摘要
2008年协会健保改革和2018年市町村国保改革是日本两次重要的医保经办管理机构改革。两者在改革前均由政府经办,但间隔十年的两次改革路径却大为不同。改革后,前者由新成立的自治机构独立经办,后者则保留基层政府的部分经办职能,使上级地方政府成为基金财务运营主体;相同点在于,两者将筹资层级都调整至都道府县一级。两次改革在加强医保基金稳定、提高经办管理能力等方面都取得了一定效果。我国医保经办机构可以在职能划分、基金统筹、费用控制等方面借鉴日本的改革经验。
The reform of Employees’medical Insurance in 2008 and the reform of National medical Insurance in 2018 in Japan are two important reforms on management agencies of medical insurance.Both of them were managed by the government before,but their reform paths are very diff erent.The former has turned to be managed by a newly established autonomous association,while the latter is still managed by the municipal governments,but prefectural governments have become the fi nancial operating agencies.Both of the reforms have been effective to a certain extent on fund stabilization and management ability.China can learn from Japanese medical insurance institutional reforms in terms of functional division,fund raising,and cost control.
作者
马艺方
Ma Yifang(Graduate School,University of Chinese Academy of Social Sciences,Beijing,102488)
出处
《中国医疗保险》
2020年第12期72-76,共5页
China Health Insurance
关键词
日本
医保经办管理
机构改革
Japan
medical insurance management
institutional reform
