我国入口老龄化加速、诊疗技术进步及城镇化进程加快,医疗费用快速上升,医保基金风险加大.医院通过加强医保管理组织建设、规范医保行为、提高风险控制技能、完善医保费用结算办法等措施,有效地控制医保费用,降低社会医疗保险基金风险.%With the increasing of Chinese aging population, progressing of diagnosis and treatment technological and accelerating in urbanization, the medical costs have been raised rapidly, and the risk of the health insurance fund was also increased. To reduce the social health insurance risk, management organization of health care was strengthened, the health care behavior was regulated, hospitals information system was applied, and the insurance account settlement procedures were improved.
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