and the inter departmental interest game are the important reasons that obstruct the medical support and break through the estrangement of the Department and realize the cooperation. Then, according to the theory of large part system reform, the author boldly proposes the idea of establishing a new comprehensive functional department that specializes in the management of pension related affairs. 展开更多
关键词 medical service combination new pension service mode department cooperation bottleneck problem
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