Weifang City, The Urban Workers' Basic Medical Insurance Payment Control Study

Chinese basic medical insurance reform,Through the "two rivers" pilot,In 2000 in full swing across the country. Medical insurance system for urban workers in the operation and management, there are a series of questions, such as fund management security and efficiency in the use of questions and so on. One of control unreasonable medical expenses up to the efficient use of limited funds for the smooth operation of medical insurance system plays an important role. Weifang City basic medical insurance system since the basic medical insurance payment control, have made certain achievements, but because of run-time is not long, as well as the basic medical insurance of the complexity of the work itself, so for urban workers in the basic medical insurance payment control A variety of questions have emerged.The thesis is divided into five chapters:The first chapter study basic medical insurance fund to pay the meaning of control, and research methods;Chapter II the basic medical insurance clearly the concept and meaning of the medical insurance fund related to control theory, and analysis of China's basic medical insurance payment control condition;Chapter III of the present Weifang City introduce basic medical insurance fund controlled by the status quo and to take control method;Chapter IV of medical services from the demand side and supply-side analysis of two aspects of Weifang City basic medical insurance fund and control problems; Chapter V control basic medical insurance fund and the excessive growth of the following proposals: on the demand side is necessary to strengthen government guidance, speeding up the social insurance legislation, the establishment of multi-level medical insurance system in order to adapt to different levels of demand for insurance groups and intensify efforts to resolve the widening of the aging face risks, the introduction of insurance to pay incentives to inspire employees to pay insurance enthusiasm; on the supply-side efforts to increase health care reform, the introduction of competition mechanism, set up a sound information release system, an increase transparency, clearing set up a scientific approach, to promote settlement of single disease.