KẾT QUẢ THANH QUYẾT TOÁN CHI PHÍ KHÁM BỆNH, CHỮA BỆNH BẢO HIỂM Y TẾ GIỮA BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108 VÀ CƠ QUAN BẢO HIỂM XÃ HỘI THÀNH PHỐ HÀ NỘI, GIAI ĐOẠN 2021-2023

Abstract

Objective: To describe the results of the settlement of health insurance (HI) costs between the 108 Military Central Hospital (TWQĐ 108) and the Hanoi Social Insurance Agency for the period 2021-2023. Research method: A retrospective study based on quantitative data from summary reports and health insurance settlement records at the 108 Military Central Hospital during the period 2021-2023. Results and recommendations: The number of HI medical visits increased by 147.7% in 2022 compared to 2021 and by 169% in 2023 compared to 2021. The total medical examination and treatment costs settled between the hospital and the Hanoi Social Insurance Agency reached 99.7% for 2021 and 2022, and 99.6% for 2023. We recommend that the hospital conduct further studies on the causes of discrepancies and strengthen the application of information technology to timely mitigate these causes.