Town Worker Medical Insurance Supervision And Administration Of The Existing Problems And Countermeasures

With the development of society, to further improve the standard of living of the people, at the same time, the health concerns are increasingly high, coupled with the size of the medical insurance fund is more and more big, medical insurance constitute the an important part of the social security system in our country.Safe operation of the medical insurance fund is the ginseng protect a worker to enjoy health rights, maintain social stability.After years of development, the medical insurance system in China has made great achievements, but there are still health supervision and management system is not perfect, imperfect laws and regulations, health care fraud, such as excessive medical treatment, medical irregularities occur.This paper introduces the related concepts of medical treatment insurance, operation mode and regulation mode, clarified the importance of management of medical insurance regulation.Combination of xiangtan city medical insurance supervision and administration of experience, the paper detailed introduces the xiangtan city medical birth insurance management services through daily audit, expert medical record review, special operation, social supervision and management of health care physicians, medical insurance regulation "combination",Set up a maintenance people to standardize the behavior of medical institutions designated medical health, multi-level and the whole society to participate in medical insurance regulatory system.With the development of medical insurance system and improvement of the supervision and administration of health care have also made some experience, but problems still exist.This paper mainly analyzes the regulation of regulatory legal basis, the supervision talent shortage, the excessively rapid growth of medical treatment and health propaganda is not enough and lack of regulatory issues and reasons.Through analyze the problems and the reasons put forward the corresponding countermeasures to further improve the supervision and administration of health care. For the medical insurance in our country and improve the supervision and management to provide some reference.