[1]陈清华,吴海波,刘 青.医保欺诈协同治理机制研究[J].卫生经济研究,2022,39(12):34-37.
　CHEN Qinghua,WU Haibo,LIU Qing.Research on the Collaborative Governance Mechanism of Medical Insurance Fraud[J].Journal Press of Health Economics Research,2022,39(12):34-37.
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医保欺诈协同治理机制研究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年12期
页码:
34-37
栏目:
医疗保障
出版日期:
2022-11-24

文章信息/Info

Title:
Research on the Collaborative Governance Mechanism of Medical Insurance Fraud
作者:
陈清华1; 吴海波1; 刘 青1
1.江西中医药大学经济与管理学院， 江西 南昌 330004
Author(s):
CHEN Qinghua;  WU Haibo;  LIU Qing
School of Economic and Management, Jiangxi University of Chinese Medicine, Nanchang Jiangxi 330004, China
关键词:
基本医疗保险; 医保欺诈; 协同治理
Keywords:
basic health insurance;  health insurance fraud;  collaborative governance
分类号:
F840.684
文献标志码:
A
摘要:
基于医保欺诈专业性强、隐蔽性高、涉及环节众多、表现形式多样等特点，对其整治无法仅靠单一主体，多元主体协同治理是必然趋势。当前，我国医保欺诈协同治理机制存在协同意识不强、协同动力不足、缺乏法律依据等问题。为此，有必要在明确协同主体、厘清协同客体、确定协同内容与手段的基础上，建立一个以价值协同为基础、利益协同为核心、行动协同为关键的高质量协同治理体系。
Abstract:
Based on the characteristics of medical insurance fraud, such as strong professionalism, high concealment, many links involved and various forms of expression, it is impossible to rely on a single entity to rectify it, and it is an inevitable trend for multiple entities to collaborate in governance. At present, China's health insurance fraud management mechanism has a weak sense of cooperation, insufficient motivation and lack of legal basis. For this reason, it is necessary to establish a high-quality collaborative governance system based on value collaboration, interest collaboration as the core and action collaboration as the key, on the basis of clarifying the collaborative subjects, clarifying the collaborative objects and determining the content and means of collaboration.

参考文献/References:

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更新日期/Last Update: 2022-11-24