【摘要】 目的：加强医保基金监管，实现医保基金可持续、高质量运行。方法：以多中心治理理论为支撑，基于国家相关统计年鉴及政策披露情况，分析了医保基金监管面临的困境，对“欺诈骗保”违法犯罪行为情况进行了分类。结果：信息不对称、医院控费内生动力不足等因素导致“欺诈骗保”屡禁不止。结论：基于多中心治理理论，从政府、医院、群众3个层面提出了强化医保基金监管的路径策略。更多还原

【Abstract】 Objective:Strengthen the supervision of medical insurance funds, in order to achieve sustainable and high-quality operation of medical insurance funds.Methods:Supported by the theory of multi-center governance,based on the relevant national statistical yearbooks, it analyzes the difficulties faced by the supervision of medical insurance funds, and classifies the illegal and criminal behaviors of “defrauding health insurance”.Results:Information asymmetry,insufficient hospital fee-control endogenous incentive,and other factors lead to “insurance fraud” is unceasing.Conclusion:Based on the theory of multi-center governance,it puts forward the path selection of strengthening the supervision of medical insurance funds from the the levels of government,hospitals and the residents.更多还原