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作为医改的基础环节,医保管理有着重要的地位和作用。随着医疗费用的较快增长,矛盾越来越凸显,维护好医保资金、医院利益、患者利益,是医保工作的挑战。在充分考虑提高医疗质量、改善医疗公平性等基础上,医保管理工作是一项长期的持续的工作。本文在简述国家医保政策的基础上,结合医院医保管理工作主要问题,提出新形势下医院医保管理工作创新的具体措施。
As the basic link of medical reform, medical insurance management has an important position and role. With the rapid growth of medical expenses, contradictions have become increasingly prominent. To safeguard the medical insurance funds, the interest of the hospital and the interests of patients is a challenge to medical insurance. On the basis of giving full consideration to improving medical quality and improving medical fairness, medical insurance management is a long-term ongoing work. Based on the briefing of national health insurance policy and the main problems of hospital health insurance management, this paper puts forward some concrete measures to innovate the hospital health insurance management under the new situation.