新形势下医院医保规范化管理的实施路径探索

Exploration on the Implementation Path of Standardized Management of Hospital Medical Insurance under the New Situation

ZHOU Fang（Suqian Hospital of Traditional Chinese Medicine）

Abstract： This paper first introduces the concept of standardized management， and analyzes the value and implementation path of standardized management of hospital medical insurance under the new situation. The analysis results show that standardized management of hospital medical insurance can improve the standardization of diagnosis and treatment， ensure the security of medical insurance funds， and create an atmosphere that “everyone can prevent management risks”. In order to improve the level of standardized medical insurance management， hospitals need to improve the effectiveness of standardized medical insurance management based on DIP， implement the goal of accurate standardized medical insurance management on the basis of departmental coordination， use digital technology to do management work， and strengthen normal supervision， and pay attention to performance evaluation to provide guarantee conditions for standardized medical insurance management.

Keywords： new situation， hospital， medical insurance， standardized management

0 引 言

医院肩负着提高医保管理质量的责任，为做好医保管理工作，需引入“精细化”思想，从严、准、全、细的角度出发，提升医保服务水平以及大众满意度。（剩余4164字）