医疗保险是我国施行的一项惠民的保障性政策。医保管理是医院管理工作中重要的内容。随着经济和社会的快速发展,人们对就医环境的需求越来越高,医疗保险也成为人们在医院就诊时候主要使用的方式。医保结算工作是一项复杂而繁琐的程序性工作。医保结算需要医保部门准确核对保险的项目和费用,使用的条件和范围。医保结算具有一定的重点和难度,医保结算是医疗保障制度能否顺利执行和发挥效果的关键环节。在医保结算中,要遵循医保结算的方式,应该建立科学的机制进行医保结算的统筹兼顾。本文从目前医院医保结算的现状分析,阐述了医保结算建立科学机制的方式。 Medical insurance is a Huimin’s safeguard policy implemented in our country. Medicare management is an important part of hospital management. With the rapid economic and social development, the demand for medical treatment environment is getting higher and higher, and medical insurance has also become the main method used by people when they visit hospitals. Medicare clearing is a complicated and cumbersome procedural work. Medical insurance settlement requires the medical insurance department to accurately check the insurance items and costs, the use of the conditions and scope. Medical insurance settlement has a certain focus and difficulty, medical insurance settlement is the key to the smooth implementation of the medical security system and play an effective role. In the medical insurance settlement, we must follow the medical insurance settlement method, we should establish a scientific mechanism for overall consideration of medical insurance settlement. This article analyzes the current situation of medical insurance settlement in the hospital and expounds the way of setting up a scientific mechanism by medical insurance.