Researche On The Supervision Of Urban And Rural Resident Medical Insurance Fund

As an important public policy to protect the physical health of urban and rural residents,the basic medical insurance fund for urban and rural residents aims to help resist the risk of disease expenditure and achieve medical security for all.Since the establishment of medical insurance system to expand our coverage,security level will increase steadily,and at the same time also brought the increase of the fund operation risk and management difficulty,so how to study fund regulatory issues,how to improve the urban and rural residents basic medical insurance fund supervision system,in order to achieve the objectives of the build and perfect the medical insurance system.Through the review of relevant literature,this study to understand status of urban and rural residents basic medical insurance fund supervision,and through the way of visiting survey of human resources and social security bureau in wenzhou,wenzhou hospital at the corresponding levels and the relevant person in charge of chain pharmacies and staff are not standardized interview,understand the view of regulatory status of medical institutions and regulatory expectations for the future.Collect and sort out the survey results,and find the main problems existing in the supervision of basic medical insurance fund for urban and rural residents from the data.By medical insurance for the whole benefit of the ordinary people,however with the rising medical costs,ginseng protect rights consciousness awakening,fake medical record in hospital,empty prescription help criminals medicare card cash out,the medical establishment that decide a dot in order to seek personal gain irregularities and so on a series of medical insurance fund is not reasonable to pay,from misuse problems lead to substantial loss of the medical insurance fund background,analysis of the current medical market irregularities and in wenzhou city urban and rural residents basic medical insurance fund regulation,for example,This paper systematically studies the problems in the supervision of basic medical insurance funds for urban and rural residents,such as the problems in the subject of supervision,the absence of supervision basis,the backward supervision methods,and the risk of violation in the objects of supervision.Research methods are mainly literature study method,comparative method,interview method and so on,the author will be engaged in medical institutions in the bureau of the audit work experience and management of medical insurance in other areas to visit and learn,wenzhou urban and rural residents basic medical insurance fund supervision present situation,puts forward countermeasures and ideas on how to effective regulation.In the process of research of this paper,draw lessons from the domestic and foreign urban and rural residents basic medical insurance fund supervision of good experience,on the basis of predecessors' research,based on the regulation of interest group theory,information asymmetry theory,the induced demand theory,in wenzhou city urban and rural residents basic medical insurance fund regulation,for example,view to our country urban and rural residents basic medical insurance fund supervision problems from the Angle of multi-dimensional analysis,finally to the new situation of our country urban and rural residents basic medical insurance fund supervision Suggestions.It mainly includes four aspects: promoting the construction of medical insurance fund supervision subject,innovating supervision methods,establishing effective supervision mechanism,and enhancing supervision object's responsibility consciousness.