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医疗保险费用近年来的逐步增长,已经成为困扰政府社保机构、医院的重大问题,作为首批兵团试点“基本医疗保险付费总额控制”的公立医院,我院在绩效管理方面进行了策略的调整,通过一年来的实践探索,医疗保险总额控制工作达到了试点要求,提升了医院在医保总额控制下医院的绩效管理水平和医保基金的使用效率,为医保总额控制在兵团医疗机构的推广提供一些实践经验和参考依据。
The gradual increase of medical insurance fees in recent years has become a serious problem that plagues the government social security agencies and hospitals. As the first batch of Corps pilots to control the total amount of basic medical insurance, our hospital has conducted a strategy of performance management Through years of practice and exploration, the control over the total amount of medical insurance has reached the pilot requirement, improving the hospital’s performance management level and the efficiency of using medical insurance funds under the total amount of medical insurance, and providing the total amount of medical insurance for the promotion of the Corps medical institutions Some practical experience and reference.