Study On The Payment Mode Reform Of Basic Medical Insurance

The current medical insurance fund,like pension funds,faces more and more payment pressure,and the payment increase is higher than the income increase.With the aggravation of the a ging of the population,as well as new drugs and other medical expenses will be applied continuously,rapid growth,the contradiction between the financing and payment will gradually appear.The choice of medical insurance payment system has a direct impac t on the smooth operation of the medical insurance system.In order to avoid the deficit,it is more important to change the payment model,in addition to increasing financial investment.This paper is based on the reality of Yanbianand consider the overall situation,a comprehensive analysis of the state of Yanbian,this research as the object,and the above problem is discussed,in order to practice is rooted in the state of Yanbian,the reform of the medical insurance payment advice for reference.This paper for the analysis of the medical insurance payment system theory,after summarizing the basic theory of the relationship between different payment mode and the cost of medical insurance,the medical insurance payment in order to sort the main features;then from the state of Yanbian Medicare payment reform starts with an overview of the background,status quo,respectively of the total budget according to the present situation and pay according to the project payment status is expounded,and then to the Yanbian state medical insurance payment evaluation;by analyzing the existing state of Yanbian urban medical insurance system in question;again at home and abroad to learn from the medical insurance payment mode,elaborated through the developed countries the United States,Germany,Britain,Shanghai,Nanjing,Beijing and the domestic payment mode;finally,according to the Yanbian urban medical insurance payment by the specific circumstances,continue to implement the total budget as The foundation,stre ngthen the supervision and management of the medical insurance fund budget evaluation system,the establishment of the mixed payment of medical insurance funds operating efficiency of the incentive mechanism and the establishment of medical insurance fund risk early warning mechanism to specific implementation.