福建省三明市城乡医保整合模式探索

发布时间：2018-04-21 08:54

本文选题：城乡居民基本医疗保险 + 医保制度整合　；参考：《中国卫生经济》2017年11期

【摘要】：福建省三明市于2014年将新型农村合作医疗与城镇居民基本医疗保险整合为城乡居民基本医疗保险,其做法有诸多亮点,最重要的是通过成立医疗保障基金管理中心有效实现医保整合;但也存在一些问题,主要体现在筹资缺乏科学性和基层能力不足方面。在接下来的改革中,需要通过科学测算调整筹资、补偿水平,并以"强基层"为突破口强化医保整合效果。
[Abstract]:In 2014, Sanming City, Fujian Province, integrated the new rural cooperative medical insurance and the basic medical insurance for urban and rural residents into basic medical insurance for urban and rural residents, which has many bright spots. The most important thing is to effectively realize the integration of medical insurance by establishing a medical security fund management center, but there are also some problems, which are mainly reflected in the lack of scientific funding and the lack of capacity at the grass-roots level. In the next reform, we need to measure the level of financing and compensation scientifically, and strengthen the effect of health insurance integration with the breakthrough of "strong grassroots".
【作者单位】：华中科技大学同济医学院医药卫生管理学院;湖北省人文社科重点研究基地农村健康服务研究中心;
【基金】：国家自然科学基金重点项目(71333005);国家自然科学基金项目(71673101) 国家社科基金重大项目(15ZDC037)
【分类号】：F842.684;R197.1

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