CAJ | 학술논문

在新型农村合作医疗制度由试点普及向规范持续运行转轨的关键时期，懈决医疗服务机构、参合农民、医疗保险机构、政府间的逆选择、道德风险及基金运行风险是合作医疗风险防范监管的核心。可以通过优化管理模式、健全管理机制，强化行政组织监督、社会监督、职能监督机制，健全风险防范的监督管理机制；同时通过基金风险预警机制、医疗服务费用控制、参合农民风险控制，实现风险防范的激励约束机制。
재신형농촌합작의료제도유시점보급향규범지속운행전궤적관건시기，해결의료복무궤구、삼합농민、의료보험궤구、정부간적역선택、도덕풍험급기금운행풍험시합작의료풍험방범감관적핵심。가이통과우화관리모식、건전관리궤제，강화행정조직감독、사회감독、직능감독궤제，건전풍험방범적감독관리궤제；동시통과기금풍험예경궤제、의료복무비용공제、삼합농민풍험공제，실현풍험방범적격려약속궤제。
In the crucial period of transition from the experimental to the standard movement of the new rural cooperative medical care system, Solve the adverse selection, moral hazard and funds risk which between the medical service agencies, the farmers, health insurance agencies, are the cooperative medical treatment risk guard supervising and managing cores. May through the optimized management pattern, the perfect management mechanism, the strengthened administration organize the inspector general, the society to su- pervise, the function surveillance mechanism, perfect risk guard management by supervision mechanism. Meanwhile through the fund risk early warning mechanism, the medical service expense control, the senate gathers the farmer risk control, realizes the excitation restraint mechanism that risk keeps watch.