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社会医疗保险基金有效运用管理的政策研究

Policy Study on the Effective Management of Social Medical Insurance Fund
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摘要 我国的医保改革已经进入了“深水区”,不进则退。如何在全面推进、完善目前工作的基础上,有效应对人们不断增长的健康需求和即将到来的老龄化社会所带来的巨大支付压力.这是摆在我们面前不能回避的重要课题;其中,对有限基金的有效运用是其关键所在,压缩非正当支出、堵塞漏洞、挤出虚高药价的水分和医药分离、基金管理机构与医疗机构之间进行有效利益博弈等方面则是具体的内容构件。 Health care reform in China has entered into the"deep water area", which means if we do not advance the reform we will go backward, and how to effectively cope with peop'e's growing health needs and the huge pressure brought about by the upcoming aging society on the basis of overall advance and perfection of the current work is an important project before us which we can not avoid. Among them, the effective use of the limited fund is essential, and the following are the specific content components: reducing improper payments, plugging up loopholes, making the medicine price reasonable, separating medical treatment and medications, and effective interest game between fund management institutions and medical institutions, etc..
机构地区 泸州医学院
出处 《医学与法学》 2013年第1期33-36,共4页 Medicine and Jurisprudence
基金 本文系四川省哲学社会科学研究“十二五”规划2012年度立项资助项目“社会医疗保险基金安全运行和长期平衡的政策研究”(项目编号:SC12W2001)的阶段性成果.
关键词 医保基金 浪费 医药分离 利益博弈 效益 medical insurance fund waste medical treatment and medications separation interest game benefit
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