中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2013年
7期
44-45,48
,共3页
付费制度%总额控制%预算
付費製度%總額控製%預算
부비제도%총액공제%예산
payment system%total payment control%budget
总额控制下的复合型付费制度需要以医保基金的预算管理为基础。预算应确立准确、适度的目标,并针对不同付费制度的特点设立科学、有效的预算指标。通过建立协商谈判机制、费用分担机制和考核监督机制,确保医保付费预算得到有效执行,实现预算目标。
總額控製下的複閤型付費製度需要以醫保基金的預算管理為基礎。預算應確立準確、適度的目標,併針對不同付費製度的特點設立科學、有效的預算指標。通過建立協商談判機製、費用分擔機製和攷覈鑑督機製,確保醫保付費預算得到有效執行,實現預算目標。
총액공제하적복합형부비제도수요이의보기금적예산관리위기출。예산응학립준학、괄도적목표,병침대불동부비제도적특점설립과학、유효적예산지표。통과건립협상담판궤제、비용분담궤제화고핵감독궤제,학보의보부비예산득도유효집행,실현예산목표。
The total payment system based on the budget management of medical insurance fund. The budget should be accurate and moderate, and should establish a scientific and effective index against characteristics of different payment systems. Through the establishment of the mechanism of consultations and negotiations, the cost-sharing mechanisms and assessment oversight mechanism, it is ensured that the medical insurance payment budget be effectively implemented to achieve the budget targets.