DOI: 10.7664/CHE20140709
Practical Analysis on Establishing the Control Model of Medical Insurance in Public Hospital Internal Operation Based on Utility Theory
LIU Guo-gang
ZHENG Er-wei
QU Song-tao
Abstract：To establish the control model of medical insurance in hospitals, so as to improve the effectiveness of internal operation for medical insurance fund. Methods: Using the utility theory to establish the control model, with which the medical service provider is individual rationality constraints and incentive compatibility constraint. Results: The bonus coefficient and punishment coefficient can be calculated by means of evolutionary programming. Conclusion: The control model of hospital internal medical insurance fund is useful in controlling the medical insurance expense, it also provides the guidance and references for performance management and internal operation.
Keywords：medical insuranceinternal controlsinformation asymmetryutility theory
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 30-32 )