Musi waSeptember 5, iyo State Medical Security Bureau yakaburitsa chiziviso chekurapa kwekuchengetedza Bureau pakubata kwekurapa kwekurapa kweinishuwarenzi yekurapa (Hezefter inotaurwa se "chiziviso"), izvo zvine 4 makuru zvikamu uye gumi nemashanu zvinyorwa. Zvinotaurwa zvekurapa zvinotaurwa nezvacho zviri izvo izvo zvakanyoreswa kana kuiswa nevakuru vezvekurapa zvekurapa, zvakapihwa runyorwa rwemhando uye zvinogona kubhadharwa zvakasiyana.
Zvinoenderana nechiziviso, kubva pazuva rekuburitswa kwechiziviso ichi, matunhu anofanira kuudza kuHurumende Inishuwarenzi Inishuwarenzi Bureau kune iyo Rekodhi Usati Washanda Zvekushandisa Claclobles yekushandisa. Zveproincial Medical Insurance Madhipatimendi anokurudzirwa kutora fomu yedunhu rekubatana kana kubatana kuti uongorore kuiswa kweiyo yakabatana inodiwa cagalog uye zviyero zvemubatanidzwa kana dunhu. Iyo NHPA ichavhura kukura kweiyo National Medical Internal Black Catalog yeinishuwarenzi yekurapa munguva yakakodzera.
Pfungwa dzinokosha dzinopfupikiswa pazasi:
NZIRA 1: KUSHANDISA YEMAHARA YEMAHARA YEMUFANANIDZO UYE CODE YEMAHARA
Chiziviso chinotaura kuti kuiswa uye kodhi yezvekurapa zvinokanganiswa zvinofanirwa kuve zvakabatana. Kusimudzira kusimbisa kushandiswa kwenyika yeNational Medical Inishuwarenzi Consment Code, nenzira yakakodzera neNational Health Insurance Bureal Insurance yeChiremba Kuitira Basa Rakanaka rekugadzirisa iyo yekuvandudza kodhi yekuzvivandudza kodhi yekuvandudza iyo Kushandiswa kwekunyatsoita uye kuganhurana kwezvekurapa zvekushandisa kodhi kuti ubudirire mari yekubhadhara neCode mari, nekodhi kubhadharisa, uye kuve nechokwadi chekuti kuongororwa kwekurapa kwekurapa uye kodhi ye kubatana kwenyika.
Nongedzera maviri: Technology Consution kupatsanurana, urwu rudzi rwematambudziko mukubhadhara kweinishuwarenzi yekurapa
Chiziviso chinonongedza kuti chiyero chematengo chinofanira kuverengerwa mukubhadhara kweinishuwarenzi yekurapa. Kuti Uenderane Nezvekurapa Mutengo Shanduko "Technical Services uye Consplay Interpression Mutengo Mubhadharo wekubhadhara, uye zvishoma nezvishoma hazvizosanganisirwe muzvinyorwa zvekurapa zvekushandisa zvekurapa maererano ne Kupiwa kweinishuwarenzi yekurapa yekubhadhara manejimendi chiyero.
Nongedza vatatu: Izvi zvinokanganisa hazvisanganiswe musimboti mukubhadhara kweinishuwarenzi
Panyaya yekuwana inishuwarenzi yezvekurapa, "chiziviso" chinopa kuomerera kune iyo "yakakosha" inoshanda mamiriro. Iko kuwana uye manejimendi ezvekubata kweChibvumirano kwekurapa kunofanirwa kuomerera pakurapa kunofanirwa kuomerera ku "zvakakosha" maitiro ekubhadhara, uye zvine chekuita nekubhadhara mari yekutenga kwekurapa kwekurapa Huru yeinishuwarenzi, ichave inodiwa pamwe chete, yakachengeteka uye inoshanda, zvine musoro, zvine musoro mutengo zvekurapa zvichidaro mukuputika kwekubhadhara kweinishuwarenzi maererano nemaitiro. Iwo ekurapa anodzvara anozoverengerwa muColope yekubhadhara kweinishuwarenzi yekubhadhara maererano nechirongwa ichi.
