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文章通过对2004—2007年全国开展新型农村合作医疗工作的县(市、区)管理经办模式情况的调查,了解了社保中心参与经办新型农村合作医疗的基本情况,对社保中心参与经办新型农村合作医疗工作进行了讨论。社保中心参与经办新型农村合作医疗工作具有一定的优势,但由于医疗市场具有不确定性和高度的信息不对称,社保部门作为第三方付费机构,很难有效监管医疗服务行为,控制医疗费用不合理上涨。应进一步明确卫生部门主管的新型农村合作医疗管理体制,逐步统一为卫生部门经办。
Through the investigation of the management mode of counties (cities, districts) that carried out the new rural cooperative medical care work across the country from 2004 to 2007, the article learned about the basic situation of social security centers participating in the management of new rural cooperative medical care, and participated in the management of social security centers. The new rural cooperative medical work was discussed. The social security center has certain advantages in participating in the new rural cooperative medical work. However, due to the uncertainties in the medical market and the high level of information asymmetry, the social security department as a third-party payment agency is unable to effectively supervise the behavior of medical services and control medical expenses. Reasonable increase. The new rural cooperative medical management system in charge of the health department should be further clarified and gradually unified into the health sector.