中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2014年
8期
42-44
,共3页
医疗保险基金%谈判机制%特殊药品
醫療保險基金%談判機製%特殊藥品
의료보험기금%담판궤제%특수약품
medical insurance fund%negotiation mechanism%special drugs
江苏省通过运用谈判机制,将部分特殊药品纳入医疗保险基金支付范围,在政策设计和经办管理上进行了有益探索,取得了宝贵的经验。面对实践中遇到的新问题,作者在顶层设计、经办流程、实现公平、努力创新等方面提出了建议。
江囌省通過運用談判機製,將部分特殊藥品納入醫療保險基金支付範圍,在政策設計和經辦管理上進行瞭有益探索,取得瞭寶貴的經驗。麵對實踐中遇到的新問題,作者在頂層設計、經辦流程、實現公平、努力創新等方麵提齣瞭建議。
강소성통과운용담판궤제,장부분특수약품납입의료보험기금지부범위,재정책설계화경판관리상진행료유익탐색,취득료보귀적경험。면대실천중우도적신문제,작자재정층설계、경판류정、실현공평、노력창신등방면제출료건의。
By using the negotiation mechanism, some special drugs were included in insurance payable list in Jiangsu Province. It was explored in policy design and insurance agency management, and has achieved valuable experience. Facing the challenge in practice, the author put forward the suggestions on top design, management procedure, and on how to achieve equality and innovation in this system.