Study On Optimizing Payment Mode Of Basic Medical Insurance In Nanjing

Since the reform and opening up in 1978,medical care is a crucial element,which aims to protect the health of everyone and can fully reduce the differences in the level of health security of people in different regions.Along with the aging of the population in Nanjing,people's demand for medical services is getting higher and higher.However,the development of our medical security system still needs to be improved,and there are still regulatory and administrative loopholes in the medical security system,which hinder the control of medical fees in our country.The increase of medical expenses is the common problem of the medical security system in various countries in the world.The unpredictable medical needs and the continuous increase of medical expenses.How to control the rise of medical expenses in an orderly way under the premise of maximizing the level of medical care for citizens has become a focus of attention.By changing the mode of medical insurance payment,it can better supervise and manage the service behavior of designated medical institutions,control the unreasonable increase of medical insurance premium expenditure,and thus more effectively play the ability of medical insurance funds to ensure the integrity and safety of medical insurance funds.The full text is divided into six parts.The first part of the introduction refers to the introduction of the topic background,purpose,and significance of this article.At the same time,it points out the research ideas and methods of this article,and lists the overview literature.The second part introduces the different types and implementation mechanisms of medical insurance payment methods.Mainly compare the differences of different medical insurance payment methods,and the implementation mechanisms related to medical insurance payment methods.The third part analyzes the basic situation of the implementation of the reform of the medical insurance payment method in Nanjing.Including: the actual background of the city,the process and specific circumstances of the implementation of the reform,the phased victory achieved,and the huge challenges that will be faced by the next further development.and the challenges faced by the reform of the medical insurance payment method in Nanjing.The fourth part introduces the different modes of medical insurance payment methods in domestic areas such as Beijing,Jinhua,and Tongchuan,as well as developed countries such as the United States,Japan and Germany,and provides a reference for the reform of Nanjing medical insurance payment methods.The fifth part is the basic ideas and countermeasures to optimize the payment methods of medical insurance in Nanjing.Mainly put forward the basic idea of ??the medical insurance payment method in Nanjing,and then proceed from the process of medical insurance payment fee processing,behavior supervision,etc.,to exploremultiple and compound medical insurance payment methods under total control,and to strengthen the cost accounting system of medical insurance.The construction of a shared medical information system and other aspects put forward countermeasures and suggestions to deepen the reform of Nanjing medical insurance payment methods.The sixth part is a summary and outlook.After finishing and analyzing the full text,it summarizes its research content and results,puts forward a good vision for the reform and development of Nanjing's medical system,and proposes suggestions for its future research directions.