规范定点医院医保管理 合理控制医疗费用增长

【摘要】：本文就如何规范定点医院医保管理，合理控制医疗费用增长进行了探讨。重点从加强对医务人员医保政策培训、搭建医院医保信息化管理系统、采取临床路径和分科指标管理合理控制医疗费用增长、完善医保工作考评机制等几方面阐述了定点医院规范医保管理，合理控制医疗费用增长的办法。

Standardize the Management of Medical Insurance in Designated Hospitals and Control Reasonably the Growth of Medical Expenses

The writer discusses the ways to standardize the management of medical insurance in designated hospitals and control reasonably the growth of medical expenses. The writer also focuses on the reinforced training of medial staff about the policies of medical insurance,constructing the management system of medical insurance informatization,controlling reasonably the growth of medical expense by means of clinical paths and the index management in all the departments, and the improvement of examination mechanism of medial insurance. Then the writer explains the methods to standardize the management of medical insurance in designated hospitals and control reasonably the growth of medical expenses.