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Open Access Article

Advances in International Finance. 2020; 2: (1) 1; 1-5 ; DOI: 10.12208/j.aif.20200001.

The Influence of Asymmetric Information on the Management and Use of Social Medical Insurance Funds: Taking "The Fraud Case of Social Medical Insurance in Shenyang" as an Example
信息不对称规律对社会医疗保险基金管理与使用的影响——以“沈阳骗保案”为例

作者: 侯永梅*, 罗淑仪

广东医科大学人文与管理学院心理学系

广东医科大学人文与管理学院劳动与社会保障系

*通讯作者: 侯永梅,单位:广东医科大学人文与管理学院心理学系;

发布时间: 2020-05-06 总浏览量: 623

摘要

作为社会保障的重要组成部分,社会医疗保险减轻了人民的医疗负担,对社会的稳定和发展起了重要的促进作用。随着社会医疗保险参保率的不断提高,我国社会医疗保险基金的收入也逐渐增加,数额越来越庞大。一些不法分子因此萌生了骗取社会医疗保险基金的念头,并付诸行动,严重损害了依法运营的医疗机构和参保群众的切身利益,也严重影响了社会医疗保险基金的安全运行。为了维护社会医疗保险基金的安全运行,打击骗保行为刻不容缓。本文以轰动全国的“沈阳骗保案”为例,分析信息不对称规律对社会医疗保险基金管理与使用的影响,并提出相应的对策,为促进医疗保险事业的发展提供参考意见。

关键词: 社会医疗保险;基金;骗保;信息不对称;对策

Abstract

As an important part of Social insurance, Social Medical Insurance has being reduced the burden on the medical expenses of Chinese people, brought protection, and played an important role in the stability and development of society. With the continuous increase in the participating rate of Social Medical Insurance, the amount of Social Medical Insurance Funds has being gradually grown, and some criminals have come up with the idea of defrauding Social Medical Insurance funds and put it into action, which is harm for the security and normal work of Medical insurance. In order to maintain the safety of Social Medical Insurance Funds, it is imperative to crack down on the frauds. This article focused on the sensational Fraud Case of Social Medical Insurance in Shenyang, taking this case as an example, analyze the influence of asymmetric information on the management and use of Social Medical Insurance Funds. Therefore, countermeasures are available for reference, which is hoped to give the benefits to the security of Social Medical Insurance.

Key words: Social Medical Insurance; Funds; Fraud; Asymmetric Information; Countermeasure

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引用本文

侯永梅, 罗淑仪 信息不对称规律对社会医疗保险基金管理与使用的影响——以“沈阳骗保案”为例[J]. 国际金融进展, 2020; 2: (1) : 1-5.