The Ability Of Anhui Province Urban And Rural Residents A Serious Illness Insurance Fonud Payment

A serious illness insurance system is a pilot implementation in2012from medical security policy, to reduce the economic burden of patients with serious illness has played an important role. Its security is the main target of the basic medical insurance for urban residents and the new rural cooperative medical insurance for urban and rural residents, the accumulative surplus funds mainly come from various regions of the basic medical insurance for urban residents and the new rural cooperative fund part. In addition, as a whole area of basic medical insurance fund balance is insufficient, it can increase the level of the basic medical insurance individual contributions to cope with serious illness insurance fund payment risk. Anhui province since2013started a pilot of the policy, and achieved remarkable results.This paper is based on the status of Anhui province at present a serious illness insurance policy development, through the analysis of malignant tumors in this serious illness medical expense accounted for all of Anhui Province million catastrophic medical expenses to assessment of Anhui Province in the future a serious illness insurance fund payment risk. The first prediction in Anhui province through the future malignant disease and treatment behavior analysis to calculate the number of patients with malignant tumor were future insurance in Anhui province. Secondly, according to the different grades of per capita medical fees of malignant tumor and the current Anhui province serious illness insurance specific reimbursement policy to predict the future of malignant tumors in Anhui province insured patients critical illness insurance reimbursement amount per capita. Malignant tumor patients according to the prior to the forecast can be calculated in Anhui Province in the future of malignant tumor medical expenses of a serious illness insurance reimbursement amount. Finally, according to the malignant tumor medicine fees account for serious illness medical expenditure proportion and serious illness insurance cost and reasonable profit can be calculated out of a total of Anhui Province, the future of a serious illness insurance medical expense. The final results show that a serious illness insurance fund of Anhui province in the next ten years down then up to2021, a serious illness insurance fund reached47%from the urban basic medical insurance fund accumulated balance of total allocated proportion. In order to guarantee the sustainable development of Anhui Province, a serious illness insurance system of Anhui Province, a serious illness insurance fund to deal with possible future payment risk, this paper presents innovative serious illness insurance fund diversification of financing channels and financing mode, the reform of a serious illness insurance reimbursement payment, and strengthen the serious illness insurance regulatory and other measures to realize the sustainable development of Anhui province a serious illness insurance system.