2015年上半年,湖南省益阳市医保局在定点医院全面试点基本医疗保险基金智能监管系统。那么,一个医保改革以来基本每年都能实现“收支平衡”的地方,为何还要把目光投向医保“智能监控”系统呢?基金安全形势严峻益阳市作为全国第二批医改试点城市之一,从启动医保制度起,就设置了“总额预付包干加单病种控费、均次费用结算”的复合式付费制度,并且不断完善改进,因此十几年来基本上每年都遵循了医保基金“以收定支、收支平 In the first half of 2015, Yiyang Municipal Medical Insurance Bureau of Hunan Province fully piloted the basic medical insurance fund intelligent supervision system at designated hospitals. So, a basic health care reform since the annual basic ”balance of payments“ place, why should we look to Medicare ”intelligent monitoring “ system? Fund security situation is grim Yiyang city as the second batch of medical reform pilot One of the cities, from the start of the medical insurance system, has set up a compound payment system of ”total prepaid package plus single package control and settlement of average costs“ and continuously improve and improve, so basically every year for more than a decade Follow the Medicare Fund ”to receive payments, income and expenditure level