On May 19, the medical network entered the sprint phase of the urban and rural health care system. The economic information daily, the reporter understands, so far, Beijing, tianjin, hebei, Inner Mongolia, Shanghai, zhejiang, jiangxi, shandong, henan, hubei, hunan, guangdong, guangxi, chongqing, yunnan, 24 provinces, such as to establish a unified urban and rural residents health care system has carried on the overall planning and deployment or implementation overall integration, and will direct to people club department management department. 

 

Basic medical insurance system in China has long been a present for multiple segmentation operation system, the system on the segmentation performance for worker health, urban residents medical insurance and new farming division operation, mainly for cities and counties in fund segmentation as a whole, risk range is limited. , development and integration of urban and rural medical insurance system more equitable system of medical insurance, to break the urban and rural household registration system of medical insurance system, can make the health care system in policy making, management operation eliminates the urban and rural household registration, the orgnaization of service of factors, the removal of the health care function, carried by the household registration system to narrow the gap between urban and rural residents health. 

 

Urban and rural residents health care system was placed on the reform the key work in 2017, according to the established schedule, the work will be completed within this year, will realize the coverage, financing policy, to ensure treatment designated management, fund management, medical insurance directory, "six unification" policy. However, due to the principle of "high and low" reimbursement scope, the treatment of urban and rural residents has been greatly improved, and the catalogue of medicines in many areas has been greatly expanded. 

 

Prior to the integration, ningxia had a policy of about 57 percent of its residents' policies, compared with 53.59 percent of rural residents. In 2014, the proportion of urban and rural residents covered by the insurance policy was 66 percent. Beijing after the outpatient reimbursement policy, urban residents a year outpatient expenses top line is 2000 yuan, while the new farmers is 3000 yuan, according to the principle of health care treatment does not reduce, the policy after the merger, unity of outpatient expenses is 3000 yuan, urban residents hospitalized top line by 170000 yuan to 180000 yuan. 

 

In the course of the system, the management system has also been smoothed. Through coordinated arrangements, the unified management of urban and rural health care has been implemented, reducing the management and running costs of health care. In particular, other provinces have adopted different strategies in addition to the 24 provinces that have returned to their social sectors. If the medical insurance for the urban and rural residents in shaanxi province is managed by the health care center, the director of the health care center will be the director of the same level of reform in principle. Fujian province to establish a unified health care management system, set up provincial health care management committee, there are health care department daily work, do affiliated provincial departments of health, relatively independent operation. 

 

School of public management, tsinghua university professor Yang was said, "to establish a unified urban and rural residents health care system, to enhance the ability to help each other in all aid, medical insurance fund is conducive to play a fundamental role in health care on health reform, promote health care medical services for external incentive constraints, for the '3 d linkage' reform has laid a solid foundation." 

 

However, unified urban and rural health care system is only the first stage of reform. Experts in an interview with the economic information daily, reporter suggested, by establishing the financing mechanism of multiple class as a transition, prompt treatment of ginseng protect residents pay cost standard and enjoy index. "The integration of urban and rural residents medical insurance system and overall development, largely to gradually narrow the gap between urban and rural residents health care treatment. Set up multiple financing mechanisms, ginseng protect residents according to their own needs, economic strength, and intend to choose join class. With the increase of economic development, the income of urban and rural residents, and gradually achieve the urban worker health care and treatment of urban and rural residents health insurance payment and payment on the butt." He said. 

 

The experts say, health care merger is not a simple mechanism, the key is to clear function, integration function, the straightening out mechanism, to realize the objective of control cost at the same time, the standard medical behavior. It is suggested that the collective bargaining mechanism of health care agencies and medical services should be set up in the future.