医疗保险经办中的法律规制问题  

Legal Regulation in Medical Insurance Administrative Agencies

作　　者：雷震[1] 陈燕萍[2] 

机构地区：[1]广西壮族自治区人力资源和社会保障厅,南宁530022 [2]南宁市疾病预防控制中心,南宁530026

出　　处：《中国医疗保险》2016年第8期31-33,共3页China Health Insurance

摘　　要：医疗保险经办在医疗保险法律关系中处于核心地位,本文对我国医疗保险经办的法律规制问题进行梳理,深度分析现有医保经办法律规制中存在的缺陷,并试图找出解决问题的办法。当前我国整个社会保险法律体系建设尚处于不断完善阶段,由于医疗保险的法律制度不健全,医疗保险经办的法律地位不明晰、管理体制不确定、财政保障不确定、业务标程不完善、法律手段不匹配等问题还十分突出。本文对完善我国医疗保险经办的法律规制问题提出了建议。Medical insurance administrative agencies play a core role in the legal relationship of medical insurance. This paper clarifi ed relevant legal regulation in medical insurance administrative agencies of our country, analyzed intensively current problems, and tried to find the countermeasures to solve the problems. Our social insurance law system is still in the preliminary stage. Due to imperfect law system in medical insurance, the problems of unclear legal position of insurance administrative agencies, uncertainty in management system and fi nancial security, incomplete operation procedures, non-matched legal measures, and so on, are still prominent. This paper proposed some rational advice to improve the legal regulation for medical insurance administrative agencies.

关 键 词：医疗保险 经办管理 法律规制 

分 类 号：D922.182.3[政治法律—宪法学与行政法学] F842.684[政治法律—法学]