中文摘要：

当前改革形势下部队医院面临的医保管理难度增大,分析其原因主要是外部与内部因素导致,外部原因包含国家政策、基金管理与人性需求等方面;内部因素源于人文管理,具体包括政策的执行力度、管理者对于医院的现代化信息水平及人才队伍建设。基于以上存在的问题,医院采取相应的应对措施,在健全机制、规范管理、优化环境、队伍培训及调整费用结构上下功夫。实践证明此举成效显著。

英文摘要：

The difficulty of medical insurance management increases in military hospital with current situation facing the reform. The main reasons contain internal and external factors. And the external factors include national policy, fund management and human needs, etc; The internal factors include humanistic management, enforcement of controller, modem information level and talent team in hospital. Based on the above problems, the hospital has taken corresponding measures to improve the mechanism, standardize management, optimize the environment, regulate the cost structure and train the team. We have achieved remarkable effects.