Study On The Supervision Of Medical Insurance Fund In J County Of Shandong Province

The Medical Insurance Fund（hereinafter referred to as the Medical Insurance Fund）is the material basis for the stable implementation of the medical security system,is an important part of the medical insurance system,and is also a strong pillar to ensure the medical treatment of the insured.The expenditure and supervision of the Medical Insurance Fund,which is related to the interests of every insured,is the most important and core work of the Medical Insurance Agency.At present,China’s medical insurance is developing vigorously,and correspondingly,the importance of the supervision of the Medical Insurance Fund is gradually highlighted.With the gradual increase in the number of insured persons and the gradual expansion of the Medical Insurance Fund,the difficulty of fund supervision is also increasing.In reality,there are also many problems in the supervision of the Medical Insurance Fund.Some people have the idea of “Medical insurance fund”,fraudulent insurance cases in urban areas occur from time to time,threatening the security of Health Insurance Funds.Facing all kinds of challenges under the new form,it is imperative to strengthen the supervision of Medical Insurance Fund.Based on the Information asymmetry theory and government regulation theory,using the methods of comparative analysis and Induction,after literature review and on-the-spot investigation,according to the objective data and current situation of Health Insurance Fund supervision in j county,Shandong Province,this paper analyzes the advantages and disadvantages of J county’s medical insurance fund supervision,and puts forward some countermeasures to strengthen the supervision of j county’s medical insurance fund.This paper is divided into three parts.The first part,through the collection of relevant domestic and foreign literature comparative analysis of the Health Insurance Fund regulatory risks,the responsibility of the main body of government supervision and other issues,based on the Information asymmetry theory and government regulation theory,this paper studies the regulation of Health Insurance Funds.The existence of the Information asymmetry in the medical insurance market leads to the occurrence of fraudulent insurance,and the significance and role of government supervision of the Medical Insurance Fund are determined through the theory of government regulation.The second part,first elaborated the J county medical insurance participation and the medical insurance fund movement situation,then analyzed the J county present medical insurance fund supervision way and the effect,finally pointed out the J County Medical Insurance Fund supervision existence question,and in-depth analysis of the causes of the problem.The third part,combing the advanced county health insurance fund supervision mode,on the basis of J county reality,put forward to strengthen the Shandong Province J county health insurance fund supervision feasible countermeasures and suggestions.