Research On The Management Of Medical Insurance Fund In Jiangmen,guangdong Province

The medical security system is one of the most important livelihood works.It is an important part of the national social security system.It is not only related to social stability,national health,but also has a significant impact on social and economic development.Today,the socialization of the family,the aging of the population is particularly prominent,the risk of various diseases emerge in an endless stream,the medical security system is more and more concerned by the governments and academia.With the reform and opening up after China's sustained economic growth,health costs rose to a surprising degree,even beyond the economic growth.China's medical security system construction needs to be in the basic medical insurance system to continuously enrich and improve,especially as the core of the medical insurance system to pay the medical insurance payments,but also in the theory and practice need to explore a set of effective management measures And methods to.While improving the efficiency of health insurance fund,we will guide the medical and health service providers to make reasonable use of limited medical and health resources to better meet the people's growing demand for medical and health services.In this paper,the medical insurance system in the core issues of medical insurance payment method as the main research object.The basic medical insurance fund for urban workers and the payment of medical insurance fund for urban and rural residents as the starting point of the study.By drawing on the advanced experience of foreign medical insurance fund payment method,taking Jiangmen City as an example,based on the detailed analysis of the payment status of Jiangmen municipal basic medical insurance fund,combined with the annual statistics of the annual medical insurance and the related Policy documents,the system of Jiangmen City,the basic medical insurance fund expenditure link in the existing problems and analysis of the reasons.So as to find out the management measures and methods of the balance of payments and effective operation of the Medicare Fund,and provide the theoretical basis for perfecting the basic medical insurance payment system and promoting the further reform of the medical and health system.Jiangmen City,the basic medical insurance fund has been running 16 years of history.Not only accumulated a wealth of experience,but also exposed a lot of problems,the lessons of these lessons and analysis of the problems,can help to further improve the theoretical system of China's medical insurance system,while to explore the balance of health insurance spending Mechanism to find a viable way.This paper firstly analyzes the two aspects of demand and supply of fund payment and related theory,provide a theoretical basis for the study;then to investigate the expenditure,Guangdong city of Jiangmen Province health care workers and rural residents health insurance fund balances,the insured medical consumption and fund payment etc.,analyze the reasons;finally,reduce operation the medical insurance fund risk and Countermeasures to improve the management level of medical insurance fund.