2014Hospital managementRequires access

Study on Internal Control Evaluation of Medical Insurance Funds in Hospitals

Xie Gan

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Abstract

With the wide-scale implementation of China's basic medical insurance system,universal access to health care for common people is basically secured. The non-standard medical behaviors in the appointed hospitals of medical insurance cause the excessively rapid growth of medical expenses,the severe loss and waste of medical insurance funds. By analyzing the risks in the use of medical insurance funds in hospitals and building the internal controlling evaluation system for medical insurance funds,the author makes the internal control reaching every tiny link of medical insurance management in hospitals,which effectively prevents the abuse of medical insurance funds.

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What this paper is about

With the wide-scale implementation of China's basic medical insurance system,universal access to health care for common people is basically secured. The non-standard medical behaviors in the appointed hospitals of medical insurance cause the excessively rapid growth of medical expenses,the severe loss and waste of medical insurance funds. By analyzing the risks in the use of medical insurance funds in hospitals and building the internal controlling evaluation system for medical insurance funds,the author makes the internal control reaching every tiny link of medical insurance management in hospitals,which effectively prevents the abuse of medical insurance funds.

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Available abstract

With the wide-scale implementation of China's basic medical insurance system,universal access to health care for common people is basically secured. The non-standard medical behaviors in the appointed hospitals of medical insurance cause the excessively rapid growth of medical expenses,the severe loss and waste of medical insurance funds. By analyzing the risks in the use of medical insurance funds in hospitals and building the internal controlling evaluation system for medical insurance funds,the author makes the internal control reaching every tiny link of medical insurance management in hospitals,which effectively prevents the abuse of medical insurance funds.

Key concepts: Medical insurance, Business, Actuarial science, Control (management), Medical care, Health insurance, Finance, Health care

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