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
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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.
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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