Study On The Management Of Medical Security Payment In Wuhai City

The reform and improvement of the social security system is the continuous goal of a country.As an important part of it,the medical insurance system is directly related to the vital interests of the people,and is the people’s livelihood of China.The main goal of medical insurance system in China is to provide higher-quality medical services for the people,focusing on solving the problems of "difficulty for seeing doctors " and "expensive for seeing doctors" ".Up to now,some achievements have been made,however,there are still unreasonable medical charges,serious increases in costs,and intensified conflicts between doctors and patients.In recent years,the risk of medical insurance funds has intensified,and the balance of medical insurance funds has great pressure,etc.In order to further meet the needs of Chinese groups in the development of disease and medical treatment,the national medical and health department has implemented the total prepayment method,and implemented the new medical insurance payment in accordance with the CN-DRG grouping payment model,which has begun to cover the medical services of most medical units.Since 2013,Wuhai City of Inner Mongolia Autonomous Region has tried to carry out the DRG payment method reform,becoming one of the 30 pilot cities of DRG reform in China.Taking this as a breakthrough point,Wuhai City has promoted the reform of medical security payment management reform in Wuhai City,and has made certain achievements.In order to solve the problems existing in the medical insurance,Wuhai City has constantly explored the management reform to adapt to the local actual situation in the medical security payment management mode,F for example,in the process of carrying out medical insurance management reform,adopting the pilot first and the gradual reform from point to surface.Under different modes,carrying out different models,a variety of modes coexist situation by gradual trial and step by step.In the paper,further research will be conducted on the DRG payment method of Wuhai City and it’s to discuss how to reasonably optimize and control the medical insurance expenses,reasonably restrain the rapid rise of medical expenses,and balance the multi-party relationship.In the paper,it’s to make a study by focusing on the reform of Wuhai medical security payment mode management as an important content.Through the literature collection method and the case analysis method,it’s to collect and sort out the relevant data after the reform of medical security payment management in Wuhai City,to make an analysis of the collected data and to evaluate and evaluate the payment management reform in Wuhai City.In the paper,through a comprehensive analysis of the medical security payment management reform in Wuhai City,it’s to comb out the problems and causes at the present stage,and put forward targeted improvement measures.With regards to the article,it’s to extract the measures and experiences that can be learned from other places,and it’s hoped to provide some practical experience for other regions when developing DRG payment systems.