Studies On The Reform Of Social Medical Insurance Payment In Shenyang

Up till the present moment,everyone in our country basically has the national health insurance.Medicare is an important part of social security.With the rising medical costs,how to reform the medical insurance payment method so that the insured person can enjoy the medical service of high quality and low price,Guarantee the smooth operation of the medical insurance fund has important practical value.Through the Shenyang medical insurance is to take the total amount of control,the number of people quota payment,control costs with good results,low quality of medical care,health care fund expenditure supervision difficult issues.The total prepayment method depends on the high cost of supervision and can not guarantee the quality of medical service under the existing conditions.As the hospital’s annual total settlement is mainly determined by the proportion of the previous year’s settlement,resulting in the hospital negative control fees.By contrasting and demonstrating examples,we can draw a conclusion that changing the mode of payment of medical insurance,introducing the means of supervision of emerging means,establishing the basic database and changing the concept of patients in accordance with the relevant group fees.In order not to increase the cost of management under the premise of taking into account the charges,reimbursement and durability of the relationship.Concerned about the reform of the medical insurance payment methods,scientific advances to help hospitals control medical costs,share the medical costs,effectively reduce the economic burden of insured persons to solve the problem of expensive medical care;establish a scientific evaluation system to properly monitor the quality of medical treatment,To achieve medical efficiency and fairness.