Mainly based on the prediction and analysis of the use of medical insurance funds after the designated institutions are included in the medical insurance system. This involves the consideration of the medical service capacity, patients' needs, medical insurance policies and the efficiency of fund use in designated institutions.

I. Assessment of Medical Service Capacity of Designated Institutions

Institutions included in designated medical insurance must first have corresponding medical service capabilities. This includes medical facilities, technical level, doctor team and service quality. By evaluating these elements of designated institutions, we can preliminarily judge whether they can meet the basic medical needs of patients, and then predict their service volume and fund use in the medical insurance system.

Second, patient demand analysis and prediction

Patient demand is an important factor affecting the use of medical security funds. By analyzing the population structure, disease spectrum and patients' medical habits in the area where the designated institutions are located, we can predict the future medical treatment volume and medical expenses of patients. At the same time, it is necessary to consider patients' willingness and ability to pay for different medical services in order to predict the use of funds more accurately.

Third, the impact analysis of medical insurance policy

The medical insurance policy has a direct impact on the use of medical insurance funds by designated institutions. Policy adjustment may involve reimbursement ratio, payment standard, service scope and so on. Therefore, it is necessary to make an in-depth analysis of the current and future possible medical insurance policies, so as to evaluate their impact on the use of funds in designated institutions and make predictions accordingly.

Four. Evaluation and promotion strategy of capital utilization efficiency

Improving the efficiency of medical insurance fund is an important goal of the forecast analysis report. By analyzing the historical fund use data of designated institutions, we can find the existing problems and deficiencies, such as over-medical treatment and irrational drug use. On this basis, some targeted improvement strategies, such as optimizing diagnosis and treatment process and strengthening medical quality management, are put forward to improve the efficiency of fund use.

To sum up:

The forecast and analysis report on the use of medical insurance funds after being included in the designated institutions aims to predict the service volume and fund use in the medical insurance system by analyzing the medical service capacity, patient demand, medical insurance policy and fund use efficiency of the designated institutions, and put forward improvement strategies to improve the fund use efficiency. This will help to ensure the sustainable development of the medical insurance fund and better meet the people's medical security needs.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28 provides that:

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Regulations on the supervision and administration of the use of medical insurance funds

Article 5 provides that:

The use of medical security funds should adhere to the people's health as the center, the level of security and the level of economic and social development, and follow the principles of legality, safety, openness and convenience.