摘要
提高统筹层次有利于提高医疗保障的公平和效率,也是深化医疗保障制度改革的发展要求。本文通过搜集我国各地现行医保基金统筹现状及有关政策文件,梳理医保基金统筹模式及其变迁历程,发现县市级医保基金统筹主要存在着抵御风险能力低、部分地区医保基金出现财政赤字等问题,这不利于医保基金的持续发展。从政策、理论知识、现行经验等多个角度分析医保基金省级统筹的可行性,并提出对策建议,为优化医保基金的统筹模式提供理论支持。
Improving the overall level is conducive to improving the fairness and efficiency of medical security,and is also the development requirement for deepening the reform of the medical security system.By collecting the current situation of medical insurance fund co-ordination and relevant policy documents in various parts of my country,this paper sorts out the mode of medical insurance fund co-ordination and its changes,and finds that the co-ordination of county and city-level medical insurance funds mainly has problems such as low ability to resist risks and financial deficits of medical insurance funds in some areas,which is not conducive to the sustainable development of the medical insurance fund.From the perspectives of policy,theoretical knowledge,and current experience,the feasibility of provincial co-ordination of medical insurance funds is analyzed,and countermeasures and suggestions are put forward to provide theoretical support for optimizing the co-ordination model of medical insurance funds.
作者
时涛
张秀梅
牟凌霄
岳凌宇
SHI Tao;ZHANG Xiumei;MOU Lingxiao;YUE Lingyu(School of Medical Insurance,Shandong First Medical University(Shandong Academy of Medical Sciences),Jinan,Shandong Province,250117 China)
出处
《中国卫生产业》
2022年第12期253-256,共4页
China Health Industry
基金
山东省教育教学研究重点项目(2001JXZ006)
教育部产学合作协同育人项目(202102484005)
国家级大学生创新创业训练计划项目(202110439010)。
关键词
医保基金
省级统筹
基金管理
医保改革
Medical insurance fund
Provincial overall planning
Fund management
Medical insurance reform
