medical insurance

Owning to the adjustment of medical insurance policy and the establishment of web-based medical insurance system,some traditional working styles and methods are not fit with new situation.

随之现代网络技术的应用与普及,计算机技术、网络技术、数据库技术等先进管理手段和方法正逐步走进医院管理者的日常工作中,同时,由于医保政策的调整及医保网络工作环境的逐步形成,一些旧的工作模式、工作方法已不能适应新的形势。

The author believes problems that should be paid attention to in new situation of the medical insurance are as followed, guaranteeing two directions, updating cognition, paying attention to service quality, developing medical specialty, strengthening relation with local government.

本文认为军队医院在医保新形势下应注意的问题是 :确保“两个方向”不变 ;更新观念 ;注重服务质量 ;发展特色医疗专业 ;加强同地方党政部门的联

Analysis and investigation on expense for inpatients with medical insurance in infectious disease hospital;

传染病专科医院医保病人住院费用调查及影响因素分析

Analysis on chronic diseases of people applying for enterprise medical insurance;

申请企业医保补助人员慢性病患病情况分析

Problems and suggestion in hospital information system and medical insurance network;

医院信息系统与医保联网的问题与对策

Based on the suspicious behavior during the payment and usage of the medical insurance in reality,to establish three game theoretic models involving medical insurance management center and cooperation, patient, hospital, separately.

刘璇张朋柱张敏针对医保制度实施以来的实际运作情况,从博弈角度分析了医保基金缴纳和使用异常行为出现的原因;并从改变博弈均衡解的角度提出了有效引导企业、医患、医院走出异常的一系列措施建立针对企业、医患、医院的黑名单制度,通过信息共享降低监督成本,将服务质量纳入与医院的结算办法等。

The proposed goal of "universal coverage" and the piloted Social Medical Insurance in urban areas have solved the equality problems caused by the deficiency of the medical security system s coverage in our country.

"全民医保"目标的提出和城镇居民基本医疗保险制度的试点,解决了我国医疗保障制度覆盖面不足引发的公平问题,但是多种医疗保障制度并存将引发新的不公平问题。

Objective: To probe into psychological states of family members of psychosis patients under medical insurance policy and its related influencing factors.

[目的]探讨医保政策下精神病人家属的心理及影响其心理的相关因素。

Therefore,hospitals must focus on the management of medical insurance,adapt to the reform of medical insurance,renew concepts,continuously gain more experience in the management of medical insurance,propagandize policies,strengthen training,reinforce management,perfect system and try to provide service of super quality and competitive price for the insured patients.

要适应医疗保险制度改革,转变观念,在医保管理工作中不断摸索经验,宣传政策、加强培训、强化管理、健全制度,努力为参保患者提供价廉质优的服务。