The Research On The Settlement Model Of The Social Medicare

Concerning the international and national current situations of the Social Medicare, there are many problems raised. Which model should be built to suit the national and regional situations? Based on the scientific research and analysis of the problems concerning the principles about the international and national Social Medicare, the methods of the settlement, the standard of settlement and the present problems, the compound model of the Social Medicare settlement has been constructed in this essay. First, Settlement of the clinical service: the settlement of the clinical service and the serious illness with quota. Second, settlement of the hospitalization: the compound settlement by means of per-average medical fees, single illness fees and daily fees for sickbeds.On the basis of the national underdeveloped economic situation and the enormous disparity in the medical consumption levels among the regions, this compound method of the settlement is put forward to solve the prominent problems such as the unreasonable consumption in medical constitutions at each level, unguaranteed basic Medicare of the insured and overgrowth of the medical consumption. The application of the model will provide the new vision and novel insight for the reformation of the Medicare regulations in our country.