CAJ | 학술논문

定点医院不仅是参保人员获取基本医疗服务和实现基本医疗消费的主体，又是直接控制医疗费用的载体，还是具体与参保人员接触、沟通、落实医保政策的场所。定点医院成为基本医疗保险管理体系中极为重要的组成部分，总额预付下如何加强医保管理与政策落实是否到位，直接关系到控制医保费用的关键所在。
정점의원불부시삼보인원획취기본의료복무화실현기본의료소비적주체，우시직접공제의료비용적재체，환시구체여삼보인원접촉、구통、락실의보정책적장소。정점의원성위기본의료보험관리체계중겁위중요적조성부분，총액예부하여하가강의보관리여정책락실시부도위，직접관계도공제의보비용적관건소재。
Designated hospital is the insured to obtain the basic medical service and medical consumption, it is also a carrier of the direct medical cost, and a specific and ginseng protect personnel contact, communication, implement medical insurance policy. Hospital management system of basic medical insurance has become one of the most important parts, how to strengthen the implementation of medical insurance management and policy under the total prepaid, the key is to control the medical insurance cost in the system.