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Research Of Credit Supervision Of Medical Insurance Fund In Luzhou

Posted on:2023-12-10Degree:MasterType:Thesis
Country:ChinaCandidate:L P PanFull Text:PDF
GTID:2544306614451904Subject:Public administration
Abstract/Summary:PDF Full Text Request
As a traditional virtue of the Chinese nation,honesty is an important part of spiritual civilization in China,which is vigorously advocated in the whole society.As an important part of social credit system construction,medical insurance credit plays an important role in the steady development of market economy.In recent years,China’s medical insurance system has achieved remarkable results,and medical reform has been carried out in an all-round way.However,due to the late establishment of China’s medical insurance system,the construction of medical insurance fund supervision is relatively lacking.At the same time,patients’ moral hazard and medical institutions’ dishonesty have become increasingly prominent,and medical insurance fund fraud and insurance fraud cases frequently occur,which brings severe challenges to medical insurance fund supervision.At the same time,the serious imbalance of income and expenditure of medical insurance fund has also brought great financial pressure to the government.How to study the credit supervision of medical insurance fund and improve the credit supervision system of medical insurance fund,so as to achieve the goal of constructing and perfecting the medical insurance system.Taking Luzhou City as an example,this paper actively explores its beneficial attempts in the credit supervision of medical insurance funds.It is found that there are still many problems in the credit supervision of Luzhou Medical Insurance Fund,such as the credit supervision system needs to be improved,the coordination of credit supervisors needs to be strengthened,the credit evaluation mechanism needs to be improved,the credit reward and punishment mechanism is not perfect,and the credit education is not paid enough attention to.By consulting the latest policy documents,data reports and other information about the credit supervision of medical insurance funds in China and Luzhou,combining with the three theoretical foundations of information asymmetry theory,game theory and public governance theory,and learning from the successful experience and practice of medical insurance credit supervision in Germany,the United States and other pilot areas of credit supervision reform in China,In view of the actual situation of Luzhou,this paper puts forward some countermeasures and suggestions to improve the credit supervision of medical insurance funds in Luzhou from the aspects of system,mechanism,ideology and environment:Promoting the overall construction of credit supervision syst em;Constructing the coordination mechanism of public governance subje cts;Improve the credit evaluation mechanism;Standardizing the credit joi nt disciplinary mechanism;Strengthening credit publicity and education.
Keywords/Search Tags:Medical Insurance, Medical Insurance Fund, Credit Supervision
PDF Full Text Request
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