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总额控制,在医保基金支出压力凸显的情况下显得尤为紧迫。这项触及医院核心利益的“敏感改革”在很多地方都遭到了消极对待。如何建立医疗机构的认同感,并让其主动参与到管理中,真正达到总控的目的,需要医保管理者的一番巧妙心思。6月24日,广西壮族自治区各级定点医疗机构纷纷收到一份“城镇基本医疗保险定点医疗机构履行医保服务协议‘五要’要求”的宣传海报,这是广西开展社保宣传周活动的服务内容之一。宣传海报对医疗服务质量提出了明确的要求,这也是广西医保费用总额控制改革的一项重要举措。
The total amount of control is particularly urgent when the pressure on medical insurance fund expenditures is prominent. This “sensitive reform,” which has hit the core interests of the hospital, has been negatively treated in many places. How to establish the identity of medical institutions and let them take the initiative to participate in the management of the total control of the real purpose of the need for health care managers some clever thoughts. On June 24, designated medical institutions at all levels of Guangxi Zhuang Autonomous Region received a posters on “Five Requirements for Medical Insurance Services” issued by designated medical institutions of basic medical insurance in cities and towns. This is a campaign to promote social security in Guangxi One of the service content. Propaganda posters set out clear requirements on the quality of medical services, which is also an important measure for controlling the total amount of medical expenses in Guangxi.