The Research On The Administration Of Basic Medical Insurance In Terms Of Medical Treatment In Other Places In Shanxi Province

Building a service-oriented government is set up as the goal of government transition in the Seventeenth Congress of the CPC.The social management and public service became the core of government functions.The significant goals of government work are perfecting the social security system,satisfying social appeal to the greatest extent,and enhance the sense of happiness and satisfaction of the public.The third Plenary Session of the18 th Central Committee come up with the establishment of a social security system covering both urban and rural residents,and medical security plays a prominent role as an important part of social security.The Nineteenth Congress of the CPC was convened triumphantly,which marked that our country has entered a great new era,and this era requires the complete establishment of a stable and integrated social security system as soon as possible.At the same time,with the continuous development of the economic and social,population mobility between regions has become more frequent,and the demand for medical treatment in other places has continued to be released.The contradictions and problems of medical treatment in other places have become salient increasingly.The problems including long reimbursement cycles,cumbersome reimbursement procedures,and inadequate supervision have increase burden of the insured persons,thus becoming a vital issue that needs to be solved by the administration team.To this end,General Secretary Xi Jinping made a clear request to expedite the promotion of basic medical insurance nationwide networking and direct billing of medical treatment in other places at the National Conference in terms of Health and Hygiene.Premier Li Keqiang emphasized that the reasonable medical treatment in other places could never suffer the public.According to the mentioned points above,completing management services of medical treatment in other places and getting access orderly and smoothly to medical services in other places have become a significant livelihood issuethat demands prompt solution.Overall,this article first defines the management of medical treatment in other places,and then analyses the basic situation of management of medical treatment in other places in Shanxi Province including social background,operation mode,operation status,and practice path.Summing up the achievements made in the orderly development of management of medical treatment in other places,includes reducing pressures on the handling of handling agencies,protecting the rights and interests of the insured persons,reducing the economic burden on patients,enabling the formation of regulatory cooperation among various departments,and enhancing the level of supervision.At the same time,it is find that the problem of the management of medical treatment in other places is focused on the urgent need for completing the basic infrastructure,the lack of relevant policies,insufficient management capacity,and frequent occurrence of moral hazard.It is pointed out that the classification management,the improvement of the transformation of health insurance relations,and the implementation of a hierarchical diagnosis and treatment system should be reference to the management work of Shanxi Provincial Office through the analysis of management methods of multinational medical in EU.Finally,according to the four perspectives of transforming government functions including strengthening system construction,strengthening team construction,and completing the intelligent monitoring system for medical insurance,an optimization path is proposed in order to improve the handling capacity and achieve orderly medical treatment in other places.