Regulation Of Zibo City Medical Insurance Fund

Medical insurance fund is the core condition of medical insurance system, is the materialbasis of medical insurance system has been established. The management and use of funds, isalways the medical insurance operation of the most core, the most practical, the most specificwork. Zibo City medical insurance enterprise walk in the forefront of the country, andaccordingly, to strengthen the supervision of the medical insurance fund subject than other laterarea also earlier put into agenda discussion and research.This paper takes Zibo City medical insurance fund supervision as the object of study.The thesis consists of three parts. The first part, the author first of all domestic and foreignmedical insurance fund operation are introduced, the important significance of strengthening themedical management of medical institutions are expounded, leads to the problem, by reviewingthe related research progress at home and abroad, and briefly describe the concreteimplementation of the supervision of the medical insurance fund method and effect, puts forwardthe research train of thought, research framework and research methods. In this part, the authorcomprehensively the present situation of medical insurance fund supervision at home and abroadwere summarized briefly as far as possible, mainly related to the related theory of medicalinsurance fund and concepts, including China basic medical insurance system, medical insurance,medical insurance fund concept, and the focus of the fund payment, payment risk and fundsupervision framework system in-depth, comprehensive exposition.The second part, it first introduces the development process of Zibo City medical insuranceenterprise, introduces the Zibo medical insurance fund operation and the fund regulatoryframework, elaborated Zibo City medical insurance designated institutions management statusand medical insurance fund supervision problems, and classified them into three categories:existing management fund the total amount of expansion problem, the designated medicalinstitutions, fund supervision problems with their own problems, in-depth analysis of theproblem, find out the reason of the problem, the solution to the problem of direction for research.The end of this part, the author experience of domestic and foreign medical insurance fundsupervision are reviewed, and summarized, find out the fund supervision experiences.The third part, through the above analysis, according to China’s national conditions, fromthe point of view of the local medical insurance fund operation in Zibo City, combined with theinternational advanced countries and the domestic brother, successful experience, and putsforward some concrete countermeasures for strengthening management of medical insurancefund of Zibo city. Is divided into four aspects: one is the sooner, self-discipline supervision of designated medical institutions; two is to improve the management system; three is the study ofstrengthening supervision; four is to straighten out the regulatory mechanisms, the establishmentof an independent regulatory agencies.The paper absorbs the research results of domestic large from many aspects, and in readinga lot of related social insurance, medical system reform and other aspects of books, the authorhas long been engaged in medical insurance management work experience, give full play to therole of independent thinking, analysis and the ability to solve problems, the special study for aperiod of time, that strengthening the measures of medical insurance institutions, has a certaintheoretical depth and practical.