摘要
将医保基金监管纳入法治轨道是必然趋势。本文立足北京市医疗保障行政执法实践及特点,分析了当前医保基金监管面临的形势与挑战,并从加强执法体系建设、执法能力建设以及定点医疗机构合规管理等方面,提出了推进医保基金监管执法制度体系改革的建议。
Abstract
It is an inevitable trend to bring medical insurance regulation into the rule of law. Based on the practice and characteristics of medical insurance administrative enforcement in Beijing, this paper analyzes the current situation and challenges of medical insurance regulation, and puts forward some suggestions to promote the reform of medical insurance enforcement system from the aspects of strengthening the construction of law enforcement system, law enforcement capacity, and compliance management of designated medical institutions.
关键词
医保监管 /
行政执法 /
法制体系
Key words
medical insurance regulation /
administrative law enforcement /
legal system
朱建华, 康敬然.
北京市医疗保障行政执法的实践与思考[J]. 中国医疗保险. 2022, 0(4): 91-96 https://doi.org/10.19546/j.issn.1674-3830.2022.4.020
Practice and Consideration over Administrative Enforcement on Healthcare Security in Beijing[J]. China Health Insurance. 2022, 0(4): 91-96 https://doi.org/10.19546/j.issn.1674-3830.2022.4.020
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参考文献
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