The Research Of The Control Of Health Care Costs Based On The Value Chain Cost Management

The medical security system reform at home and abroad is a lengthy and difficult process, and the problems are after another in the process, however, the rising of medical cost is one of the more prominent problems in real situations, so the effective control of medical cost is the joint appeal of social groups. The induced factors of medical cost, government, medical institutions, health care organizations, pharmaceutical companies and consumers not only exist complex staggered interests, but also are the key elements to control medical cost, so the effective control of medical cost needs find ideas from the interests between the various elements. In a variety of theories of cost management, value chain cost management is an innovative and practical cost management tool, and it not only pursuits cost control of the production process, but also requests the saving of the cost generated by the organizational relationships. The value chain cost management theory can guide the control of medical cost, and can guide the control of the health care price from two dimensions, the production and the interests relationship, and then explores the actual ideas and concepts of medical cost control.The first part of paper explains the high medical cost associated with social problems, and analysis current medical insurance system reform with the value chain cost management theory, then in the research perspective focus on the medical cost to discover its current situation and root causes, and combining with the value chain cost management exports the induced factors of medical costs, and builds up a new incentive model.The second part of paper reviews the induced factors of medical costs, government, medical institutions, health care institutions, pharmaceutical companies and consumers, and analysis mutual interests in the medical costs incentive model on the basis of the value chain cost management, finally reviews inflated factors of medical prices.The third part of paper makes a brief description of health insurance model of typical contries, and compares with Chinese present health care model in order to explore some helpful suggestions, and then the paper extracts the medical cost control ideas combining the value chain cost management theory from the government, medical institutions, health care institutions and social factors. The medical costs of pharmaceutical production, trading and consumption need control from the multi-angle, and the constraint of social costs need social forces’monitor and promote.High medical costs are the result of the interaction of various social factors, and its complex incentives require the diversification of control of social forces. From the theoretical connotation of the value chain cost management, it involves production, trade and consumption processes, which fits with the incentives of the operation of the medical costs, so we could draw on the ideas of the value chain cost management to guide diversification of control of medical costs, and further boost the process of the medical security system reform.