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医疗保险付费方式是医保基金支出控制的关键环节。国家和省里的人社、财政、卫生三部门联合分别以人社部发〔2012〕70号和鲁人社发〔2014〕22号文件,印发了《关于开展基本医疗保险付费总额控制的意见》,要求2014年底前,省内所有统筹地区都要开展医疗保险付费总额控制。一年来的工作进展情况怎样呢?笔者进行了深入调研。进展更加注重制度建设,形成了一套较为完善的行之有效的医疗费用结算体系。费用结算办法是基金管理的“牛
Medical insurance payment method is the key link of medical insurance fund expenditure control. The three departments of people’s communes, finance and public health in the country and the province jointly issued the Opinions on Controlling the Total Payment of Basic Medical Insurance with the document No. 70 [2012] of the Ministry of Social Affairs and the No.70 [2014] ”It is required that by the end of 2014, the total amount of medical insurance to be paid will be controlled by all the co-ordinating regions in the province. What’s going on in the past year? I conducted in-depth research. Progress more pay attention to system construction, formed a set of more perfect and effective medical expenses settlement system. Cost settlement method is fund management "cow