[1]卢金奇,夏 颖.市级统筹下的医保基金总额预算和控费管理实践[J].卫生经济研究,2021,38(12):44-46.
　LU Jin-qi,XIA Ying.Practice of Total Budget and Cost Control Management of Medical Insurance Fund at Municipal Level[J].Journal Press of Health Economics Research,2021,38(12):44-46.
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市级统筹下的医保基金总额预算和控费管理实践
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年12期
页码:
44-46
栏目:
地市经验
出版日期:
2021-12-02

文章信息/Info

Title:
Practice of Total Budget and Cost Control Management of Medical Insurance Fund at Municipal Level
作者:
卢金奇1; 夏 颖1
1.浙江省舟山市医疗保障局，浙江 舟山316021
Author(s):
LU Jin-qi;  XIA Ying
Medical Security Bureau of Zhejiang Zhoushan, Zhoushan Zhejiang 316021, China
关键词:
市级统筹; 医保基金; 总额预算; 控费管理
Keywords:
municipal level;  medical insurance fund;  total budget;  cost control management
分类号:
F840.684
文献标志码:
B
摘要:
介绍浙江省舟山市在“省管县”财政体制下实施全市统一的医保基金总额预算和控费管理的做法及成效，在此基础上提出建议，包括实施门诊统筹，加强资源整合，建立智能监管预警系统，完善绩效评估体系等，为市级统筹下实行医保基金总额预算管理提供有益经验。
Abstract:
This paper introduces the practice and effect of implementing the city-wide unified total budget and cost control management of medical insurance fund in Zhejiang Zhoushan under the financial system of "province governing county". On this basis, some suggestions are put forward, including implementing outpatient pooling and strengthening resources integration, establishing an intelligent supervision and early warning system, and improving the performance evaluation system, so as to provide useful experience for implementing the total budget management of medical insurance funds at municipal level.

参考文献/References:

[1] 王宗凡.医疗保险总额控制的实践与思考[J].中国医疗保险,2017 （3）：37-44.

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更新日期/Last Update: 2021-12-02