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2月20日,财政部、人社部、国家卫生计生委联合印发的《关于加强基本医疗保险基金预算管理发挥医疗保险基金控费作用的意见》公布。该《意见》明确,建立健全结余留用、合理超支分担的激励约束机制,激励医疗机构提高服务效率和质量。实行按病种付费、按人头付费、按床日付费等支付方式的地区,医疗机构实际发生费用低于约定支付标准的,结余部分由医疗机构留用;实际费用超过约定支付标准的,超出部分由医疗机构承担,对于合理超支部分,可在协商谈判基
February 20, the Ministry of Finance, Ministry of Human Resources and Social Security, National Health and Family Planning Commission jointly issued the “on the strengthening of the basic medical insurance fund budget management to play the role of medical insurance fund control role” announcement. The “Opinions” clearly establish and improve the remaining balance, a reasonable excess share of the incentive and restraint mechanisms to encourage medical institutions to improve service efficiency and quality. If the actual expenses incurred by the medical institutions are lower than the agreed payment standards in the areas where payment is paid on a disease-by-patient basis, paid on a per-person basis, paid on a bed-by-day basis, etc., the balance shall be retained by the medical institutions; if the actual expenses exceed the prescribed payment standard, Medical institutions to undertake, for a reasonable part of the excess can be negotiated basis