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文章从改善医保管理能力视角,探讨了基本医疗保险制度在管理中应秉承的四大理念——公平、秩序、服务导向和精细化管理,以及由其指引下的六大策略——完善基本医疗保险筹资机制、重构基本医疗保险待遇设计、合理分配基本医疗保险基金、改善供方监管效率、引导参保人就医行为形成分级诊疗格局和推进信息化进程。
From the perspective of improving the ability of health insurance management, the article explores the four basic concepts that should be followed in the management of basic medical insurance system - fairness, order, service orientation and meticulous management, and the six major strategies under its guidance - improving basic medical care Insurance financing mechanism, reconstruction of the basic medical insurance design, the rational allocation of basic medical insurance fund, improve supplier supervision efficiency, guide the insured people medical behavior form a hierarchical pattern of diagnosis and treatment and promote the process of information.