Research on the Strategy of Multi-center Subjects Participating the Supervision of Medical Insurance Funds
Cai Bin
Zhou Luojing
Shi Liqun
Wang Jingcheng
Mao Xiangyang
Zhang Ying
Tang Jia
Abstract：Objective:Strengthen the supervision of medical insurance funds,in order to achieve sustainable and high-quality operation of medical insurance funds.Methods:Supported by the theory of multi-center governance,based on the relevant national statistical yearbooks,it analyzes the difficulties faced by the supervision of medical insurance funds,and classifies the illegal and criminal behaviors of"defrauding health insurance".Results:Information asymmetry,insufficient hospital fee-control endogenous incentive,and other factors lead to"insurance fraud"is unceasing.Conclusion:Based on the theory of multi-center governance,it puts forward the path selection of strengthening the supervision of medical insurance funds from the the levels of government,hospitals and the residents.
Keywords：multi-center governancemedical insurance fundinsurance fraudinformation asymmetry
Publication Date：2024-04-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 33-35,51 )