跨省就医直接结算资金清算模式的思考与建议——基于三种资金清算模式的分析

刘阳, 李亚子, 郭珉江, 刘阳, 彭博

中国医疗保险 ›› 2022, Vol. 0 ›› Issue (3) : 16-20.

中国医疗保险 ›› 2022, Vol. 0 ›› Issue (3) : 16-20. DOI: 10.19546/j.issn.1674-3830.2022.3.003
观察思考

跨省就医直接结算资金清算模式的思考与建议——基于三种资金清算模式的分析

  • 刘阳, 李亚子, 郭珉江, 刘阳, 彭博
作者信息 +

Reflections and Suggestions on the Capital Clearing Model for the Direct Settlement of Cross-provincial Medical Treatment——Based on the Analysis of Three Models of Capital Clearing

  • Liu Yang, Li Yazi, Guo Minjiang, Liu Yang, Peng Bo
Author information +
文章历史 +

摘要

本文基于对三种跨省就医资金清算模式的介绍与对比,以及城乡居民医保跨省就医直接结算清算数据分析,提出跨省就医直接结算资金清算模式的思考和建议。

Abstract

Based on the introduction and comparison of three cross-provincial medical treatment fund clearing modes, as well as the analysis of the data of cross-provincial medical treatment direct settlement and clearing of medical insurance for urban and rural residents, this paper puts forward some thoughts and suggestions on the cross-provincial medical treatment direct settlement fund clearing mode.

关键词

跨省就医 / 直接结算 / 资金清算

Key words

cross-provincial medical treatment / direct settlement / capital clearing

引用本文

导出引用
刘阳, 李亚子, 郭珉江, 刘阳, 彭博. 跨省就医直接结算资金清算模式的思考与建议——基于三种资金清算模式的分析[J]. 中国医疗保险. 2022, 0(3): 16-20 https://doi.org/10.19546/j.issn.1674-3830.2022.3.003
Liu Yang, Li Yazi, Guo Minjiang, Liu Yang, Peng Bo. Reflections and Suggestions on the Capital Clearing Model for the Direct Settlement of Cross-provincial Medical Treatment——Based on the Analysis of Three Models of Capital Clearing[J]. China Health Insurance. 2022, 0(3): 16-20 https://doi.org/10.19546/j.issn.1674-3830.2022.3.003
中图分类号: F840.684 C913.7   

参考文献

[1] 国家医疗保障局.全国医疗保障跨省异地就医直接结算公共服务信息发布(第三十五期)——进一步扩大普通门诊费用跨省直接结算覆盖面[EB/OL].http://www.nhsa.gov.cn/art/2021/5/19/art_54_5142.html.
[2] 刘阳,李亚子,孙异凡,等.跨省异地就医直接结算资金周转模式分析及优化路径[J].中国卫生经济,2020,443(01):36-39.
[3] 尹纪成. 终极目标是设立国家级周转金[J].中国社会保障,2017,000(010):83.
[4] 王长海. 建立周转金是关键[J].中国社会保障,2017,000(006):81.
[5] 康蕊,朱恒鹏.跨省异地就医直接结算资金清算方式研究[J].中国医疗保险,2019,127(04):39-42.

基金

国家医疗保障局立项课题:城乡医保制度整合过程中城乡居民医保跨省就医直接结算清算问题的研究

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