摘要
建立健全医保基金风险防范机制是保证医保基金动态平衡、适量结余的必要措施。本文介绍了医保基金风险防范机制的主要内容,概述了风险预警机制、风险储备金机制和风险分担机制的国内外实践情况,为健全我国医保基金风险防范机制提供建议。
Abstract
Establishing, perfecting the risk prevention mechanism of medical insurance fund is a necessary measure to ensure the dynamic balance, appropriate balance of medical insurance fund. This paper introduces the main content of medical insurance fund risk prevention mechanism, summarizes the domestic, foreign practices of the risk warning mechanism, risk reserve mechanism, risk sharing mechanism, provides suggestions for improving the medical insurance fund risk prevention mechanism in China
关键词
风险预警机制 /
风险储备金机制 /
调剂金机制
Key words
risk warning mechanism /
risk reserve mechanism /
adjustment fund mechanism
章鹰, 曾子莹, 范阳东.
健全医保基金风险防范机制的探讨[J]. 中国医疗保险. 2022, 0(12): 69-72 https://doi.org/10.19546/j.issn.1674-3830.2022.12.012
Discussion on Improving the Risk Prevention Mechanism of Medical Insurance Fund[J]. China Health Insurance. 2022, 0(12): 69-72 https://doi.org/10.19546/j.issn.1674-3830.2022.12.012
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参考文献
[1] 曹雨清. 山西省城镇职工基本医疗保险基金运行面临风险及对策研究[D].山西财经大学,2019.
[2] 王超群. 提高医保统筹层次应引入风险调整机制[J].中国社会保障,2022(06):44-45.
[3] 妥宏武. 职工医疗保险基金风险管理及储备金机制研究[J].社会建设研究,2018(7):56-68.
[4] 郑秉文. 加快实现医保基金保值增值[J].中国金融,2022(12):73-74.
基金
广东省哲学社会科学规划2022年度《提升基本医保制度公平和效率的策略研究——以广东省为例》项目(GD22CYJ27)