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医保基金监管大背景下医院医保加强控费精细化管理的探讨

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在当前经济形势下,医保基金作为政府与社会共同承担的重要财政保障,其有效管理直接影响医疗服务的质量。在经济全球化及人口老龄化的双重压力下,医疗费用持续攀升,对医保基金构成了一定挑战。我国在强化医保基金监管的同时,也需寻求创新的管理机制来适应医疗保障制度的变化,确保基金的持续性与稳定性。对医院而言,应在严格的政策框架下,以精细化管理实现控费目标,进而提高医疗保障体系的整体效能。基于此,文章对医保基金监管的政策进行解读,简要分析医院医保控费现状,并对医保基金监管大背景下医院医保控费精细化管理策略进行探讨。
Discussion on Strengthening Cost Control and Fine Management of Hospital Medical Insurance Under the Background of Medical Insurance Fund Supervision
In the current economic situation,as an important financial guarantee between the government and the society,its effective management directly affects the quality of medical services.Under the dual pressure of economic globalization and population aging,the medical expenses continue to rise,which poses a certain challenge to the medical insurance fund.While strengthening the supervision of the medical insurance fund,China also needs to seek innovative management mechanism to adapt to the changes of the medical security system and ensure the sustainability and stability of the fund.For hospitals,they should achieve the goal of cost control by fine management under the strict policy framework,so as to improve the overall efficiency of the medical security system.Based on this,this paper interprets the policy interpretation of medical insurance fund supervision,briefly analyzes the current situation of hospital medical insurance cost control,and discusses the fine management strategy of hospital medical insurance cost control under the background of medical insurance fund supervision.

medical insurance fund supervisionhospitalmedical insurancecost controlfine managementcost control ability

姬莉

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徐州市第一人民医院医保管理办公室,江苏徐州 221001

医保基金监管 医院 医保 控费 精细化管理 控费能力

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(21)