内容简介：
医疗保险设计与管理
Design and Management of Medical Insurance
授课人/Guest Lecturer：Jiri Remec. Jiri Remec是前捷克医疗保险公司的CEO，专业是Informatics。在捷克，亲自主持了DRG的开发、使用，专长于医疗保险受益包的设计，精算、医保内部的绩效管理、对医院支付方法改革与医疗费用控制。是德国EPOS咨询公司高级咨询专家，中欧社会保障改革项目的医疗保险核心专家。
授课地点/Location：后主楼2026室(2026 The North Main Building)
授课时间和内容/Schedule
Monday, Sept. 24 9：00am-12：00pm
1. Introduction: Principles of social medical insurance
l Comparison of social and private medical insurance
l Principle of equivalence
l Collecting of insurance premiums
l Solidarity issues
l Drivers for health care costs
Monday, Sept. 24, 2：00pm-6：00pm
2. Design of benefit package
l Components of a benefit package
l Criteria for design of benefit package
l Cost sharing
l Examples of benefit packages
Tuesday, Sept. 25, 9：00am -12：00pm
3. Cost containment strategies
l Objectives and limitations
l Measures at providers’ side
l Measures at insuree’s side
l Examples of successful approaches
Tuesday, Sept. 25, 2：00pm-6：00pm
4. Remuneration by capitation
l Principles and application area
l Risk adjustment
l Blending with other remuneration methods
Wednesday, Sept. 26, 9：00am-12：00pm
5. DRG and its applications (3 hours)
l Case-mix classification systems and DRG
l Prospective payment systems
l Sustainability issues
