医保基金监管力量能否与医疗保障体系及新形势下的风险挑战相适应,是各项监管措施落地并发挥实效的题中之义,也是医保基金安全高效运行的重要保障之一。本文分析我国建立医保基金监管专职机构的紧迫性,总结部分地区的实践经验,提出医保基金监管专职机构发展和改革建议。
Abstract
Whether the regulatory force can adapt to the risks, challenges of medical security system under the new situation is the key to the effectiveness implementation of various regulatory measures as well as one of the important guarantees for the safe, efficient operation of the medical insurance fund. This paper analyzes the urgency of establishing a full-time medical insurance fund supervision institution in China, summarizes the practice in some regions, puts forward suggestions for the development, reform of the full-time medical insurance fund supervision institution
关键词
医保基金监管 /
机构改革 /
实践经验 /
启示
Key words
medical insurance fund supervision /
institutional reform /
practical experience /
enlightenment
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参考文献
[1] 中国医疗保险.医保基金监管蓝皮书:中国医疗保障基金监督管理发展报告(2021),2021.
[2] 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,2022,4:91-96.
[3] 肖学. 推进医保制度和治理体系建设的实践探索与思考[J].中国医疗保险,2020,3:15-17.
[4] 张英杰,张林.医保信用体系建设为何重要[J].民主与科学,2019(03):39-42.
[5] 高远祖. 天津打造医保监督行政执法体系样板[J].中国医疗保险,2019,9:13-16.
[6] 国家卫生健康委员会.2021年我国卫生健康事业发展统计公报[R/OL].(2022-7-12)[2022-8-2].http://www.nhc.gov.cn/guihuaxxs/s3586s/202207/51b55216c2154332a660157abf28b09d.shtml.
[7] 段巧莲. 完善我国医保基金监管体系的策略[J].经济技术协作信息,2013,20:17.
[8] 孙淑云. 医保行政监督与经办协议管理的边界和协同[J].中国医疗保险,2021,6:52-55.
[9] 郑考. 乐清市“医保护士”新政的推广实施[J].中国医疗保险,2022,4:72-74.