Study On Status And Countermeasure In Payment System Of Medicine Insurance For The Unit Of Jilin Province

World problems that countries face today is health insurance, medical insurancesystem is one of the basic social security system, the party committee and governmentattention, the masses is concerned, the community concerns. After more than ten yearsof development, China’s medical insurance system has improved, how to set up apayment system, to determine the guiding role of health insurance in the medicalservice supply and demand sides. The payment system is the "gate" control healthinsurance costs, and promote the pay reform is both reasonable key to controllinghealth costs, but also to promote the medical insurance system is more sophisticatedand mature focus and the difficulties. Payment system, including the pay budget,method of payment, and paid way to establish a negotiating mechanism to carry outregulatory audit and performance evaluation and the establishment of links and contentof the restraint and incentive mechanism. Payment is the core of the payment system,refers to the specific means of payment, including payment of the principle of payrange and pay the standard.Medical insurance to raise funds with the sole purpose of the insurance law oflarge numbers, to resolve the risk of the insured medical expenses that may beencountered, protect the reasonable medical interests of the insured person to maintainthe health of the insured person. To this end, we should continuously improve theefficiency of health insurance fund, a rational allocation of health care resources. Atpresent, within the framework of the entire health insurance system, the paymentmethod relative is a short board. CPC Central Committee and State Council attachgreat importance to a clear requirement to actively explore the basic medical insurance to pay the way to reform and strengthen the monitoring role of the medical insurancefor medical services, improve the payment system to actively explore theimplementation of the Capitation, DRGs total prepaid and other ways to establishincentives and rewards and punishments both effective constraint mechanism. Paymentreform, re-rational allocation of medical resources, power, external pressure to adapt tothe new medical reform must change, had to change.The different payment methods on medical institutions in different economictemptations, and guide doctors to the implementation of the different medical practices.Pay by the project, a medical examination is more and more medication, more income,to a certain extent contributed to a large prescription, over the behavior of health care.If the implementation of DRGs, capitation payment, over-treatment will beunprofitable, doctors only by controlling health care costs, reduce medical costs to earna reasonable income, thereby mobilizing the enthusiasm of the medical institutions andmedical personnel are actively involved in the management, the promotion of medicalagencies to improve the quality of care, control health care costs.Under the premise of the system analysis of the world to carry out medicalinsurance paid on the domestic part of the province, the municipal medical insurancepayment, by the way of the Jilin provincial health care insurance costs to pay, Theprepaid system a composite method of payment, provide strong theoretical support andmeans to protect the province’s health insurance management practices.Article first systematic analysis of the main mode of payment methods foroverseas medical insurance, find out the law; compare the parts of the country medicalinsurance pay approach to the implementation; Subsequently, the construction of theJilin provincial health insurance Payment system architecture, methods, modes ofoperation, an objective evaluation of payment for the role in the implementation of theformation of experience, and the emergence of practical problems; Finally, accordingto the above analysis and evaluation system summarized on the basis of innovativethinking, designed to meet regional economic development the scale of paid practical way to further promote the province’s health insurance payment system reform of thebasic theoretical research.