┃Source: China Medical Insurance
Guide
In order to comprehensively display the phased achievements in all aspects of medical insurance fund supervision and help the smooth development and in-depth development of medical insurance fund supervision, under the guidance of the Department of Fund Supervision of the National Medical Security Bureau, China Medical Insurance Magazine has compiled a series of books on the Blue Book of Medical Insurance Fund Supervision since this year, which is published regularly every year. The first volume of "China Medical Security Fund Supervision and Management Development Report (2021)" is China's first special annual report on the supervision and management of medical security funds, summarizing and refining the theoretical research and reform practice innovation achievements of China's medical security fund supervision.
The book is divided into five parts, the general report comprehensively shows the main development achievements of China's medical insurance fund supervision in recent years; the special report respectively from the medical security fund supervision of the rule of law construction, system innovation, regulatory technology and method innovation, anti-fraud insurance fraud, industry self-discipline construction and other aspects of in-depth study of the development of China's medical security fund supervision, but also introduced the typical national medical security fund supervision experience and lessons; in addition, focus on local exploration reform and hospital medical insurance management, select Beijing, Shanghai, Henan and Anhui provinces and 5 prefecture-level cities of Kaifeng, Changsha, Chengdu, Xiamen and Nantong summarized and analyzed the effectiveness and innovation experience of local medical security fund supervision and reform, and selected 6 representative medical institutions of different types in Beijing Hospital, Fuwai Hospital, Jiangsu Provincial People's Hospital, Zhejiang Provincial People's Hospital, West China Hospital and Sanbo Brain Hospital of Capital Medical University, and discussed their internal medical insurance management practices and experiences.
Three highlights
comprehensive
Demonstrate the development achievements of the supervision of medical insurance funds;
objective
Detailed data, accurate judgment, classic case;
utility
Must-read tool for fund supervision and health insurance management;
This book has certain reference value for experts and scholars from the competent departments of the medical security industry, law enforcement supervision agencies, medical insurance designated medical institutions, colleges and universities and scientific research institutions, as well as people from all walks of life who are concerned about the development of medical security.
This book can provide useful references for all readers
Management
Here are in-depth analysis and practical exploration of hot issues at the forefront of medical insurance fund supervision, which helps to improve the ability to use scientific theories to guide practice and promote work.
Law enforcement layer
Here are the most practical policies, regulations and practical experience in investigating and dealing with fraud and deception of medical insurance funds, which help to improve the ability to find problems, analyze problems, and solve problems.
Interested Parties
Here is the concept and practice path of modern hospital medical insurance management under the new situation, which can provide useful reference for properly handling the problems and contradictions between the safety of the use of medical insurance funds and the reasonable interests of medical institutions.