中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2013年
9期
9-11
,共3页
协议管理%医疗保险%经办机构
協議管理%醫療保險%經辦機構
협의관리%의료보험%경판궤구
agreement administration%medical insurance%social insurance agency
我们要充分认识协议管理的重要意义，夯实协议管理基础，以更好地落实社会保险法和新医改政策、实现医疗保险精确管理、维护医保各方权益。十多年来，各地经办机构不断推动协议管理发展，在完善协议内容、丰富协议形式、建立健全谈判机制等方面，积极探索了协议管理的有效途径。下一步要继续完善协议管理，努力转变观念，推进依法行政；与时俱进，不断充实协议内容；明确协议重点，突出总额控制和付费方式改革；完善机制，确保协议管理落实到位。
我們要充分認識協議管理的重要意義，夯實協議管理基礎，以更好地落實社會保險法和新醫改政策、實現醫療保險精確管理、維護醫保各方權益。十多年來，各地經辦機構不斷推動協議管理髮展，在完善協議內容、豐富協議形式、建立健全談判機製等方麵，積極探索瞭協議管理的有效途徑。下一步要繼續完善協議管理，努力轉變觀唸，推進依法行政；與時俱進，不斷充實協議內容；明確協議重點，突齣總額控製和付費方式改革；完善機製，確保協議管理落實到位。
아문요충분인식협의관리적중요의의，항실협의관리기출，이경호지락실사회보험법화신의개정책、실현의료보험정학관리、유호의보각방권익。십다년래，각지경판궤구불단추동협의관리발전，재완선협의내용、봉부협의형식、건립건전담판궤제등방면，적겁탐색료협의관리적유효도경。하일보요계속완선협의관리，노력전변관념，추진의법행정；여시구진，불단충실협의내용；명학협의중점，돌출총액공제화부비방식개혁；완선궤제，학보협의관리락실도위。
It is significant to be aware of the importance of the medical insurance agreement administration and strengthen its foundation, in order to implement the Social Insurance Law and the policies of Medical and Pharmacy System Reform, realize the accurate administration of medical insurance and protect the stakeholders’ rights and benefits. In the past 10 years, the social insurance agencies have explored and developed the agreement administration on complementing the agreement contents, varying the agreement forms, establishing negotiation mechanism and so on. On next step, the agreement administration will be perfected continuously according to the measures as follows:promoting law-based administration, perfecting the agreement contents, highlighting the global budget and the reimbursement reform, and developing the mechanisms.
