论文部分内容阅读
从组合支付方式设计原理出发,利用我国常规统计数据进行论证,发现“总额预算+按服务单元付费”组合支付方式下,明确设立医疗机构业务收入的总额及按GDP同步增长的增速指标,医疗费用支出可预测、可调控,能确保医保费用支出与筹资基本同步,为医保基金收支平衡提供稳定的环境。另外,由于对每次服务实行定额收费,所以易于与医保给付方式接轨,收支平衡补偿方案容易制定。由此,医疗保障部门担忧的收支失衡问题得以彻底解决。
Based on the principle of combination payment method design and using the conventional statistical data in our country to demonstrate that under the combined payment method of “total budget + service unit payment”, the total amount of business income of medical institutions and the growth index The medical expenses can be predicted and adjusted, which can ensure that the medical expenses and the funding are basically synchronized, and provide a stable environment for the balance of payments of medical insurance funds. In addition, due to the fixed charge for each service, it is easy to link with the mode of medical insurance payment, balance of payments compensation plan easy to develop. As a result, the health care sector worried about the problem of imbalances can be completely resolved.