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随着医保覆盖面的逐渐扩大,越来越多的职工与居民享受医保待遇,医保收入占医院总体收入的比例逐年增加,医疗卫生机构作为公益性事业单位无可避免的会产生医保应收医疗款,而且就目前情况来看,呈现不断上升的趋势,所以如何加强医保统筹金的管理,使其规范性得到有效的提高逐渐成为了业界人士重点研究和关注的问题。因此本文拟从提高医保与财务管理工作的规范性为根本出发点和落脚点,就我国医保应收医疗款管理工作的现状进行了分析,发现了其中存在的问题和不足,进一步提出了切实可行的解决措施,以期待能够引起业内人士的共鸣,进而在提高医保与财务规范化管理绩效的基础上更好地保障医、保、患三方利益。
With the gradual expansion of medical insurance coverage, more and more workers and residents enjoy the benefits of medical insurance, and the proportion of medical insurance income in the total hospital income has been increasing year by year. As a public welfare institution, medical and health institutions will inevitably have medical insurance receivables However, the current situation shows a rising trend. Therefore, how to strengthen the management of medical insurance co-ordination funds so that their normative benefits can be effectively increased has gradually become the focus of research and attention by industry professionals. Therefore, this article intends to improve the standardization of medical insurance and financial management as the fundamental starting point and the foothold, analyzes the status quo of medical insurance receivables management in our country, finds out the existing problems and shortcomings, and further puts forward the feasible The measures to be resolved are expected to arouse the resonance of the professionals in the industry and further protect the interests of doctors, insurance providers and patients on the basis of improving the performance of medical insurance and financial standardization management.