2015Hospital managementRequires access

The Research of Standardized Use of Medical Insurance in Medical Institutions

Xie Gan

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Abstract

With the deepening of the new medical reform, the development of basic medical insurance have been booming. Our country is gradually moving towards the goal of universal health insurance coverage. But the non-standard medical behaviors in medical institutions cause the loss and waste of medical insurance fund, which becomes the crux of basic medical insurance reform. According to the current usage of medical insurance fund, this study analyzed the risks of using medical insurance and the weak links in the management of health care business, tried to constrain the medical behaviors in medical institutions, to control unreasonable growth of medical expense and achieve the goal of scientific and rational use of medical insurance fund.

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What this paper is about

With the deepening of the new medical reform, the development of basic medical insurance have been booming. Our country is gradually moving towards the goal of universal health insurance coverage. But the non-standard medical behaviors in medical institutions cause the loss and waste of medical insurance fund, which becomes the crux of basic medical insurance reform. According to the current usage of medical insurance fund, this study analyzed the risks of using medical insurance and the weak links in the management of health care business, tried to constrain the medical behaviors in medical institutions, to control unreasonable growth of medical expense and achieve the goal of scientific and rational use of medical insurance fund.

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Available abstract

With the deepening of the new medical reform, the development of basic medical insurance have been booming. Our country is gradually moving towards the goal of universal health insurance coverage. But the non-standard medical behaviors in medical institutions cause the loss and waste of medical insurance fund, which becomes the crux of basic medical insurance reform. According to the current usage of medical insurance fund, this study analyzed the risks of using medical insurance and the weak links in the management of health care business, tried to constrain the medical behaviors in medical institutions, to control unreasonable growth of medical expense and achieve the goal of scientific and rational use of medical insurance fund.

Key concepts: Medical insurance, Medical underwriting, Business, Medical care, Actuarial science, Health insurance, Health care, Insurance policy

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