New rural cooperative medical system is an important part of the reform of ourhealth care system is the country in order to enhance the farmers against the risk ofdisease, protect health, and promote economic development and social stability,developed by major decision in favor of building a socialist harmonious society.Establishment and development of new rural cooperative medical system, an effectivesolution to the rural disadvantage in terms of medical services, and improve the healthservice system, to a certain extent, ease the economic difficulties of rural residentscaused by medical expenses.The theoretical basis is mainly the establishment of NCMS welfare economics andthe theory of adverse selection. Is the implementation of the new rural cooperativemedical expenditure for the rural population dispersed risk, have certain medicalwelfare alto. In the operation of the system involved in the interests of differentsubjects, needs to carry on the adverse selection and moral hazard theory.The author takes Shanxi city of Xinzhou province ACounty as an example, researchon the new rural cooperative medical fund management. Xinzhou city since2007sincethe launch of the NCMS, expanding coverage, effectively alleviate the rural population"expensive" problem. The new rural cooperative medical fund management mainlyinvolves financing, compensation and balance of three links, based on the currentsituation data of A County fund management of three aspects of the new ruralcooperative fund, financing, compensation level and balance of multi angle analysis.Analysis shows that, the main problems of fund management of the per capita paymentrate is low, financial subsidies to the account is not timely, the low level ofcompensation and the high rate of surplus. According to the existing problems of fundmanagement, should strengthen the NCMS fund revenue and expenditure management,strengthen supervision of NCMS fund, improve the new rural cooperative medicalfund management mechanism. |