Legal analysis: Medical insurance management directly involves medical treatment, medicine, insured persons and insured units. Macroscopically, it involves GDP, price, finance, income distribution, social assistance, etc. It is the most complicated management project in social management, and it is also one of the management projects with frequent risks, which has become a "worldwide problem" recognized by all countries.

legal basis: social insurance law of the people's Republic of China

article 2 the state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in case of old age, illness, industrial injury, unemployment and maternity.

article 26 the treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

article 28 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.