摘要
针对跨省异地就医实时结算的支付模式难以界定的现状,分析了处理跨省异地医保实时医保结算时必须解决的3项关键问题,提出了可供选择的解决方案,为实现跨省异地就医医保实时结算进行了有益的探索。课题的实施对于推动跨省卫生协同服务水平的提高具有重大意义。
This paper analyzed the three key problems that must be solved,and put forward alternative solutions of real-time settlement of health insurance when patients sought medical services across provinces. It aimed at the current indefinable payment pattern of health insurance settled in real-time and conducted some sound exploration in realizing real-time settlement of health insurance across provinces. The implementation of this plan is of great significance to improve cooperated healthcare levels.
出处
《中国卫生资源》
2014年第4期261-261,318,共2页
Chinese Health Resources
基金
上海市科学技术委员会国内合作计划课题基金资助项目"面向长三角地区的跨区域医疗协同服务关键技术攻关与应用示范"(11595810700)
国家科学技术部国家科技支撑计划课题基金资助项目"面向长三角地区的跨区域医疗协同服务应用示范"(2011BAH15B06)
关键词
异地就医
医保实时结算
药品目录
医用材料目录
hospitalization in other places
real-time settlement
drug formulary
medical materials directory