Research On The Total Impact Of The Medicare Prospective Payment And H Discussion Of Public Hospitals

In the social security system, social health insurance in the maintenance, protection of workers health and reduce disease published rates and reduce patient health risks and economic costs, plays a prominent role. The cost of medical insurance payment of social health insurance and insurance process most sensitive to the economic interests of the content and factors, the medical insurance fund payment also directly affect the success or failure of the entire national health insurance system.Studied in this paper is the total amount of prepaid health care system and the impact on public hospitals countermeasures, which refers to the total amount of prepaid system is in the government or health insurance fund management agencies to consult with the medical supply side, considering the actual past medical expenses, the region’s population, the development of the disease, the total estimated cost of medical services in advance by the health insurance fund management institutions authorized to give a maximum amount of premium paid, and the way program is strong, can effectively reduce the cost of medical management, mobilization of medical resources, control clinic funding; but by the standards of management budget restrictions, medical services initiative has also been a certain extent, resulting in reduced service levels.Based on the theory of public management summarize, the national health insurance reform from Western history lessons, combined with the specific relevant circumstances of the total Medicare Chinese cities in the prepaid system, to find out the total amount of prepaid medical insurance system for the impact of health insurance reform, found public hospitals of the total prepaid system adverse factors, specific proposals for the prepaid health insurance system in China’s total public hospital specific implementation.