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济宁市大病保险与基本医疗保险实行“六统一”:政策统一设计、信息系统统一开发、医保费统一征缴、医疗费用统一支付、医疗服务统一监管、医保服务统一经办,极大提升了大病保险的运行效率和质量。大病保险和基本医疗保险采取以社保经办机构为主的一体化管理方式,有助于减少基本医疗保险和大病保险的重复投入,节约运行成本,提升监管效率,有助于从就医诊疗行为的源头进行医疗行为监控,最大程度降低不合理医疗费用。
Jining City, the implementation of major illness insurance and basic medical insurance “Six Unities”: a unified policy design, unified development of information systems, uniform collection of medical insurance premiums, unified payment of medical expenses, unified supervision of medical services, medical insurance services handled unilaterally and greatly improved The operation of the serious illness insurance efficiency and quality. Major illness insurance and basic medical insurance adopt an integrated management approach based on social insurance agencies, which can help to reduce duplication of basic medical insurance and serious illness insurance, save operating costs and improve regulatory efficiency, The source of medical behavior monitoring, to minimize the unreasonable medical costs.