论文部分内容阅读
基本医疗保险统筹基金收支平衡是深化医疗保险制度改革的基础,也是一项十分复杂的系统工程。本文在综合了主要研究文献基础上,探讨了影响医疗保险统筹基金收支平衡的因素(政策因素,医疗保险经办机构因素,定点医疗机构、参保人和参保单位因素,人口增长因素,结算方式因素,疾病谱因素等),提出了保持基金收支平衡的若干对策。
The balance of payments of the basic medical insurance fund is the basis for deepening the reform of the medical insurance system and is also a very complicated systematic project. On the basis of synthesizing the main research literature, this paper discusses the factors which affect the balance of medical insurance fund (policy factors, medical insurance agency factors, fixed medical institutions, insured persons and insured units, population growth factors, Settlement method factors, disease spectrum factors, etc.), put forward some measures to maintain the fund balance of payments.