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医保在医改中是可以发挥核心作用的。收入是医疗机构的命脉,现有的医保支付已成为医疗机构的主要收入来源,而收入方式决定了医疗机构的行为模式,所以医保支付方式对医疗机构的发展起到了决定性作用。因此,抓住支付方式改革对医疗机构的决定性作用这一特点,充分发挥医保在医改中的核心作用,对于医改的成败至关重要。“逼”出来的支付改革2003年,各地陆续启动新农合试点。由于当时的制度设计是只包大病而
Medicare in the medical reform can play a central role. Income is the lifeblood of medical institutions. The current medical insurance payment has become the main source of income for medical institutions, and the income pattern determines the behavior pattern of medical institutions. Therefore, the medical insurance payment has played a decisive role in the development of medical institutions. Therefore, grasping the decisive role of the reform of payment methods in medical institutions and giving full play to the core role of health insurance in medical reform are crucial to the success or failure of medical reform. “Forced ” out of the payment reform In 2003, all over the country started one after another NCMS pilot. Because at the time of the system design is only a serious illness