中国医院
中國醫院
중국의원
CHINESE HOSPITALS
2014年
12期
68-69
,共2页
医疗保险%双向即时结算
醫療保險%雙嚮即時結算
의료보험%쌍향즉시결산
medical insurance%real time dual settlement
医疗保险定点医院实行医疗费用即时结算是方便人民群众就医的重要举措，但定点医院为垫付医药费用承担了重大责任和经济运行压力。本文从紧迫性、严峻性和可操作性三方面进行探讨，提出定点医院和医疗保险管理部门也要实现即时结算，即双向即时结算，进而减轻医院的经济风险，保证其正常运转和可持续发展。
醫療保險定點醫院實行醫療費用即時結算是方便人民群衆就醫的重要舉措，但定點醫院為墊付醫藥費用承擔瞭重大責任和經濟運行壓力。本文從緊迫性、嚴峻性和可操作性三方麵進行探討，提齣定點醫院和醫療保險管理部門也要實現即時結算，即雙嚮即時結算，進而減輕醫院的經濟風險，保證其正常運轉和可持續髮展。
의료보험정점의원실행의료비용즉시결산시방편인민군음취의적중요거조，단정점의원위점부의약비용승담료중대책임화경제운행압력。본문종긴박성、엄준성화가조작성삼방면진행탐토，제출정점의원화의료보험관리부문야요실현즉시결산，즉쌍향즉시결산，진이감경의원적경제풍험，보증기정상운전화가지속발전。
Medical insurance contracted hospital real time settling medical expense is an important way to reduce patients’ medical burden and increase accessibility. But the contracted hospital has shouldered important economic response and operation risk by advance payment. In aspects of urgency, gravity and operable, it also needs real time settlement between medical insurance sector and contracted hospital to reduce hospital’s financial risk and assure its normal and sustainable development.
