Discussion on Reconciliation of Medical Insurance Payment in Public Hospitals of Tianjin Based on Total Medical Prepayment
10.7664/CHE20170323
- VernacularTitle:总额预付制下天津市公立医院医保费用对账工作探讨
- Author:
Yalan WANG
- Keywords:
total medical prepayment;
public hospital;
medical insurance payment;
medical insurance reconciliation;
Tianjin
- From:
Chinese Health Economics
2017;36(3):84-86
- CountryChina
- Language:Chinese
-
Abstract:
To deal with the current large workload and difficulty of reconciliation for medical insurance expenses in public hospitals,it proposed a institutionalized and normalized reconciliation management process.Tianjin was selected as the object of research.Based on hospital and medical insurance institutions,it analyzed the existing problems and reasons of medical insurance on reconciliation.It proposed a medical insurance debt accounting based,medical settlement information establishment supported,medical insurance reconciliation process centered medical insurance reconciliation management work system to solve the problem of medical insurance reconciliation and promote the safety and integrity of the obligatory right for medical insurance.