CAJ | 학술논문

针对跨省异地就医实时结算的支付模式难以界定的现状，分析了处理跨省异地医保实时医保结算时必须解决的3项关键问题，提出了可供选择的解决方案，为实现跨省异地就医医保实时结算进行了有益的探索。课题的实施对于推动跨省卫生协同服务水平的提高具有重大意义。
침대과성이지취의실시결산적지부모식난이계정적현상，분석료처리과성이지의보실시의보결산시필수해결적3항관건문제，제출료가공선택적해결방안，위실현과성이지취의의보실시결산진행료유익적탐색。과제적실시대우추동과성위생협동복무수평적제고구유중대의의。
This paper analyzed the three key problems that must be solved,and put forward alternative solutions of real-time settlement of health insurance when patients sought medical services across provinces. It aimed at the current indefinable payment pattern of health insurance settled in real-time and conducted some sound exploration in realizing real-time settlement of health insurance across provinces. The implementation of this plan is of great significance to improve cooperated healthcare levels.