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全民医保时代的到来,医保患者成为定点医院主要的住院人群,其医疗费用快速增长的现象越来越受到医保管理部门和定点医院的重视。如何控制医保患者医疗费用的不合理增长、寻找科学的医疗费用控制机制,成为各部门、各定点医院探讨的热门话题。笔者以广西壮族自治区百色市人民医院为例,分析2013年1月1日至2014年12月31日医保住院患者情况,寻找其中的规律和变化,以采取针对性措施,控制医疗成本、降低医疗费用,同时为医院提供医保费用管理依据。
The arrival of the universal health insurance era, Medicare patients become the main hospital in fixed-point hospitals, the rapid growth of medical expenses, the phenomenon of more and more medical insurance management departments and designated hospitals attention. How to control the unhealthy growth of medical expenses for medical insurance patients and to find a scientific medical expense control mechanism has become a hot topic explored by various departments and designated hospitals. The author takes Baise People’s Hospital of Guangxi Zhuang Autonomous Region as an example to analyze the medical insurance inpatients from January 1, 2013 to December 31, 2014 to find out the rules and changes in order to take targeted measures to control medical costs and reduce medical costs Costs, at the same time for the hospital to provide medical insurance fee management basis.