Effect And Administration Of Medical Insurance In Hospital

Although the medical insurance institution has been carried on for 10 years and has gained some achievements, it is still unknown that in the future, whether the medical insurance could develop well and whether the medical insurance foundation could run smoothly. So, the behavior of hospital should be regarded as the key point as well as the magnification of the medical insurance. Hospitals are the important ingredient in the medical insurance running system and can control the medical cost. Hospitals can impact the accounts balance of medical insurance.With the reform going deeply step by step, the old free medical service which could not suit to market economy exposed some kinds of abuses. The reform of medical insurance institution was the inexorable trend in medical market reform, and if it could be put into the total reform environment and could strive for some market fraction, hospitals would obtain a stable fund and the internal construction of hospitals would be promoted and all of things of hospitals would develop.The author of this paper as a regulator analyzed the data of medical insurance of Changchun city operating in some Third-level grade-A hospital. Firstly, the foundation and development of the medical insurance institution in Chinese was introduced briefly, and the main substance and characteristics was analyzed in detail. The complicated relationship between medical insurance institution and hospitals in Chinese was reviewed. The reform of medical insurance institution was a important part of social insurance system and the basic objective was to set up a social medical insurance institution in which the social medical benefits fund and the personal medical account were connected. The effect of management mode in hospitals including fitting and resisting on the medical insurance was discussed here. If the hospital fits the development of medical insurance, the medical insurance will promote the development of hospitals. The relationship of hospitals and medical insurance includes cooperation, matching, supporting, dependence and resisiting. The same hot spot for the government, medical administrative command and the manager of medical insurance and hospital is to seek the route of developing connotation and expanding epitaxy. In this paper, in order to explore a new way to fit Chinese situation, the strategy and suggestion on concordance of hospital and medical insurance was proposed.Secondly, the running condition of the medical insurance institution and its impact on hospitals was analyzed in system. The reform of the medical insurance institution would bring the adjustment of relationship among country, company, medical establishment and patients. The medical establishment was the intercross spot of all benefits in the new medical insurance institution. The insurance institution of social planning as whole connected with personal account, the repaying principle and the control of total medical cost strengthened the restriction both patients and doctors. The impact of medical insurance institution on medical establishment was unprecedented. The medical insurance institution could bring both challenge and chance element to hospitals.Lastly, the problem of hospital administration in reform of medical insurance institution was analyzed deeply and the countermeasure and proposition were preferred in order to make hospital administration suit to reform of medical insurance institution. With the reform going deeply step by step, the old free medical service which could not suit to market economy exposed some kinds of abuses. The reform of medical insurance institution was the inexorable trend in medical market reform. Because the total medical cost was controlled, patients could select medical service, medical and drugs were examined and calculated separately, hospitals were put into the severe environment of market competition. As the provider of medical service, hospitals master the initiative powder of medical cost and construct the important link. Hospital would not only supply essential medical treatment, but also should contain the increasing speed of medical cost. Hospital should publicize the medical reform to employee and should become bridge between medical reform and employee. Inevitably, hospital would meet many problems as well as other reforms. The chief problems for hospitals included how to adapt to the changing of market economy, how to strengthen hospital administration, how to improve the quality of medical and service, how to decrease medical cost price and how to give employee the most high-grade service with the lowest price. In the condition of socialism market economic system, the relationship among hospital, investor and patients would become a kind of currency crossover relationship after new medical system set up, and hospitals would become independent legal business man. In this paper, in order to explore a new way to fit Chinese situation, the strategy and suggestion on concordance of hospital and medical insurance was proposed.