本报讯(记者赵鹏)针对有人怀疑本市有医院以医保限额将用完为由不给病人看病的问题，市人社局昨天回复，如参保者遇有推诿病人情况，可向区县人社局或拨打96102热线投诉。人社部门将对医疗机构进行处罚。

Report from our correspondent(Reporter ZhaoPeng)According to some doubt in the city have the hospital medical insurance limit will not be given to the patient to see a doctor for the problem,City people club bureau yesterday reply,Such as participants in case of shuffle the patient's condition,But to area county people club board or dial 96102 complaints hotline.People club department of medical institutions shall be punished.

　　北京2011年对医保基金实行了预算管理，对各个定点医疗机构下达了总额管理指标，基本原则是以本市当年医疗保险基金收入为基础，按照“以收定支、收支平衡”，根据不同定点医疗机构级别、服务量等因素，分级确定医保费用总额管理指标，控制医保费用不合理增长。

Beijing 2011 on medical insurance fund executes the budget management,For each fixed-point medical institutions issued amount management index,The basic principle is that the city medical insurance fund income as the foundation,According to the"To receive a fixed/balance",According to the different level of fixed-point medical institutions/Factors such as services,Hierarchical determine total medical insurance cost management index,To control the medical insurance cost is not reasonable growth.

■释疑 S disabuse

　　医院超标不影响医疗待遇 Exceed the hospital does not affect the medical treatment

　　问：如果医院用光了医保基金管理指标，是不是医保不能报销？

ask:If you run out of hospital medical insurance fund management index,Is medical insurance cannot submit an expense account?

　　市人社局：医保总额管理对象不是医保病人。总额管理不涉及医疗费用结算方式的调整，不会影响个人的就医和医疗待遇。

City people club bureau:The total medical insurance management object is not health care patients.Total management does not involve medical pattern of settle accounts of expense of adjustment,Will not affect individual go to a doctor and medical treatment.

　　医疗机构发生的医保应支付项目，由医保基金给予支付。医院超过指标的部分，医保基金仍给予支付，但对超指标的医疗机构会加强监管，年终不予考核奖励。为避免医院简单地向科室医生下达指标导致推诿病人，市人社局制定了综合管理考核指标。

A medical institution shall pay medical insurance happened project,The medical insurance fund to pay.The hospital more than part of the index,The medical insurance fund still give payment,But for super index of medical institutions will strengthen supervision,Year-end not reward assessment.To avoid the hospital simply to department doctor give index lead to shuffle the patient,City people club bureau established integrated management assessment index.