Research On JD Hospital Medical Insurance Fund Management Optimization

In recent years,the state has issued a number of regulations and systems related to the management of medical insurance funds,stipulating the content and form of fund management and the responsibilities,obligations and rights of medical institutions,clarifying the key tasks and institutional guarantees of the reform of the medical insurance fund management system,standardizing the price of medical services step by step,rational diagnosis and treatment and medication,and pointing out the direction to ensure the safety of medical insurance funds,However,in the actual operation process,there are still many problems,such as the slowing down of the power of increasing the income of the medical insurance fund,the acceleration of the growth of medical expenses,and the rising risk of fund supervision.Under this background,a third-class A hospital in J Province,and uses the three research methods of literature analysis,interview and field investigation to sort out the current situation of medical insurance fund management in JD Hospital and the problems and obstacles in medical insurance fund management,then we have found that there are some obstacles and problems in the operation and management of hospital medical insurance funds,such as incomplete settlement and review mechanisms for medical insurance funds,incomplete regulatory mechanisms for medical insurance funds,unreasonable payment methods for medical insurance,and outdated communication mechanisms among medical insurance fund management departments.We will analyze the reasons for these problems,and then put forward corresponding rationalization countermeasures and suggestions,Improve the JD hospital medical insurance fund management system,improve the level of fund management informatization,and establish a sound hospital medical insurance fund supervision mechanism.Making hospital medical insurance fund management more scientific,rational and standardized can effectively reduce unreasonable expenditure of medical insurance fund and improve the efficiency of medical insurance fund use.It also helps to provide better reference for other tertiary hospitals in J Province to improve their medical insurance fund management capabilities.