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总额控制是总额预算管理的基础。医保付费制度改革进程较快的杭州,在2009年底就出台了《基本医疗保险医疗费用结算管理暂行办法》。从目前的情况看,以总额预算管理为核心,与项目付费、病种付费、人头付费相结合的复合式付费方式效果显著。笔者选取两个当地实例,用数据来说明杭州总额预算管理的特色,以期说明其管理成效。
Total amount control is the basis of total budget management. Hangzhou, where the reform of the medical insurance premium system is relatively fast, promulgated the Interim Measures for the Administration of Settlement of Medical Expenses for Basic Medical Insurance by the end of 2009. From the current situation, the total amount of budget management as the core, with the project pay, pay for the disease, the first payment of a combination of complex payment effect is significant. The author selects two local examples, with data to illustrate the characteristics of total budget management in Hangzhou, with a view to its management effectiveness.