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眼下,总额预付制的结算方式正持续升温。值得注意的是,“总额预付适合就医人群较稳定、医保基金支付量较大的医疗机构,对于基金支付量过小或费用支付大起大落的医疗机构,这种结算方式并不合适。以海南省为例,目前省本级和海口市除精神病医院按服务单元付费结算外,对其他年度发生医疗保险费用100万元以上的定点医疗机构,全部实行了总额预付制管理,它们占全部定点医疗机构的40%。总额预付核心是总量控制总量预算指标的确定。海南省总额预付制医保基金预算总额的计算
Right now, the total prepayment system is still rising. It is noteworthy that ”The total amount of prepayment for medical treatment more stable population, medical insurance fund larger medical institutions, for the fund is too small or the cost of the ups and downs of medical institutions, this settlement is not appropriate .Take Hainan Province For example, at present, provincial-level and Haikou City, in addition to psychiatric hospitals paid by the service unit settlement, the other annual occurrence of medical insurance costs more than 1000000 yuan of fixed-point medical institutions, all implemented a total prepayment system management, they accounted for all the designated medical institutions Of the total amount of prepaid core is the total amount of total budget control budget to determine the total amount of Hainan Province, the total pre-paid medical insurance fund budget total calculation