合作共治是利益相关者理论的精髓,也是医疗保障基金监管合作机制的本质内涵。就主体间布局而言,医疗保障行政部门、专门管理机构、司法部门、其他社会组织或个人等核心利益相关者围绕反欺诈、反腐败的任务目标形成医疗保障基金监管合作共治的生态系统;从方式创新来看,各国医疗保障基金监管实践经验主要体现为组织之间内部与外部、执法与教育的多面向合作以及举报人、患者的个人参与。

Co-governance is the essence of stakeholder theory and the essence of cooperation mechanism for healthcare security fund supervision. As far as the layout of the subjects is concerned, core stakeholders such as government departments in charge of healthcare security fund supervision department, special control organizations, judicial departments, other social organizations or individuals form an ecosystem of healthcare security fund supervision co-governance. From the perspective of mode innovation, the practical experience of healthcare security fund supervision in various countries is mainly reflected in the multifaceted cooperation between internal and external organizations, law enforcement and education, and the personal participation of whistleblowers and patients.