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实施以“就诊人头为核心”的复合式支付制度——基于镇江市的实践

Take the Compound Payment System with Focus on the Head of Treatment People——Base on the Practice of Zhenjiang

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【作者】 李一平

【Author】 Yiping Li(Zhenjiang Medical Insurance Settlement Centre,Zhenjiang,212003)

【机构】 镇江市医疗保险结算中心

【摘要】 医疗保险支付制度直接影响到医保基金使用效率和医疗保障目标的实现。总额预算是医疗费用结算办法的基础,在总额预算下实施以"就诊人头为核心"的复合式支付制度,对不同的定点医药机构实行不同的医疗费用结算方式。

【Abstract】 Medical insurance payment system directly affect the effectiveness of the medical insurance fund and the goal of medical security for everyone.Global budget is the base of medical insurance expense settlement method,we take the compound payment system with focus on the head of treatment people base on the global budget,and take different expense settlement methods to the different medical units.

  • 【文献出处】 中国医疗保险 ,China Health Insurance , 编辑部邮箱 ,2012年09期
  • 【分类号】F842.6
  • 【被引频次】3
  • 【下载频次】129
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