Exploration of outpatient non-payment problems of hospital medical insurance costs

Objective To investigate the outpatient non-payment situation of hospital medical insurance costs in order to provide solutions to effectively reduce medical insurance non-payment.Methods The outpatient non-payment situation of medical insurance costs in the recent 13 months in our hospital had been analyzed.Results The amount of outpatient nonpayment of medical insurance in the 13 months was 110 176.31 yuan for 3 072 cases,of which 97.53% were caused by clinicians' violation of medical insurance,medical affairs and drug administration regulations.The amount and person-time of non-payment obviously reduced after strengthening regulations.Conclusion There are various causes of non-payment of medical insurance and therefore medical insurance management department needs to apply modern information to strengthen the links with clinicians and the insured in order to play a better role in regulation and services.