National Government Services, Inc. (NGS) is a Medicare Administrative Contractor (MAC) under contract with CMS to administer the Medicare Part A program for MAC Jurisdiction 13, which consists of two StatesNew York and Connecticut. For FY ended 2006, 139 hospitals in MAC Jurisdiction 13 collected and reported information to the IRIS on residents. In FY ended 2007, the figure was 137 hospitals. Highmark Medicare Services, Inc. (Highmark) is a MAC under contract with CMS to administer the Medicare Part A (hospital insurance) program. Highmark administers the program for MAC Jurisdiction 12, which consists of four StatesPennsylvania, Maryland, New Jersey, and Delawareand the District of Columbia. For fiscal year (FY) ended 2006, 133 hospitals in MAC Jurisdiction 12 collected and reported information to the IRIS on residents. In FY ended 2007, the figure was 132 hospitals. The objective of our review was to determine whether hospitals in MAC Jurisdiction 13 claimed Medicare GME reimbursement for residents also claimed by hospitals in MAC Jurisdiction 12 in accordance with Federal requirements.

关键词：电子信息；信息系统；医疗保险；审查

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Since its inception in 1965, the Medicare program has shared in the costs of educational activities incurred by participating hospitals. The Centers for Medicare & Medicaid Services (CMS), which administers the Medicare program, makes two types of payments to teaching hospitals to support graduate medical education (GME) programs for physicians and other practitioners. Direct GME payments are Medicare's share of the direct costs of training interns and residents, such as salaries and fringe benefits of residents and faculty and hospital overhead expenses. (In this report, 'resident' includes hospital interns.) Indirect GME payments cover the additional operating costs that teaching hospitals incur in treating inpatients, such as the costs associated with using more intensive treatments, treating sicker patients, using a costlier staff mix, and ordering more tests. Highmark Medicare Services, Inc. (Highmark) is a Medicare Administrative Contractor (MAC) under contract with CMS to administer the Medicare Part A (hospital insurance) program. Highmark administers the program for MAC Jurisdiction 12, which consists of four States-Pennsylvania, Maryland, New Jersey, and Delaware-and the District of Columbia. For fiscal year (FY) ended in 2006, 133 hospitals in MAC Jurisdiction 12 collected and reported information to the IRIS on residents. In FY ended 2007, the figure was 132 hospitals. The objective of our review was to determine whether hospitals in MAC Jurisdiction 12 claimed Medicare GME reimbursement for residents in accordance with Federal requirements.

关键词：电子信息；信息系统；医疗报告；审查

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Highmark Medicare Services, Inc. (Highmark) is a Medicare Administrative Contractor (MAC) under contract with CMS to administer the Medicare Part A (hospital insurance) program. Highmark administers the program for MAC Jurisdiction 12, which consists offour StatesPennsylvania, Maryland, New Jersey, and Delaware-and the District of Columbia. For fiscal year (FY) ended 2006, 133 hospitals in MAC Jurisdiction 12 collected and reported information to the IRIS on residents. In FY ended 2007, the figure was 132 hospitals. National Government Services, Inc. (NGS) is a MAC under contract with CMS to administer the Medicare Part A program for MAC Jurisdiction 13, which consists oftwo States-New York and Connecticut. For FY ended 2006, 139 hospitals in MAC Jurisdiction 13 collected and reported information to the IRIS on residents. In FY ended 2007, the figure was 137 hospitals. The objective of our review was to determine whether hospitals in MAC Jurisdiction 12 claimed Medicare GME reimbursement for residents also claimed by hospitals in MAC Jurisdiction 13 in accordance with Federal requirements.