Muchisimba, zviripo zvekushandisa nekiriniki kiriniki kukosha, mitengo kana mutengo kure nekukasira kwekukwereta kwehomwe uye varwere, pamwe nemidziyo yekudzoreredza isingabatanidzwe mukubhadhara kweinishuwarenzi yekurapa. Kuti mamiriro ezvinhu akajeka anodikanwa kuti arege kuverengerwa mune chiyero chekubhadhara kwekurapa kwekuparadza, kuomerera kune zvekutanga zvigadziriso.
Pfungwa ina: Iyo yekunyora zvishoma nezvishoma yeinishuwarenzi yekurapa yakajairika
Chiziviso chinonongedzera kunze kwekurapa kweUnitedau kuchadzidza kuiswa kwezita rezita rekurapa pasi pekurapa Kubhadhara kweinishuwarenzi kwekurapa, zvishoma nezvishoma kurongedza mitemo yekutumidza yemazita emamwe emapoka akasiyana ekurapa ekurapa, uye kuenderana neinishuwarenzi yezvekurapa seyinotevera in the manejimendi einishuwarenzi yekurapa.
Zvekushandisa zvekurapa nemazita akajairika akatoverwa, isu tinofanirwa kushingairira kusimudzira manejimendi einishuwarenzi yekurapa kwekurapa kunokosha maererano nemazita anozivikanwa. Kune zvekushandisa zvekurapa izvo zvisati zvaitika izvo zvisati zvaitika izvo, iko kuiswa kwazvino uye kodhi kuchashandiswa kune iyo nguva kuve yeinishuwarenzi yekurapa yekubhadhara.
NZIRA 5: "14
Chiziviso chinojekesa kuti manejimendi ekuwana ekurapa ekurapa anokatyamadza. Kurudzira kuiswa kweiyo Inzwi Rekurapa Kunopfeka Systems, "14 nguva, inofanira kupedzwa maererano nemutemo wekuwana, masangano ehurumende yakabatana
Panguva ino yakagadza dunhu rakabatana neinishuwarenzi rekudyara Panguva ino haisati yatanga iyo Dunhu rakabatana zvekurapa zvekupa dunhu renharaunda kuti riwedzere kuedza ku "Chiitiko chegumi neshanu chegumi neyekutanga dunhu rakabatana nedunhu.
Kune vamwe vakanyanya kukura manejimendi ekutapurirana, nyika ichawedzera kukudziridza hukama hwenyika hwenyika, uye zvishoma nezvishoma kuwedzera chiyero cheiyo nyika yekati yakafukidzwa nechikamu chematengo.
NZIRA
Sekureva kwechiziviso, dunhu rega rega rinofanira kuronga zvekushandisa zvekurapa, hutano hweinishuwarenzi, tekinoroji shamwari, kuburikidza neyakaenzana, iyo inokodzera zvipfeko zvinoparadza mukuenderana nemaitiro, uye Mhedzisiro yekuongororwa ichaziviswa kuruzhinji nenzira yakakodzera. Kurudzira kusanzwisisika kwekutanga muChibvumirano chezvakarongedzwa zvisikwa kubva kuCreatised Banking Kutenga iyo inotevedzera iyo yazvino kubhadhara mutemo. Ongorora kupinda kune yakasarudzika kana yakakwirira-kukosha zvigadzirwa kuburikidza nekutaurirana uye imwe nzira.
Uyezve, iyo inoshatisa inoshatisa yekugadzirisa mechanism inofanira kusimbiswa. Inonzwisisika Kufunga kwehunyanzvi hwekurapa kwekurapa, kushandiswa kwekiriniki, mutengo uye mutengo weinishuwarenzi yekurapa uye neinishuwarenzi, nezvimwe, kuti uzive shanduko yesimba yekupinda uye kunze. Kunyatso kudzoreredzwa kwezvigadzirwa zvakanaka zvehunyanzvi
Panguva imwecheteyo, kugadzwa kweanonzwika njodzi yekudzivirira kwekugadziriswa kwekubhadhara kwekurapa kwekurapa inishuwarenzi, iko kuchengetedzeka kwemarwere, kurapwa kwenguva yakareba kuverenga, kune njodzi dzinogona kuitika dze Kukura kwehurongwa, kunyanya kunosanganisira kuendesa kwekubhadhara kwemhando dzemhando dzakasiyana dzekuti dziite basa rakanaka rekuvimbisa kuchengetedza kwekodzero dzevarwere.
