保险-广东省医疗保险基金运行风险及对策分析.docxVIP

PAGE PAGE I 广东省医保基金运行风险探讨及对策分析 【摘要】本文针对广东省医疗保险的现实状况，从其收入和支出综合分析其风险因素，主要为：统筹水平低、就业单位不给员工保险、财政拨款延迟、参保人恶意骗保、医疗机构道德风险、医保政策变动、医疗费增长过快等。就这些风险因素，笔者综合出几点建议：扩面增缴，让医保基金抗风险能力得以提升。本文对广东省社会医疗保险基金目前运行之状态，总结出相应的问题，然后推出改善之办法，希望可以对改善医疗保险基金运行具有积极作用，间接地为广东省保险事业贡献力量。 【关键词】医保基金；风险；分析 Abstract： This paper analyzes the risks in the operation of the medical insurance fund from two aspects of the medical insurance fund income and expenditure, based on the medical insurance operation in Guangdong province. This risk mainly comes from the low level of the overall planning, the evasion of the insured units, the diffic