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| 跨省异地医保联网直接结算的发展现状及问题分析 | |
| 引用本文： | 姜立文,刘晨红,姜桦,李斌. 跨省异地医保联网直接结算的发展现状及问题分析[J]. 中国社会医学杂志, 2020, 0(2): 125-127 |
| 作者姓名： | 姜立文 刘晨红 姜桦 李斌 |
| 作者单位： | 复旦大学附属妇产科医院 |
| 基金项目： | 上海市医院协会医院医疗保险管理专业委员会2018年课题《跨省异地医保直接结算现状与路径优化研究》。 |
| 摘 要： | 跨省异地医保联网直接结算已经从网络搭建阶段转入便民惠民阶段,为进一步推进异地就医医疗费用直接结算工作,从参保地备案、联网直接结算、医保政策、结算范围、报销待遇、费用监管等整个就医流程各环节分析存在的问题,针对性地提出完善跨省异地医保联网直接结算的策略建议。 |
| 关 键 词： | 异地医保 直接结算 策略 |
Study on Development Status and Problems of Real-time Settlement of Cross-provincial Medical Insurance in China |
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| Affiliation: | (Fudan University Obstetrics and Gynecology Hospital,Shanghai,200011,China) |
| Abstract: | The real-time settlement of inter-provincial health insurance has been transferred from the stage of network construction to the phase of convenience for people.This article analyzed the existing problems from the aspects ofthe entire medical process,involving record management,information system,medical insurance policy,settlement scope,reimbursement treatment,and expense supervision.Targeted recommendations were made to improve the real-time settlement of inter-provincial health insurance. |
| Keywords: | Inter-provincial health insurance Real-time settlement Strategy |
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