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政府购买服务模式下的大病保险有效监管研究

发布时间:2018-07-13 18:50
【摘要】:大病保险是我国简政放权、建设服务型政府的重要尝试。在政府购买服务的发展模式下,有效监管是保障和提升大病保险制度效果的关键环节。文章首先剖析了大病保险"服务外包"的运行机制及其特征,随后从理论上探讨了大病保险的法律属性和监管责任。在此基础上,文章从监管责任、监管主体、监管内容、监管方式和手段等方面对目前大病保险监管存在的主要问题进行了分析。最后,针对上述问题,文章提出要重新明晰政府的责任边界、建立多部门沟通协调机制、尽快制订省级统一的招标规范、建立完善的绩效评估机制、大力推行信息共享和数字化监管手段,以实现大病保险的有效监管。
[Abstract]:Serious illness insurance is an important attempt to simplify government administration and build a service-oriented government. Under the development mode of government purchasing service, effective supervision is the key link to protect and improve the effect of the insurance system for serious illness. This paper first analyzes the operating mechanism and characteristics of "service outsourcing" in the insurance of serious illness, and then theoretically discusses the legal attribute and supervisory responsibility of the insurance of serious illness. On this basis, the article analyzes the main problems existing in the supervision of serious illness insurance from the aspects of supervision responsibility, main body of supervision, content of supervision, ways and means of supervision and so on. Finally, in view of the above problems, the article proposes to clarify the responsibility boundary of the government, to establish a multi-department communication and coordination mechanism, to formulate unified bidding norms at the provincial level as soon as possible, and to establish a perfect performance evaluation mechanism. In order to realize the effective supervision of serious illness insurance, we should promote information sharing and digital supervision.
【作者单位】: 广东财经大学金融学院;
【基金】:教育部人文社会科学青年基金项目(15YJC630064) 广东省自然科学基金项目(2016A030313712)
【分类号】:F842.684;R197.1

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