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随着经济的高速发展,人们越来越注重自己的健康问题,社会医疗保障体系也在不断地完善和发展:享受参保的对象从最初的行政亊业和国企职工发展到如今的社会全履盖,医保项目由单纯的门诊和住院费用发展到包括门诊特定病种和门诊统筹等多方面,医保费用也由单纯的属地报销发展到市级及省级统筹。但同时随之带来的的就是在医疗保险制度实施过程中出现了一些管理上的问题。本文将从医保制度下定点医疗机构管理问题入手,重点探讨费用方面的问题,并给出相应的建议。
With the rapid economic development, people are paying more and more attention to their own health problems. The social medical security system is also constantly improving and developing: the participants enjoy the benefits from the initial administrative and development of state-owned employees to the current social development. Cover, the medical insurance project from simple outpatient and inpatient expenses to the development of outpatient specific diseases and outpatient coordinating and other aspects, medical insurance costs from simple reimbursement to the municipal and provincial level development. But at the same time, some management problems have emerged in the implementation of the medical insurance system. This article will start with the management of fixed medical institutions under the medical insurance system, focusing on cost issues, and give corresponding recommendations.