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重点对美国医疗保险经办机构和医疗机构的关系、医疗保险申请、医疗服务协议的协商谈判机制、工作程序、医疗保险的支付方式,经费报销结算计算及医保纠纷解决五步上诉机制等相关法律问题,以及德国的医疗保险模式和医疗服务协议相关情况进行了综述介绍,在此基础上论述了美、德医疗保险服务协议相关法律问题对我国的启示。
Focusing on the relationship between the United States medical insurance agencies and medical institutions, medical insurance applications, medical service agreement negotiation mechanism, working procedures, payment methods of medical insurance, accounting calculation of claims settlement and medical dispute resolution five-step appeal mechanism and other relevant laws Issues, and the German medical insurance model and the medical service agreement related to the situation were reviewed and introduced on the basis of the United States and Germany medical insurance service agreement related to the legal implications of our country.