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医保基金异地结算:安全、共享、公平和效率OA

Medical insurance cross-provincial settlement:security,sharing,fairness and efficiency

中文摘要英文摘要

中国医保基金异地结算工作取得显著进展,文章总结出医保基金异地结算的成就并指出目前仍存在医保政策限制、信息共享不畅等问题.为解决这些问题,文章提出异地结算的四大关键词,即安全、共享、公平和效率.同时,建立全国统一大市场、实现医保信息互联互通、完善药品挂网信息平台等措施也至关重要.医保在保障人民健康、促进医药企业发展等方面发挥着重要作用,未来需持续优化以提升效率和公平性.

Significant progress has been made in the cross-provincial settlement of China's medical insurance funds.This paper summarizes the achievements of the off-site settlement of medical insurance funds and points out that there are still problems such as medical insurance policy restrictions and poor information sharing.In order to solve these problems,this paper puts forward four key words of remote settlement,namely security,sharing,fairness and efficiency.Meanwhile,it is also very important to establish a unified national market,realize the interconnection of health insurance information,and improve the on-line information platform for drugs.Medical insurance plays an important role in ensuring the people's health and promoting the development of pharmaceutical enterprises.In the future,it needs to be continuously optimized to improve efficiency and fair-ness.

陈剑

北京改革和发展研究会,北京 100029

预防医学

医保异地结算公平性问题对策

Medical insurance cross-provincial settlementFairnessProblemCountermeasure

《中国农村卫生事业管理》 2024 (005)

315-318 / 4

10.19955/j.cnki.1005-5916.2024.05.003

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