总额预付下定点医院加强医保管理实践探索

定点医院不仅是参保人员获取基本医疗服务和实现基本医疗消费的主体,又是直接控制医疗费用的载体,还是具体与参保人员接触、沟通、落实医保政策的场所。定点医院成为基本医疗保险管理体系中极为重要的组成部分,总额预付下如何加强医保管理与政策落实是否到位,直接关系到控制医保费用的关键所在。

The total advance exploration to strengthen health management practice hospitals

Designated hospital is the insured to obtain the basic medical service and medical consumption, it is also a carrier of the direct medical cost, and a specific and ginseng protect personnel contact, communication, implement medical insurance policy. Hospital management system of basic medical insurance has become one of the most important parts, how to strengthen the implementation of medical insurance management and policy under the total prepaid, the key is to control the medical insurance cost in the system.