摘要
基于《医疗保障基金使用监督管理条例》颁布实施的大背景,我国医疗保险改革不断深入的当下,存在着一些亟待解决的医保基金监管问题,严重威胁医保基金安全。因此需要做好医保基金监管工作,及时更新监管信息,解决其中存在的一系列问题,有效管理医疗费用,规范医疗服务行为,确保医保基金用到实处,完善社会保障体系。所以,本文以广西某三甲医院为例分析医保基金监管存在的问题,在此基础上,提出了医保基金监管的优化策略。
Abstract
Based on thehe promulgation, implementation of Regulations on the Supervision, Administration of the Use of Healthcare Security Fund, there are some problems seriously threatening the safety of medical insurance funds. Therefore, we need to strengthen the supervision of medical insurance funds, update the supervision information in time, solve a series of problems, effectively manage medical expenses, standardize medical service behavior, ensure that medical insurance funds are used effectively, improve the social security system. Therefore, the paper analyzes the problems existing in the supervision of medical insurance fund by taking a first-class hospital in Guangxi as an example, puts forward optimization strategies for the supervision of medical insurance fund
关键词
医保基金 /
多部门联合 /
基金监管
Key words
medical healthcare insurance fund /
multi-departments integration /
fund supervision
林汉, 曾莎莉, 陈柏尧, 陆丽芳, 凌龙.
医院多部门联合开展医保基金监管的成效分析——以广西某三甲医院为例[J]. 中国医疗保险. 2022, 0(9): 97-99 https://doi.org/10.19546/j.issn.1674-3830.2022.9.019
Multi-departments Joint Supervision of Health Insurance Funds in a Hospital——Taking a First-class Hospital in Guangxi Zhuang Autonomous Region as an Example[J]. China Health Insurance. 2022, 0(9): 97-99 https://doi.org/10.19546/j.issn.1674-3830.2022.9.019
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参考文献
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