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我国医疗保险由无到有、由小到大,谱写了一条清晰的成长轨迹。在沈阳市社会医疗保险管理局成立10周年之际,笔者仅从职工医疗保险月结算支出这一最基本业务项目的视角对“医保千万时代”来临之后带来的深层启示及日后的攻防策略进行探讨,希望管中窥豹的观点能带给医保同仁些许启示。文章提及的“医保千万时代”是指职工医疗保险每月“月结算”时进行的统筹、账户费用总支出超出一千万元的定点医疗机构达到一定数量、比例后的一个高费用时代。笔者旨在对其数量、
China’s medical insurance from scratch, from small to large, write a clear path of growth. On the occasion of the 10th anniversary of the establishment of Shenyang Social Health Insurance Administration, the author, from the perspective of the most basic business item of medical insurance monthly settlement of the medical insurance, deeply inspired the coming of “medical insurance tens of millions of times” and the future Offensive and defensive tactics to explore, I hope Guanjuejue point of view can give medical insurance colleagues a little inspiration. Mentioned in the article “Medicare tens of millions of times ” refers to the monthly medical insurance “monthly settlement ” when the overall plan, the total cost of the account expenses more than 10 million yuan of fixed-point medical institutions to achieve a certain number, after the ratio A high cost era. The author aims to its number,