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本文在分析我国目前医保模式在实践中存在的主要问题和分析借鉴国外基本医疗保障制度的模式基础上,探讨了我国实施城镇基本医疗保障制度以来,医保中心和医疗机构就基本医疗合作签署的医疗保险服务协议存在的相关问题。本文阐明了医保协议是以民事约定的形式表现出来的具有任务书倾向的一种行政管理手段,并在此基础上提出建议在签订医疗服务协议的时候引入谈判机制和用民事审判程序来处理医疗服务协议相关的纠纷。
Based on the analysis of the main problems existing in the current practice of medical insurance in our country and the analysis of the models of basic medical insurance in foreign countries, this paper explores the implementation of the basic medical insurance system in urban areas in China since the medical insurance center and medical institutions signed the medical cooperation on basic medical treatment Insurance service agreement exists related issues. This paper clarifies that the medical insurance agreement is an administrative means with the tendency of the mission statement which is shown in the form of the civil agreement. On the basis of this, it proposes to introduce the negotiation mechanism and the civil trial procedure to deal with the medical treatment when signing the medical service agreement Service agreement related disputes.