| 1. | Thinking of reducing loss of medical insurance fund and countermeasures
对减少医保基金外流现象分析和对策的几点思考 |
| 2. | Abstract : one of important functions of social medical insurance reform is striking a balance of medical insurance fund
摘要：社会医疗保险改革的重要职能之一就是取得医疗保险基金的平衡。 |
| 3. | Abstract : there exists non - cooperative game between medical party and patient party , which can be justified by the rising medical expense and the heavy burden of medical insurance fund
摘要:从医疗费用上升和医保基金负担沉重的情况可以判断医、保之间存在非合作博弈。 |
| 4. | Abstract : preventing tricks in medical insurance is a key guarantee for avoiding medical insurance fund risks and ensuring the well and stable operation of the medical insurance system
遏制医疗保险欺诈行为，是防范医疗保险基金风险，保证医保制度健康稳健运行的重要保证。 |
| 5. | Abstract : preventing tricks in medical insurance is a key guarantee for avoiding medical insurance fund risks and ensuring the well and stable operation of the medical insurance system
摘要：遏制医疗保险欺诈行为，是防范医疗保险基金风险，保证医保制度健康稳健运行的重要保证。 |
| 6. | Abstract : starting with the status of the medical insurance fund in li cheng district , pu tian city , this paper analyses the negative result because of the shortness of several factors
摘要:本文从分析2003年度莆田市荔城区医保基金的运行状况入手，剖析多种因素缺陷造成的负面效应。 |
| 7. | Owing to the above facts , at present the establishment of medical insurance system is a tough job all over the world , leaving a big hidden danger for balance of medical insurance funds
然而医疗社会保险在当今属于“世界性的难题” ，由于它的复杂性和普遍性，使医疗保险机构很难控制整个医疗服务流程的费用，给医疗保险基金平衡留下隐患。 |
| 8. | How to make a precise management during the implementation , and to ensure the limited medical insurance funds spending on those drugs that are clinic needed , safe and effective , price rational , is necessary research problem for medical insurance department
如何在执行过程中严密管理体系，使有限的医疗保险基金用于支付那些临床必需、安全有效、价格合理的药品，是医疗保险部门必须探讨的问题。 |
| 9. | From the basic structure of present medical insurance , management and supervision of medical insurance funds , problems existing in the model for implementation of basic medical insurance of china were analyzed . the author considered that there were many shortcomings in the present model , such as the lack of basic applied basic research , relatively low ability of management and problems relevant to the system itself . the above facts lead to lose control of medical services and to rapidly raise the expense for medical services , directly affecting the implementation of new medical insurance system
从我国现行医疗保险制度的基本结构和医疗社会保险基金管理和监督中，对我国基本医疗保险运行模式的中存在的问题进行了分析，认为现行模式存在着基础研究、运用能力、管理效率、制度本身的缺陷等问题，使得有关医疗保险的医疗活动失控，医疗费用增长过快，直接影响了新医疗保险制度的实施。 |
| 10. | According to the situation of increasing per hospitalization cost , slow release of medical needs and increasing medical insurance pooling funds in 13 cities of jiangxu province , this paper formulates a forecasting mode for the balance of the medical insurance fund collection and payment , and tables some proposals on how to control the medical insurance cost
本文根据江苏省13个省辖市次均住院费用的增长、医疗需求潜在的释放和医疗保险统筹基金增长趋势建立医疗保险收支平衡预测模式，并提出了控制医保费用的政策建议。 |
