The Risk Prevention Of Medical Insurance Funds In Xichang City Study From The Departmental Coordination Perspective

Basic medical insurance is a basic insurance enforced by the state to ensure the basic medical needs of residents.The medical insurance fund under its overall management is the "timely rain" and "life-saving money" of residents.In the promotion of "universal medical insurance",the number of participants and coverage of basic medical insurance are expanding,and the role of medical insurance fund as a guarantee to maintain the normal operation of the whole medical system is becoming more and more prominent.With the increasing uncertainty in the operation of medical insurance funds,the risks faced by medical insurance funds are also increasing.Therefore,studying how to strengthen the risk prevention ability of medical insurance fund has important theoretical and practical significance for promoting the healthy development of medical and health care and safeguarding people’s rights and interests.In this paper,based on the collaborative governance perspective,select Xichang medical insurance fund risk prevention practices as typical cases,by collecting relevant data,and the interview method of combining the data,from multiple levels of Xichang of the operation situation of medical insurance fund and risk prevention effect of comb,clarify the Xichang risk prevention work in the medical insurance fund existing problems and reasons.After analysis,it is found that there are four problems in the risk prevention of medical insurance funds in Xichang: departmental collaborative prevention is a mere formality;inter-departmental information communication efficiency is low;inter-departmental information sharing is not high;and staff respond passively.On the basis of summarizing the problems and analyzing the reasons,combined with the advanced experience in the risk management of medical insurance funds in other different regions in China and abroad.So,there are some further countermeasures and suggestions for improving the risk prevention work of medical insurance funds in Xichang,for example,improving policies and regulations;strengthening the vertical construction of departmental collaborative governance;Improve the communication and consultation mechanism between various departments;and build an information platform under the collaborative governance of departments.The innovation of this paper lies in that there are few studies on the risk prevention of medical insurance fund from the perspective of collaborative governance in the past,and most of the studies on collaborative governance emphasize the collaboration between government departments and non-governmental departments,enterprises and social organizations,and there are few studies on horizontal linkage within government departments.From the perspective of collaborative governance,this paper emphasizes the joint management of medical insurance fund through the internal coordination of government departments to enhance the anti-risk ability of medical insurance fund.