Research On The Linkage Fund Management For Medical Insurance Of Hunan Provincial People’s Hospital

With the gradual advance of the new health care reform, Health system reform has entered a crucial stage. Medicare reform is facing financial constraints limited how to achieve universal health care, Everyone to afford medical, Not by the personal burden, resulting in poverty or return to poverty, Hunan Provincial People’s Hospital Affiliated Hospital of Hunan Province is the largest one in the public hospital, Been at the forefront of internal management, To reform the health care system for the future direction of development are very concerned about. As the main carrier of hospital medical insurance fund operation, Kai medical needs of patients under the order of the medical side payer health insurance fund, is the key to guarantee a reasonable run Medicare funds. As a Medicare financial officer, in the face of macro-micro-run health insurance policies and medical institutions, to recognize that many problems and contradictions on the stage, facing Medicare fund management. Also recognized the health insurance funds involving government, hospitals, patients tripartite interests, and the hospital is the intersection of the tripartite interests, and the fairness and efficiency of the Medicare hospital must rely on the use of funds to complete. In view of this, the author based on patient-based perspective on the Hunan Provincial People’s Hospital, the hospital Medicare fund joint management were studied.Firstly,synergistic theory and public goods, quasi-public goods as the theoretical basis to analyze the synergy of medical and health services quasi-public goods externality effects, determined to manage the patient’s basic medical care and catastrophic medical insurance funds for the object linkage. Only linkage proposed capital management in order to improve capital efficiency, accuracy funds and effectively resolve to drugs to support medical doctor-patient conflicts. Secondly, the status of the Hunan Provincial People’s Hospital medical insurance fund management, as well as the patient, the type of disease financial situation analyzed. Contradiction hospital medical insurance money in the course of the lack of linkage of the linkage body brought analyzed. Exhibit patterns of medical services and resource allocation conflicts, conflicts with the interests of the hospital patients, hospitals and medical insurance billing and other conflicts, and through analysis summarizes the main reason for these contradictory issues. Finally, according to these problems and the reasons put forward in the future management objectives linked funds health care system, patient-centered medical classification process design, as well as financial settlement, medical system and other important relationships with health insurance funds. The research results, both to meet the Hunan Provincial People’s Hospital, patient-centered service concept, but also the management of hospitals and national health insurance funds provide an idea of the future. The innovation of the article is based on a patient-based, joint government, hospitals, patients were studied between funding basic health care and catastrophic medical management, and offered to fund management to drive linkage to family physicians, general hospitals and specialist hospital grade medical service system reform, and financial settlement system with scientific and medical system, so that the limited use of health care funding more sustainable.