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笔者对我国职工医疗保险基金运行监管的法制缺陷进行了分析,指出目前存在着基金监管立法制度不健全、基金监管权利救济途径不通畅及基金监管信息披露制度不健全的问题;接下来,提出了构建我国城镇职工医疗保险基金运行监管的法制对策,包括建立医、患、保三方制约的医疗保险基金运行监管机制、强化对城镇职工医疗保险基金不合理支付的监管力度及设立独立的城镇职工医疗保险基金运行监管机构这三个方面。
The author analyzes the legal defects of the operation and supervision of the employees’ medical insurance funds in our country and points out that there exists the problem that the system of fund supervision and administration is not perfect at present, the fund management and supervision system is not perfect and the fund supervision and information disclosure system is not perfect. To build a legal system for the supervision of medical insurance funds run by urban workers in our country, including the establishment of a supervisory mechanism for the operation of medical insurance funds under the control of the three parties including the medical institutions, patients and the insurers, the strengthening of supervision over the unjust payment of urban workers’ medical insurance funds and the establishment of an independent medical treatment for urban workers Insurance fund operation regulatory agencies these three aspects.