Study On The Payment Methods Of Medical Insurance In Countywide Medical Service Community

Since years of medical reform,the problem of weak primary medical services has not been fundamentally reversed.The establishment of a county medical community is an important institutional innovation to deepen a new round of medical reform in the new period,which is conducive to improving the capacity of primary medical and health services.On the other hand,with the development of social economy and the improvement of residents’ health consciousness,the problem of insufficient payment capacity of medical insurance funds has appeared in many regions,and even the phenomenon of making ends meet.As the medical insurance department on the demand side of the medical service market,only by playing the guiding role of the payment system can the allocation of medical resources be optimized,thereby improving the efficiency of the use of medical insurance funds.This article starts with a review of the theoretical research foundations of the medical community and the medical insurance payment system.Through interviews with relevant personnel during the construction of the medical community,they learned about the operating mechanism of the medical community medical insurance payment system in counties in Zhejiang Province.The quantitative analysis of medical insurance data for the three years before and after the construction of the Medical Community found that the efficiency of medical and health services in Xiaoshan District has improved to a certain extent,and the growth of the main business indicators of medical insurance control fees has slowed down.However,there are still problems such as irrational mechanisms,inconsistent data,and incomplete assessment systems.Finally,it is proposed that the reform of the county medical community medical insurance payment system provides a reference for further building and improving the county medical community system and provides ideas and methods for the top-level design of the country.