Study On The Settlement Of The Medical Insurance Of The Basic Medical Insurance For Urban Employees In Yuci District Of Shanxi Province

Remote medical billing refers to because insured long-term off-site work,temporary off-site emergency and gusty, or off-site retirement placement need for remote medical treatment, medical expenses in different regions under the overall planning program can direct settlement, people need to pay the self paid part of the. The implementation of remote medical billing with Dual economic structure theory and the theory of asymmetric information. Under the Dual economic structure, the uneven distribution of the labor force and the uneven distribution of medical resources promote the phenomenon of medical treatment in the inter regional area. The information asymmetry has intensified the behavior of multi degree of medical treatment in different places, and it is very important to strengthen the management of remote medical treatment. Shanxi Province in response to national policy, since 2010 promulgated a series of policies, for remote medical billing mode, coverage and settlement procedures and provides basis for the implementation of the policy guidelines.This article takes Yuci district as the research case, through data reorganization, the implementation of the system is expounded from the aspects of the population structure and scale of Yuci District, the settlement of medical treatment, and the choice of medical institutions. Through the implementation of the questionnaire survey, it is found that the development of the settlement of medical treatment in different places is greatly convenient for patients in different places, reducing its burden, and has achieved great success. At the same time, in the implementation of the system are remote medical driving factors of blindness, the information system needs to be improved and the relevant policies do not understand, there is excessive medical behavior and policy issues etc. many need to improve the links. The existence of these problems are mainly caused by the uneven distribution of medical resources, the low level of overall planning, the lag of information system construction, the lack of regulatory system and the lack of system support and so on.In the long-distance medical billing implementation based on present situation and the difficulties in understanding.it is recommended that the quality system of long distance medical billing should improve the overall level; Perfect the information system construction; Improve the long-distance medical service management system;Optimizing the allocation of medical resources and enhance the promotion of policy research and so on, further promoting to promote the development of long distance medical billing system in Shanxi Province...