关键词：电子信息；信息系统；医疗保险；审查

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新型农村合作医疗试点工作开展以来，各地认识明确，组织有力，工作扎实，稳步推进，取得了明显的成效，受到了广大农民群众的欢迎，与此同时，我国明确扩大试点的目标和要求，加大中央和地方财政的支持力度，不断完善
合作医疗资金筹集和监管机制，合理制定和调整农民医疗费用补偿方案，以推动新型农村合作医疗登上新台阶。

关键词：外资医院；运行现状；发展环境；准入制度；市场运行；产业链；竞争力分析

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The US is the most developed and active market across the globe in the area of clinical research. As of June '2013,69,659 clinical studies have been registered in the country. The state of California contributes the maximum to a number of clinical studies registered in the country with 18,808 clinical studies as of June,2013. A leader in medical innovation and researches, the US currently faces substantial challenges hampering the effective and efficient conduct of clinical research in the country. The clinical research scenario in the country is neither satisfying the current health care needs of the society nor is observing pace with the changes in the organization of health care system.

关键词：美国；临床研究；肿瘤学临床研究；乳腺癌临床研究

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2000年以来，由于医疗美容行业存在的巨大商机引起了社会各界的关注，同时行业内开始扩张规模，经营的范围和规模不断扩大，仪器美容的优势也在不断提升，激光美容显现出了强劲的优势。医疗美容方面由过去的单一项目发展到了综合项目，手术的难度开始逐渐升级，丰胸、吸脂、除皱项目几乎在所有的民营机构营业项目中均都标出。此时，专业人才缺乏的现象凸显出来，使得民营美容机构的管理者开始求助于北京、上海、西安、沈阳、南京、重庆等地的几所大专院校的整形美容专业教授们。一时间出现整形美容专家教授满天飞的现象，自封的“专家”、“教授”也越来越多，尚不具备主治医师资格的住院医师也被戴上了“专家”、“教授”的头衔。另一方面在设施和治疗环境上也未达到医院标准要求，加之各级人员的素质低下，医生、护士的专业基础知识不够强。经专家教授术后的观察处理及护理均未跟上，使手术效果大打折扣，更有甚者出现了严重的医疗事故，此期内的美容整形手术后纠纷逐渐增多，有的医疗美容机构内几年下来积累的纠纷案例数以百计。

关键词：医疗美容；发展环境；市场现状；行业发展；市场分析；投资策略

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关键词：补偿机制；医院改革；医药；特色优势

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从2009年开始，在政策支持力度加大、医院IT应用意识增强、移动智能终端普及加速、运营商解决推动等多方面因素的影响下，国内医疗信息化行业快速发展。2012年中国医疗信息化市场规模约199.1亿元，较2011年同比增长32.5%.

关键词：智能医疗；物联网；医疗服务；医院IT；移动智能终端；医疗信息化

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回顾我国新农合大病保障制度的发展过程，分析政策执行现状和运行效果，为完善政策提供参考。方法：利用政策分析方法，分析新农合大病医疗保障政策的形成背景、执行与效果，其中定量资料用描述性统计方法进行分析。结果：自2010年政策启动，新农合大病保障的病种及试点范围稳步扩大，2012年全国大病保障有99.6万名患者受益，受益率为12.45人次/10万参合人口，东部地区受益率高于中部和西部地区；全国20种大病实际补偿比达65.39%，儿童两病等4类大病的实际补偿比超过70%，中部地区补偿水平略高于东部和西部地区。结论：新农合重大疾病保障政策推进良好，基本实现政策目标，但区域间保障待遇存在差异，保障受益面有待进一步提高，可持续发展也面临挑战。建议：多种方式提高新农合大病保障水平，处理好新农合大病与一般疾病保障的关系，促进保障工作的可持续发展，加强对政策实施的监督与评价。

关键词：新农合；重大疾病；政策分析

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近年来随着中国加快卫生信息化建设工作，医疗信息化市场规模持续平稳增长，根据统计，近三年中国医疗行业IT应用总体投资平均增长率达到27.6%。2012年总体投资规模达到268.1亿元。

关键词：医疗行业；医疗信息化；IT硬件；软件；服务

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