Under Global Budget, The Assignment Of Medical Insurance Cost And Identification Of Insurance Fraud Hospitals In Chengdou

A great progress has been made since reform and open. Numerous people have directly benefited from this policy. In recent years, the cost of medical insurance continues to grow rapidly. Moreover, it brings great pressure and challenge for the safety of the Medical insurance. Now we need to take efforts to reach a consensus that the level of medical insurance shall be compatible with the level of economic and social development and the social affordability. Only thus, can we expect our medical insurance system improve. Therefore, it’s sensible to take measures to control the soaring growth of cost, which is a key issue for sustainable development of the Medicare insurance system.The soaring growth of medical insurance cost has close relationship with the payment system. The traditional system pay-for-service is in need of reform for many disadvantages it brings about. It encourages doctors to supply excess service, which results in medical resources waste and significant society costs.In the last few years, global budget has received great attention by the medical insurance department and now is prompting nationwide. It has proved that it has a good effect on cost control in practice. However, how to scientific and reasonable calculation the total cost is still an unanswered question, which makes trouble for the method to take into effect.Medical insurance has close relationship with people’s vital interests and guarantees the people’s needs for basic medical and health services. However, variety of insurance fraud events appear, which not only makes us to fear about the future of the medical insurance but also make the related faculty to contemplate about how to strengthen supervision. We have to admit that the regulators do have some difficulty with many reasons. We need to do some attempts.The linear random effect model was first introduced by Airy It is a spread of traditional linear model. When we deal with repeated measures data including longitudinal data and panel data, grouped data and spatial data, it will demonstrate its advantages. Now, it has been widely applied in economics, finance, Biomedicine and other related areas. In this paper, I made detailed analysis with the data of medical insurance for urban workers. I use linear random effect model to model the number of patients and average cost of hospitalization patients. Our model has good fitting ability and applicability. We can give a reasonable reference to next year’s budget. Particularly worth mentioning is that it has the ability of automated discovery of scams. We use R3.02software to do the data analysis, which can be free download from the internet. The fast computation and explicit interpretation makes it outstanding.In our country, the research mainly focuses on the introduction of international experience and the exploration of practice. Policy propaganda and qualitative description dominated in this research area. By my detailed comparison with the existing different payment systems, each has its own advantages and disadvantages. I discussed the possible path for the medical insurance payment system reform. In my opinion, mixed global budget is the future trend.