Research On Improving The Role Of Hospitals In The Control Of Medical Insurance For Urban Workers

The control of medical insurance costs is a key part of the management of hospitals at all levels,and it has developed with the establishment of the medical insurance management system.It refers to the control of medical behavior through different means to achieve the purpose of not exceeding the standard.In 2016,the State Council released medical insurance settlement network information.In 2017,it basically realized the spread of medical insurance for various types of cross-provincial medical treatment,which means improving the role of hospitals in the control of urban workers’medical insurance costs,optimizing management methods and improving nervous doctors and patients.Relationships become more important.This article is based on the research status of domestic and foreign scholars on the medical insurance cost control research,using literature research methods,research methods,case analysis methods,etc.,in the concept of urban workers’medical insurance payment and cost control,such as the total cost of medical insurance for urban workers Prepaid,the average daily fee limit for employees during hospitalization,and other concepts related to urban workers’medical insurance and hospitals’main settlement payment methods,as well as common urban workers’medical insurance cost control methods,including urban workers’medical insurance sub-discipline quota control system,and evading urban workers’medical insurance costs Concepts such as risk.Taking the Guangzhou HQ Hospital as an example,the paper analyzes the status quo of the control of medical insurance expenses and the problems in the management of the control fees,such as the failure of the control effect and the excessively fine cost control.Then it proposes to improve the hospital’s strategy of controlling the medical insurance expenses of urban workers,and strives to establish a new type of hospital urban workers’medical insurance control fees,including improving the fine management of urban workers’medical insurance control fees,simplifying medical insurance policies,etc.,aiming to provide reference for relevant managers.To further improve the efficiency of China’s domestic urban workers’medical insurance cost control,implement relevant policies for urban workers’medical insurance and medical services,and effectively take the interests of the people as the starting point of all management activities to achieve sustainable development of the medical insurance industry.