Applicability of public interest litigation to resolve health insurance disputes
10.3760/cma.j.cn111325-20230328-00250
- VernacularTitle:公益诉讼解决医疗保险争议的可适性论证
- Author:
Mei HUANG
1
;
Xuehui ZHANG
Author Information
1. 福建医科大学公共卫生学院，福州 350122
- Keywords:
Medical insurance;
Medical insurance agency;
Medical institution;
External supervision;
Public interest litigation;
Disputes
- From:
Chinese Journal of Hospital Administration
2023;39(9):705-709
- CountryChina
- Language:Chinese
-
Abstract:
Medical insurance services provided by medical institutions are managed by medical insurance agencies via agreements, one of the most popular means of management. Hence the safe use of medical insurance funds depends on the correct performance of medical insurance service agreements. To improve the standardization and accuracy of medical insurance agreement management behavior, and protect the interests of medical institutions and the insured at large, the authors demonstrated the feasibility and necessity of public interest litigation in medical insurance agreement management from both theoretical and practical perspectives. They also proposed to promote the effective resolution of medical insurance disputes by expanding clues sources, strictly the initiating thresholds, and maintaining the modesty of public interest litigation.
