The S City Social Medical Insurance Fund Operational Risks And Circumvent Research

China is now already achieve the basic medical insurance fund reform, adapt to the medical insurance system for funds to run the risk of anti-management mechanism has been set up. However, with the changing structure of the insured, medical insurance coverage is more extensive, the rapid development of the aging population, the rapid increase in retirees, the historical issues of the old northeast industrial base, how to connect the old and the new social security system has become increasingly prominent, the operation of the income of the fund as well as business managers are facing new risks and higher requirements. Moreover, the analysis of the development situation of social health insurance, comprehensive health insurance coverage to gradually replace the monoline insurance program in the past, the single clearing drawbacks increasingly exposed the medical insurance fund expenditures greater risk. In the new situation, the analysis of the risk of social medical insurance fund operational to build the new system appears to be very necessary, finally, it should reach the social medical balance of insurance fund, medical, medicine, patients, insurance, the medical security chain achieve virtuous cycle.The medical insurance of The S City in policymakers, business managers, fund management and other aspects of development are forefront of China. The identification and prevention of its funds to run the risk, is bound to face more challenges updated, and no experience to follow.The S City as the center of the northeast old industrial base, many historical issues of social security has become increasingly prominent, these social phenomena are exacerbated by the increased the risk of social medical insurance fund. With the speeding up of social urbanization, the gradual formation of the structure of urbanization, after the change of the nature of citizens, insured population is a huge social medical insurance, and whether they have the risks in connection with the appropriate health service mechanism and medical protection mechanism, that can not be ignored. With the deepening of the social medical insurance development, the fund running also shows diverse, complex trend, medical insurance fund risk early warning and risk aversion difficulty increases.This thesis analyzes the risks faced by the social medical insurance fund operational in S City, using the risk analysis theory, running the risk level evaluation, and countermeasures research focused risk. And strive to achieve the thesis research purposes-reaching the social medical balance of insurance fund, medical, medicine, patients, insurance, the medical security chain achieve virtuous cycle.