Discussion on the Reasons and Countermeasures of Medical Insurer Refusing to Pay Hospitals：Taking a tertiary hospital as a case study
10.7664/CHE20130622
- VernacularTitle:关于医院被拒付医疗保险费用的原因及对策探讨：以北京市某三甲医院为研究案例*
- Author:
Ting DUAN
;
Guangying GAO
- Publication Type:Journal Article
- Keywords:
medical insurance;
protest;
medical insurance center;
designated hospital
- From:
Chinese Health Economics
2013;(6):69-72
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To put forward rational suggestions of how to reduce the protest in medical insurance cases from two aspects:hospitals and medical insurance agencies, to provide reference for strengthen management of designated hospitals and Medical Insurance Center. Methods:Taking a tertiary hospital of Beijing as an example, summarizing the basic situation of protest in medical insurance and analyzing several kinds of cases, making thorough analysis of deep-seated reasons which caused the protest in medical insurance and finally put forward rational suggestions. Results: The protest in medical insurance is not only caused by hospitals, the Medical Insurance Center should also take certain responsibilities. Conclusion: Hospitals and Medical Insurance Center should all take corresponding measures to reduce the protest in medical insurance cases.
