商业保险统一支付平台在三级甲等医院场景中的应用设计与实践

doi:10.6040/j.issn.1671-7554.0.2018.1121

摘要/Abstract

摘要： 目前,商业保险有着巨大的发展空间,相关政策大力支持商业保险公司与医疗机构合作。随着“互联网+”技术的快速发展,大力推广在线医疗卫生新模式,发展基于互联网的医疗卫生服务,将健康保险与健康管理相结合将会成为趋势。山东省立第三医院在省内搭建首家商业保险统一支付平台,实现多家保险公司快速医疗赔付,具有标杆意义,是推动医疗改革的有效探索,扩大了医院在行业及相关管理部门的影响力。

关键词: “互联网+”医疗, 商业健康保险, 支付平台, 快速赔付

Abstract: At present, commercial insurance has a huge developmental space, and the relevant policies strongly support the cooperation between commercial insurance institutions and medical institutions. With the rapid development of “internet +” technology, it will be a trend to popularize the new online health care model, develop internet-based health services, and integrate health insurance with health management. The first commercial insurance payment platform in Shandong Province has been set up in Shandong Provincial Third Hospital, to realize rapid medical payment by several insurance companies. It has benchmark significance and is an effective exploration to promote medical reform, and has expanded the influence of the hospital in the industry and related management departments.

Key words: “Internet +” health care, Commercial health insurance, Payment platform, Fast payment

中图分类号:

R197.1

韩晔,朱兴国,王超,匡俊. 商业保险统一支付平台在三级甲等医院场景中的应用设计与实践[J]. 山东大学学报 (医学版), 2019, 57(8): 77-81.

HAN Ye, ZHU Xingguo, WANG Chao, KUANG Jun. Application design and practice of commercial insurance unified payment platform in a three class hospital[J]. Journal of Shandong University (Health Sciences), 2019, 57(8): 77-81.

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