摘要
基本医保筹资作为我国基本医保制度的支柱和基础,“十四五”期间乃至更长时期必然以高质量发展为主题。为此,国家顶层设计已出台一系列政策措施,明确了改革发展的目标、原则和措施框架。但是我们能够看到,在实现改革发展目标过程中,新老问题相互交织,面临的经济社会发展环境将十分复杂多变,不确定性因素多发,医保制度本身又是复杂的系统性制度,有效应对各种挑战也将成为常态。为此,本文从医保制度顶层设计的系统目标,健康目标、经济负担和待遇公平的内在规律,重要变量的平衡关系等方面对把握好基本医保筹资进行阐述,探索建立基本医保筹资机制,构建保障适度、可持续的医疗保障体系。
As the pillar and foundation of China's basic medical insurance system,funding will inevitably focus on high-quality development during the 14th Five-Year Plan and more.Therefore,the national top-level design has issued a series of policies,clarifying the goals,principles and framework of measures for reform and development.However,in the process of realizing the goals of reform and development,new and old problems are intertwined,and the economic and social development environment will be very complex and changeable,and there will be many uncertain factors.The medical insurance system itself is a complex system.Addressing various challenges will also become the norm.For this reason,the paper expounds on grasping the basic medical insurance fi nancing from the aspects of the system goals of the top-level design of the medical insurance system,the internal laws of health goals,economic burden and fair treatment as well as the balance of important variables,and explores the establishment of a basic medical insurance fi nancing mechanism and a more appropriate and sustainable medical security system.
出处
《中国医疗保险》
2022年第5期5-7,共3页
China Health Insurance
关键词
基本医保
筹资
保障适度
basic medical insurance
fi nancing
moderate guarantee