医保基金战略性购买实践中价格联动及动态调整机制研究——以眉山市为例  

Price Linkage and Dynamic Adjustment Mechanism in the Practice of Medical Insurance Fund Strategic Purchase——Taking Meishan City as an Example

作　　者：王绪 吴婧文 肖丽 肖杰 张媚[2] 彭美华[2] 刘家宇 

机构地区：[1]四川省眉山市医疗保障局,眉山620020 [2]成都中医药大学,成都610015

出　　处：《中国医疗保险》2023年第6期93-98,共6页China Health Insurance

基　　金：2022年眉山市医保研究会委托课题“眉山市医保基金战略性购买‘价格-支付’联动与共赢研究”(杏林学者QNTD2021003)。

摘　　要：为发挥医保基金战略性购买作用,推动医保、医疗、医药协同发展,本文对医保基金战略性购买实践中“预算-价格-支付”联动机制进行分析,以眉山市为例,探究医保基金战略性购买过程中存在的问题,阐述医疗服务定价外生机制的必然性和紧迫性,提出构建以医保基金预算绩效为导向的价格动态调整思路。This paper analyzed the“budget-price-payment”linkage mechanism among the practice of strategic purchase of medical insurance fund,in order to give full play to the strategic purchasing of medical insurance fund and to promote the coordinated development of medical insurance,hospitals and the drug industry.Based on case of Meishan City,the paper explored the problems in the strategic purchase process of medical insurance funds,demonstrated the necessity and urgency of the exogenous mechanism of medical service pricing,and proposed a dynamic price adjustment approach guided by the budget performance of the medical insurance fund.

关 键 词：医保基金战略性购买 预算绩效 价格联动 动态调整 

分 类 号：F840.684[经济管理—保险]