中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2015年
6期
49-51
,共3页
医保支付制度改革%总额预付
醫保支付製度改革%總額預付
의보지부제도개혁%총액예부
medical insurance payment system reform%total prepaid budgets
湖南省株洲市在职工医疗保险支付制度改革中，提出了“违规不得、超支不得、拒收不得”的基金支付管理理念，建立了以总额预付管理为主，单病种管理、平均付费、项目付费为补充的复合式基金支付办法，遏制了医疗费用的过快增长，缓解了参保患者过快增加的医疗负担。
湖南省株洲市在職工醫療保險支付製度改革中，提齣瞭“違規不得、超支不得、拒收不得”的基金支付管理理唸，建立瞭以總額預付管理為主，單病種管理、平均付費、項目付費為補充的複閤式基金支付辦法，遏製瞭醫療費用的過快增長，緩解瞭參保患者過快增加的醫療負擔。
호남성주주시재직공의료보험지부제도개혁중，제출료“위규불득、초지불득、거수불득”적기금지부관리이념，건립료이총액예부관리위주，단병충관리、평균부비、항목부비위보충적복합식기금지부판법，알제료의료비용적과쾌증장，완해료삼보환자과쾌증가적의료부담。
In the process of medical insurance payment system reform for the urban workers of Zhuzhou, payment management ideas such as "no irregularities, no overspending, no refusing" have been proposed, and a combined fund payment method, which takes total prepaid management as a priority, the management of single disease, the average payment, and project payment as subsidies, has been set up. It has controlled the rapid increase of medical costs, and reduced the economic burden of the insured patients.
