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目前,各地医保经办机构已广泛建立与运用了医保费用结算项目库,从而更全面、及时地掌握定点医疗机构医保费用的明细项目及相关信息,为强化监管工作添加了新的有效途径和方法。同时,也为科学制定与调整医保政策、客观分析医保运行情况提供了更为完整的真实信息,使“社会保险要实现精确管理”这一要求进一步成为现实。各地建立的医保费用结算项目库大体类同,在医保支付项目方面,主要有药品目录库、诊疗项目库和医用材料库;
At present, the medical insurance agencies throughout the country have extensively established and applied the medical insurance fee settlement project database so as to have a more complete and timely grasp of the detailed items and information about the medical insurance expenses for the designated medical institutions, adding new effective ways and methods for strengthening the supervision work . At the same time, it also provides more complete and real information for formulating and adjusting medical insurance policies scientifically and objectively analyzing the operation of medical insurance. This further realizes the requirement of “ensuring the accurate management of social insurance.” The medical insurance fee settlement project libraries established in different regions are generally similar to each other. In terms of medical insurance payment items, there are mainly drug catalogs, medical treatment project libraries and medical material libraries;