Study On The Construction Of Medical Insurance Management System Of The First Hospital Of China Medical University

Accelerate the reform of China’s medical and health system, perfecting social securitysystem, is the national security people’s medical demand is the objective demand of socialeconomic development. To establish and perfect and will further promote the developmentof the society and the production of medical insurance system. One medical insuranceworkers lifted the of any menace from the "rear", make it work, so can improve laborproductivity, and promote the development of production; On the other hand also ensures thebody health of a worker, to ensure the normal reproduction of labor. The First Hospital ofChina Medical University as a large-scale comprehensive hospital, management of medicalinsurance and medical insurance fund is to ensure the stable operation of the basic hospital.The Medical insurance management in hospital is an important part of the overallmanagement of the hospital. It is up to the assistant to the chief of staff, performancemanagement and supervision. Well under the new situation of medical institutionsdesignated medical insurance management, to improve hospital management level andeconomic benefits, has very important significance to enhance the vitality and cohesion ofthe hospital. As a large-scale comprehensive hospital in the face of more and more theinsured patients, in the implementation of the national health insurance policy process,should be in the hospital internal research and develop, so as to let the insured patients obtainsufficient medical service, unreasonable growth and can make the hospital control ofmedical insurance expenses in order to ensure the quality of medical services.Now, hospitalin medical insurance management work still exist in the Medicare patients are not satisfiedwith the quality of medical services; the existence of extreme to control medical expenses;there are many problems do not understand, doctors treat patients of medical insurance andmedical insurance the negative attitude of Medicare patients for medical insurance policyunderstanding; how to solve these problems, as a large-scalecomprehensive hospital inmedical insurance management work of the task facing and thinking.In this paper, the First Hospital of China Medical University how to improve medicalinsurance management as the core, by the large-scale comprehensive hospital perspective onhow to strengthen the management of medical insurance, and formulate correspondingmanagement system according to the actual demand. Was described in detail from theconstruction of medical insurance management system of the hospital, to strengthen the management of medical insurance; the improvement of medical insurance informationsystem (HIS), using scientific means to engage in daily management of medical insurance,improve work efficiency; for all kinds of medical insurance for medical treatment to developeffective management measures, layers of refinement, the medical insurance policies; thehospital should be reasonable control of medical insurance expenses, directly affect thehealth care budget will be brought to the hospital, improve the digital management mode,reasonable countermeasures of science, the establishment of hospital internal incentivemechanism, make a reasonable evaluation of medical behavior of medical staff, medicalpersonnel to supervise their standard medical behavior, improve the management of medicalinsurance consciousness; the hospital also should make the rational medical insurancesettlement, the large-scale comprehensive hospital let government satisfaction in goodeconomic and social benefits at the same time, let the insured patient satisfaction, achieve“hospital, health care, patients” three win-win.