三年探索 五条经验——福建医保服务管理工作稳步前进

• 作 者: 郑庆华
• 机 构: 福建省医疗保险管理中心,
• 出 处: 就业与保障
• 发表日期: 2004年05期
• 关键词: 医疗保险 定点零售药店 医疗保障水平 定点医疗机构 服务管理工作 服务协议 参保患者 诊疗项目 医疗费用支出 参保人

定点医疗机构、定点零售药店管理是医疗保险重要的基础管理,“二个定点”管理好坏,直接关系到职工的医疗保障水平,关系到医保基金的使用效率和运行安全,关系到医疗保险制度改革的成败。福建省医保实施几年来,始终高度重视“二个定点”管理工作,并及时总结经验,以此促使医疗保险服务管理平稳推进、健康发展、不断提高。

Fixed-point medical institutions, fixed-point retail pharmacy management is an important basis for medical insurance management, “two fixed-point ” management is good or bad, is directly related to the level of medical insurance workers, related to the health insurance fund efficiency and operational safety, related to medical The success or failure of the reform of the insurance system. In the past few years since the implementation of medical insurance in Fujian Province, we have always attached great importance to the management of “two designated points” and summed up our experience in time so as to promote the steady and healthy development of the medical insurance service management and to continuously improve health management.