基本医疗保险费用结算,是落实基本医疗保险支付政策、医疗服务支付范围和支付标准的最终手段,关系到基本医疗保险基金的收支平衡和医疗服务机构的正常运转,其实则是关系到能否通过制定科学合理的结算办法,规范医、患、保三方面的经济关系和行为,实现有限医疗保险资金购买有效的医疗服务。因此,基本医疗保险费用结算管理,是基本医疗保险最重要的基础管理措施。从世界各国以及我国各地多年探索的各种各样医疗费用结算方式来看,还没有一种理想的结算方式,每一种方式都有其利弊,结合医疗保险机构和定点医 The settlement of the basic medical insurance fee is the ultimate measure to implement the basic medical insurance payment policy, the scope of medical service payment and the payment standard, which is related to the balance of payments of the basic medical insurance fund and the normal operation of the medical service institution. In fact, By formulating a scientific and reasonable settlement method, we should standardize the economic relations and behaviors of medicine, suffering and insurance so as to realize the limited medical insurance funds to purchase effective medical services. Therefore, the basic medical insurance fee settlement management, basic medical insurance is the most important basic management measures. From various countries in the world and throughout our country to explore a variety of medical expenses for many years settlement, there is no ideal way to settle, each has its own advantages and disadvantages, combined with medical insurance agencies and sentinel