Empirical Research on Fund Risk Quantification Management under New Rural Cooperative Medical System

Objective:To carry out the quantitative evaluation of New Rural Cooperative Medical System(NCMS) fund operationrisk, put forward reasonable and effective suggestions for risk prevention, control and management.Methods:According to the processof risk management, the risk involved in the operation and management process of NCMS fund were summarized and recognized. Taking the occurrence frequency of the actual risk in Beijing as the data basis, the survey result of expert questionnaires were combinedto evaluate the occurrence possibility and severity of the risk, and relevant policy suggestions for risk control were proposed.Results:At present, the risks of NCMS management in Beijing are mostly at middle or low level. But national medical service and medicinepricing were improved; Tier 3 hospitals outside the district were not cooperated with NCMS fund agencies, information system couldnot accomplish interoperability, business insurance company in pursuit of high profits brought more risks which should be paid moreattention.Conclusion:It should control the existing risks and improve the NCMS based on the coordinating of reform policies, regulating the management system of designated medical institutions, improving the informationalized level and implementing contract.