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一、偿付形式的分类与利弊分析 医疗保险部门向医院偿付费用的形式可按偿付时间、限价与否、服务范围、疾病种类分为四类;按偿付时间可分为预付、即时、后付三种;按限价与否分为限价与非限价两种,限价又可分为平均每门诊人次、住院人次(或每日平均住院费)、单病种平均费用及总量控制三种;按服务范围分为基本医疗服务和特殊医疗服务;按疾病种类又可分为急性病和长期、慢性及老年病两种。
First, the classification of the form of payment and analysis of the advantages and disadvantages The form of reimbursement to the hospital by the medical insurance department can be divided into four types according to the payment time, price limit, service scope, and disease type; according to the payment time can be divided into prepaid, instant, postpaid Three kinds; limit or not divided into two kinds of limit price and non-price limit, price limit can be divided into the average per visit, hospitalization (or average daily hospitalization fee), the average cost of single disease and total control Three kinds; according to the scope of service is divided into basic medical services and special medical services; according to the type of disease can be divided into acute and chronic, chronic and geriatric two.