Financial Dilemma Analysis Of TL Hospital Under Medical Insurance Payment

China's medical system reform continues? On the one hand,it rapidly expands the radiation scope of medical insurance and improves the level of medical security? On the other hand,China has a large population base,weak economic capacity to pay,and it is difficult to promote medical security? In order to make up for the shortage of funds and reduce the level of payment in the process of payment to hospitals,the management and performance system formulated by hospitals to cope with this situation has extended this influence to all aspects of medical services and ultimately affected patients? How to balance the interests of all aspects in the process of medical insurance payment and how to establish the most effective medical insurance payment system are as follows: At present,the important content of medical system reform?Based on the theory of information asymmetry and game theory,this paper reviews the changes of investment policy and medical insurance payment policy in the process of hospital reform,and analyses the historical reasons of hospital dilemma and policy level? By introducing the basic situation and internal and external environment of T hospital,the paper makes an in-depth analysis of the present situation? At this stage,the impact of local government investment policy and medical insurance compensation policy on the financial situation of hospitals is analyzed? Under medical insurance payment,the financial difficulties faced by hospitals are mainly related to inadequate capital investment,serious asset shrinkage,unreasonable pricing of medical services,inadequate medical income to cover expenditure,insufficient cash flow of hospital income,limited return of funds,and inadequate payment standards of medical insurance? Through data analysis and the previous theoretical description,the corresponding solutions are put forward,including establishing a scientific and standardized public hospital management system,establishing multi-party pricing and compensation agreements,establishing a cost accounting system suitable for the unit to provide service itinerary for pricing compensation,forming a hospital data sharing system to facilitate the improvement of management of municipal hospitals,and establishing performance appraisal? The system should form a cultural atmosphere suitable for the development of hospitals,actively participate in the hierarchical diagnosis and treatment network,and join in the establishment of "medical association" ?This paper finds out the internal relationship between medical insurance payment policy and hospital financial distress,finds out the relationship between various stakeholders in medical insurance payment activities,as well as the interaction mode of stakeholders,identifies the unreasonable part of medical insurance payment mode,finds out the space for improvement,puts forward the plan for improvement,provides management reference for hospitals at the same level,and also provides medical services? Medical insurance management units provide materials for policy formulation,so that more people pay attention to this part of the study of medical insurance payment in municipal hospitals,thus contributing to the "health care reform".