Research On The Reform Of Payment Methods For Medical Insurance In Wuhai City

The basic problem is that of medical treatment insurance,medical insurance service unlimited increase to the requirement of medical insurance funds,to meet the medical needs of patients,increase the cost and interest income,health insurance payer to under the condition of the limited medical insurance funds,to meet the requirements of the service,still cannot reduce the service requirements of patients.Means of payment for medical insurance management,ginseng protect personnel and medical institutions is balance the interest relationship of key policy,is to regulate the behavior of medical service economic leverage;Improve the appropriation of the fund of medical treatment insurance and use that patients can enjoy medical insurance service,embody the positive role of government governance,is the important fulcrum to realize the sustainable development of medical insurance system,also the mission of health care management organization of natural.This study first introduced the medical insurance payment method and the analysis of related concepts and the necessity of the reform,the reform process and wuhai city medical insurance payment methods for the analysis of existing problems,thus put forward,to promote the reform countermeasures and Suggestions of wuhai city medical insurance payment methods mainly include strengthening government orgnaization of dominant and department cooperation,improve the management of payment,strengthen the mechanism construction of payment method reform,strengthening the fund budget management,strengthening the management agreement,play a role of supporting the basis of information system construction,etc.Different payment method will lead to the different medical service behavior,have no which kind of payment method is universal,when choosing the advantage of a payment method,but also the disadvantages of this kind of payment method.Health care managers to fully understand the characteristics of the various payment methods,anticipate the possible consequences,and take the corresponding management measures,targeted to give full play to the payment method to guide medical service behavior and the positive role of controlling health care costs,avoid or reduce the adverse effect.To ensure the management of orgnaization of strict,such as protocol management,health care physicians,medical monitoring management,and other measures,combining to form a system engineering,to achieve the requirement of the medical insurance fund balance of payments.