The internal financial management system of medical insurance is as follows:
1. Strictly abide by the national financial policies, laws and regulations, and act in strict accordance with the financial system. Corruption and misappropriation of public funds are strictly prohibited;
2. Seriously implement the financial policies of the central, provincial, municipal and district medical insurance work and abide by various rules and regulations;
3. According to the actual subsidy expense report of last month automatically generated by computer, after deducting the illegal subsidy expense, report the allocation of subsidy fund to the county joint management office every month;
4. Publicize the payment of hospitalization subsidy of this unit once a month. Accept the audit of functional departments and supervision by the masses in an all-round way;
5. Be responsible for all tasks assigned by the medical insurance center.
medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the payment of employers and individuals. After the insured person suffers from medical expenses, the medical insurance institution will give him some economic compensation.
The establishment and implementation of the basic medical insurance system gathers the economic strength of units and social members, and with the government's funding, the sick social members can get the necessary material help from the society, reduce the burden of medical expenses, and prevent the sick social members from "poverty due to illness".
The functions of medical insurance include:
1. It is conducive to improving labor productivity and promoting the development of production. Medical insurance is the inevitable result of social progress and production development. Conversely, the establishment and improvement of medical insurance system will further promote social progress and production development. On the one hand, medical insurance relieves the worries of workers and makes them work with peace of mind, which can improve labor productivity and promote the development of production; On the other hand, it also ensures the physical and mental health of workers and the normal reproduction of labor;
2. Adjust income differences to reflect social equity. Medical insurance is an important means for the government to redistribute income by collecting medical insurance premiums and paying medical insurance service fees.
3. An important guarantee for maintaining social stability. Medical insurance helps sick workers financially, helps to eliminate social instability caused by diseases, and is an important social mechanism to adjust social relations and social contradictions;
4. An important means to promote social civilization and progress. The social system of medical insurance and social mutual assistance reflects the new social relationship of "one party is in trouble and all parties support" by sharing the risk of disease costs among the insured, which is conducive to promoting social civilization and progress.
Legal basis
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.