朝阳市医保基金监管机制研究

发布时间：2018-01-25 10:16

本文关键词： 医保基金监管机制完善探析朝阳市　出处：《大连理工大学》2014年硕士论文　论文类型：学位论文

【摘要】：随着医疗水平的提高,广大人民群众的健康意识在不断地增强,朝阳的医保基金规模日益增大,按照国家“以收定支,收支平衡,略有结余”的要求,如何实现对医保基金的合理监管,使医保基金能够承担疾病风险的冲击,为广大的参保人员提供更好地医疗服务已成为新时期医保管理工作的重要问题。本文运用了文献分析方法、数据分析法、SWOT分析法,首先分析了国内外医保基金监管的现状,然后研究了朝阳医保基金监管的现有情况,提出了符合朝阳本地实际的基金监管方案,运用SWOT分析法分析了新方案的可行性,最后提出了改善朝阳医疗保险基金监管的几点建议。朝阳市的医保基金监管工作已日趋完善,但是仍存在着一定的风险,本文针对朝阳医保工作的具体情况,具体分析现有的风险,分析如何通过完善基金监管机制,达到避免风险、合理全面监管医保基金的目的,对朝阳医保基金的监管机制提出自己的一些看法,为朝阳医保工作的决策提供参考意见。
[Abstract]:With the improvement of medical treatment level, the health consciousness of the broad masses is continuously strengthened, the scale of the medical insurance fund in Chaoyang is increasing day by day, according to the request of the country "to receive and expend, balance of income and expenditure, a little balance". How to realize the reasonable supervision of the medical insurance fund, enable the medical insurance fund to bear the impact of the disease risk, and to provide better medical services for the vast number of insured personnel has become an important issue in the management of medical insurance in the new period. This paper uses the literature analysis method, the data analysis method SWOT analysis method, first analyzes the domestic and foreign medical insurance fund supervision present situation, then has studied the Chaoyang medical insurance fund supervision present situation. This paper puts forward a fund supervision scheme which accords with the actual situation of Chaoyang, analyzes the feasibility of the new scheme by using SWOT analysis method, and finally puts forward some suggestions to improve the supervision of Chaoyang medical insurance fund. The supervision of medical insurance fund in Chaoyang City has become more and more perfect, but there are still some risks. This paper analyzes the existing risks according to the specific situation of Chaoyang medical insurance work. This paper analyzes how to improve the supervision mechanism of the fund to avoid risks and to supervise the medical insurance fund in a reasonable and comprehensive way, and puts forward some views on the supervision mechanism of the medical insurance fund in Chaoyang. To provide reference for the decision-making of Chaoyang medical insurance work.
【学位授予单位】：大连理工大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：F842.684;R197.1

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