医疗保险实行的定点医院既是参保人员获取基本医疗服务和实现基本医疗消费的主体,又是直接控制医疗费用的载体,还是具体与参保人员接触、沟通、落实医保政策的场所。定点医院和医疗保险形成紧密联合体,成为城镇职工基本医疗保险管理体系中极为重要的组成部分,其行为直接关系到医保成功与否和控制医保费用的关键所在。 The designated hospitals practiced by medical insurance are not only the subjects that insured persons access to basic medical services and basic medical services, but also the carriers that directly control the medical expenses or the places where medical insurance policies are specifically contacted with insured persons. The fixed-point hospitals and medical insurance form a close association, and become an extremely important part in the basic medical insurance management system for urban workers. Their behavior is directly related to the success of medical insurance and the key to controlling medical expenses.