The Improvement And Supervision Of Basic Medical Insurance Fund

With the deepening of the market economy system, the construction and improvement of the social security system of the market economy and health, the importance of the sustainable development of the growing concern and attention. Social health insurance system as an important integral part of the social security system, after a period of time after the construction has made remarkable achievements. However, due to the special nature of the intrinsic characteristics of social health insurance and medical insurance fund, the supervision of the medical insurance fund and there does not have obstacles and difficulties in the effective operation of the other economic entities, to become a worldwide problem. Many defects and deficiencies in the management of the medical insurance fund, full attention must be caused by health care management organizations and academia and research.The Wuhou as urban Chengdu, should must follow obey the overall development plan of Chengdu Wuhou must attach great importance to urban basic medical insurance, actively promote the WuHou of the management and running of the medical insurance fund, must be prepared medical fund planning process, to avoid the lack of advance awareness and unified planning the occurrence of the phenomenon; to conduct policy-relevant research, formulation, analysis of each industry, to do a good job in all aspects of the work, and adjust the industrial structure, and efforts to optimize resource configuration; should further expand the scale of the city, and enhance the economic strength, and effectively improve the level of the district medical fund management, and ultimately to achieve fairness and equality of the urban and suburban.The paper supervision to the WuHou basic medical insurance fund as the object of study, to learn from international internal control theory and anti-fraud theory, combined with the operation of the health insurance fund in-depth research and profiling of typical cases, analysis of our current health insurance fund regulation the pros and cons of the mode and put forward some useful regulatory improvements and policy recommendations. The paper through the study of the concept of the basic medical insurance fund, the history of the institution, the use of the principle of analysis, summarizes the relationship between the parties in the operation of the health insurance fund and the operational characteristics of. Study abroad health insurance fund regulatory model based on the Chinese government-led regulatory mode oriented regulatory model of medical institutions and the government’s responsibility in the operation of the medical insurance fund analysis, in-depth study of the pros and cons of our current health insurance fund regulation mode. On the basis of the above study, improve the internal structure and oversight of the health insurance fund and improve the external regulation of the health insurance fund two levels proposed in this paper.