Point 7: zvishoma nezvishoma kuyera mutemo wekubhadhara mukati medunhu
Chiziviso chinonongedza kuti mutemo wekubhadhara unofanirwa kurongwa uye akagadziridzwa. Simudzira mutemo wekubhadhara kuti uve wesainzi uye unonatswa, uye zvishoma nezvishoma chikamu kunze kwesimbe kubhadharwa kwakadzvanywa pane iyo yakaunganidzwa mubhadharo wemutengo, uye iyo-yakaenzana-inokodzera-yese quota kana kubhadhara.
Nzvimbo dzakarongeka dzinogona kuenderana nezvinhu zvakadai sekukwereta kweshinda uye mutoro kune iyo inishuwarenzi yemumwe mutengo wakakwira kana mutengo wekutadza wekurapa kuti uise wekutanga kunze-kwe-muhomwe yekubhadhara mari. Mutauro wezvematatu ehutano
Pfungwa 8: Kugadzwa kweDRG / DIP Synergistic kukurudzira michina
Kusimudzira zviyero zvekubhadhara nenzira yakatsiga uye yakarongeka. Kurudzira matunhu kuti aongorore kusimudzirwa kwekurapa kunokanganisa zviyero zvekubhadhara kweinishuwarenzi yekurapa uye kugadzirisa zvine simba. Kuvandudza maitiro eSynergism pakati pezviyero zvekubhadhara uye mitezo yepakati yekutenga, uye sarudza iyo yekubhadhara zviyero zvezvigadzirwa zvakasarudzwa muzvikamu zvakanyorwa zvichienderana nemirairo yakakodzera. Ongorora nhaurirano dzekuita nhaurirano uye dzimwe nzira dzekurapa sarudza iyo yekubhadhara zviyero kune imwe yakanyanya kukosha-kukosha ekurapa ekurapa. Zvekushandisa zvekurapa zvine basa rimwe chete uye kushandisa, zvakafanana zvinhu uye zvechiriniki zvinopesana, uye convergence yeinishuwarenzi inishuwarenzi manejimendi, zvakabatana zviyero zvinogona kuumbwa.
Synergize nzira yekubhadhara yekubhadhara shanduko. Kugadzira mashandiro ekusimudzira kweSynergistic neDRG, DIP yekubhadhara nzira yekugadzirisa uye mamwe marongero ekugadzira yakanaka yekugadzirisa maitiro. Funga nezveChidimbu Chiyero, yekubhadhara chiyero uye yekubhadhara mutemo wekurapa zvinopesana nenzira yakabatanidzwa, uye kugadzirisa iyo yakazara bhajeti uye yekubhadhara chiyero chemhando dzehurwere / mapoka nenzira yakakodzera.
Nongedza mapfumbamwe: aya anokanganisa anotarisa pane kutarisa
Zvinoenderana nechiziviso, kuongorora uye kuongororwa michina yeinishuwarenzi yekurapa kunofanirwa kusimbiswa. Matunhu anogara ari mudunhu rezvekurapa kwehutano Fund Consumption uye Mutoro wereveri wekurapa unokanganisa kutarisisa mutoro unorema.
Hongguan hanya nezve hutano hwako.
Ona zvimwe Hongguan Meidlcal Cons Consleals Chigadzirwa →https://www.hgcmecal.com/products/
Kana paine chero zvaunoda zvekurapa zvinonyangadza, ndapota inzwa wakasununguka kutibata nesu.
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Kutumira Nguva: Sep-11-2023