Research On Management Of Operation Risk Of PPP In Health Insurance Of Huludao City

With the continuous improvement of the quality of life of Chinese residents,medical treatment as a basic living security of residents has begun to receive widespread attention.In China’s 13th five-year plan,medical insurance is an indispensable part of China’s social insurance,the Prime Minister,Li Keqiang,has repeatedly mentioned the importance of health insurance in the annual session of the NPC and the National People’s Congress.Now health insurance in Huludao is in an important period of reform,in order to advance the progress of health insurance reform and expand the depth of reform,Huludao health insurance started the PPP mode of operation.In the operation of this model,the lack of experience in this field,the lack of operational reference and the lack of guidelines on system procedures have led to greater risks in the PPP operation of Huludao medical insurance.Therefore,this paper does the following main research on the risk of PPP operation in Huludao Medical Insurance:The main research contents of this paper include:(1)The definition and main mode of PPP,the definition and advantages of PPP in medical insurance,this paper analyzes the basic situation of Huludao medical insurance,the cooperation between Huludao Medical Insurance and commercial supplementary medical insurance,and the problems and development trend of Huludao medical insurance PPP.(2)The general situation and risk identification of PPP operation in Huludao Huludao medical insurance,based on the risk analysis of PPP operation in Huludao medical insurance,the risk of PPP operation in Huludao medical insurance can be divided into political risk,market risk,management risk,security risk and cooperation risk,and has the pertinence according to the Huludao medical insurance PPP operation actual to each kind of risk content to carry on the concrete analysis.(3)Risk Assessment of PPP operation in Huludao health insurance.On the basis of expounding the method and content of risk assessment of PPP operation in Huludao medical insurance,this paper evaluates the risk of PPP operation in Huludao medical insurance,it is found that there are many problems in the process of risk management of PPP project in Huludao medical insurance,such as the risk of excessive government intervention,the risk of excessive profit-seeking,the difficulty of controlling the risk of personnel management,the existence of corruption risk and the difficulty of controlling the risk of cooperation.(4)This paper analyzes the actual situation of the PPP operation risk of Huludao medical insurance,and puts forward the risk response methods and risk prevention and control measures for Huludao medical insurance PPP risk.According to the risk evaluation system and the risk content,it is necessary to take differentiated risk management according to the risk category in the operation process of Huludao medical insurance PPP.