| 医疗保险异地安置流程管理存在的问题与思考 |
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| 引用本文： | 焦卫平,吉训明,郭娜,黑蕴红,刘静,田耕,张晨. 医疗保险异地安置流程管理存在的问题与思考[J]. 中国医院, 2008, 12(12): 78-79 |
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| 作者姓名： | 焦卫平 吉训明 郭娜 黑蕴红 刘静 田耕 张晨 |
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| 作者单位： | 首都医科大学宣武医院医疗保险管理办公室,100053,北京市宣武区长椿街45号 |
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| 摘 要： | 医疗保险异地安置流程管理存在表格内容、报销手续混乱，报销范围、比例和周期不规范，缺乏有效的监管机制和人性化服务意识，管理成本较高等问题，通过建立全国统一的异地安置表格模式、报销流程以及基本医疗保险药品和诊疗目录，加强对经办机构有效；监控机制，探索医疗机构和异地经办机构之间有效的合作来解决当前问题。
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| 关 键 词： | 医疗保险 异地安置 流程管理 |
Issues and thoughts on medical insurance relocation management process |
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| JIAO Weiping,JI Xunming,GUO Na,et al. Issues and thoughts on medical insurance relocation management process[J]. Chinese Hospitals, 2008, 12(12): 78-79 |
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| Authors: | JIAO Weiping JI Xunming GUO Na et al |
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| Affiliation: | JIAO Weiping,JI Xunming,GUO Na,et al Department of Medical Insurance Management,Affiliated Xuanwu Hospital,Capital Medical University,No.45,Changchun Street,Xuanwu District,Beijing,100053 PRC |
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| Abstract: | Problems of medical insurance relocation process management,such as forms and reimbursement procedures confusion,the reimbursement scope,ratio and cycle not standard,lack of effective regulation mechanism and the humanistic service,the higher the cost of management were analyzed.An unified relocation form,reimbursement process,basic drug list and treatment list were considered to be established.Effective mechanism for regulating medical insurance agencies should also be designed.Developing effective coopera... |
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| Keywords: | medical insurance relocation process management |
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