医疗保险费用结算管理重在过程。因为费用是时时发生,但结算、清算却是一年一度,因此,过程管理直接影响到年度结算管理乃至支付制度改革的成功与否,而谈话则是过程管理的重要环节,也是一门管理艺术。谈话对象。支付制度改革主要涉及医疗保险基金和医疗服务机构,因此,结算管理谈话的双方就是医疗保险管理机构和医疗服务机构。谈话目的。谈话的过程也是宣讲政策、了解情况、加强沟通的过程。管理 Medical insurance cost settlement management in the process. Because the expenses happen from time to time, but the settlement and liquidation are once a year. Therefore, the process management has a direct impact on the success of the annual settlement management and the payment system reform. Conversation is an important part of the process management as well as an art of management . Conversation object The reform of the payment system mainly involves the medical insurance fund and the medical service agencies. Therefore, the two sides of the settlement management talk are the medical insurance management agencies and the medical service agencies. Purpose of conversation The process of talking is also preaching policies, understanding the situation, and strengthening the process of communication. management