The Research On The Fraud Cases Of Medical Insurance In Tianjin H District

As the important part of Social insurance, Social Medical Insurance of Tianjin has beenexisted for nearly10years. Within the balancing of the local government’s policy, the quality ofMedical treatment for the people who are taking Medical insurance in Tianjin is rising every year.However, the fraud of Medical insurance happened all the time. Take Tianjin civil for example,it’s about nearly hundred millions of Chinese Yuan has been lost because of Medical fraud,which is harm for the security and normal work of Medical insurance. As the member ofgovernors who deal with lots of medical fraud cases in H district insurance office, the Writer,will analyst the cases of Medical fraud in the following words. The statement is hoped to give thebenefits to the insurance security and works of Medical insurance.This article based on the cases and situations of Medical treatment in H district, which ispracticed by the asymmetric matures of managerial economics and the knowledge of gametheory. Topics of this article will include the nature and process of research; survey research;experimental research; correlational research; case study of Tianjin H district. And it gives a fullanalyst of the Medical insurance development for the rural and urban areas. The potentiallyfraudulent and reasons of Tianjin H district analysis provider, from the demand for medicalservices and medical insurance management institutions, and puts forward the countermeasureand suggestion from the medical insurance information system, medical insurance creditsupervision mechanism and the medical insurance market institutional constraints.