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从医保核减分析医疗行为监管
引用本文:张爱琴,胡今良,CAI Shan-bao.从医保核减分析医疗行为监管[J].安徽卫生职业技术学院学报,2013,12(3):8-9.
作者姓名:张爱琴  胡今良  CAI Shan-bao
作者单位:张爱琴 (安徽省立医院,合肥,230001); 胡今良 (安徽省立医院,合肥,230001); CAI Shan-bao (安徽省立医院,合肥,230001);
摘    要:我国已建立覆盖12.8亿人口的医疗保险网,医保核减作为医疗保险机构对医疗机构医疗行为监管手段成为一项常规性工作。该文就某市城镇职工住院医保核减情况进行分析,探讨造成医保核减原因及其对医疗行为影响,并提出相关管理对策。

关 键 词:城镇职工医保  医保核减  医疗管理

Debridement with continuous irrigation for the treatment of suppurative knee arthritis
Anhui Provincial Hospital,Hefei,Anhui ZHANG Ai-qin,HU Jin-liang.Debridement with continuous irrigation for the treatment of suppurative knee arthritis[J].Journal of Anhui Heaith Vocational & Technical College,2013,12(3):8-9.
Authors:Anhui Provincial Hospital  Hefei  Anhui ZHANG Ai-qin  HU Jin-liang
Institution:Anhui Provincial Hospital, Hefei 230001,Anhui ZHANG Ai-qin, HU Jin-liang
Abstract:China has set up medical insurance network covering 1.28 billion recipients. As a monitoring measure to medicare organizations on the part of health insurance institution, medical insurance subtraction after verification has become a routine task. This paper analyzes the situations of hospitalization medical insurance subtraction after verification of urban employees in Hefei and discusses the reasons for reduced healthcare insurance and its effect on medicare behavior,And put forward relevant management countermeasures.
Keywords:Urban employees medical insurance  Verified medical insurance reduction  Medicare management
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