职工医保门诊共济保障机制改革的现状分析和对策建议

作者: 李娟,王宗凡
日期: 2022-11-15
引用格式:李娟,王宗凡 . 职工医保门诊共济保障机制改革的现状分析和对策建议[J/OL]
. 兰州书刊.
https://kns.cnki.net/kcms/detail/62.1015.C.20221114.1448.014.html
中文摘要:建立健全职工基本医疗保险门诊共济保障机制是党中央、国务院关于深化医 疗保障制度改革的重要内容之一。去年,国务院办公厅印发了《关于建立健全职工基本医疗 保险门诊共济保障机制的指导意见》。时隔一年多,各地推进职工医保门诊共济保障机制改 革的现状如何,在政策设计上有哪些共同趋势和差异性?本文在搜集并梳理大量地方文件的 基础上,对 31 个省(直辖市、自治区)以及 32 个统筹地区的职工医保门诊共济保障政策进 行了比较分析,并进一步提出推进职工医保门诊共济保障机制改革的对策建议。
关键词:职工医保;门诊共济保障;现状分析;对策建议
Abstract:Establishing and improving the outpatient mutual aid security mechanism of basic medical insurance for employees is one of the important contents of the CPC Central Committee and the State Council on deepening the reform of the medical security system. Last year, the general office of the State Council issued the guiding opinions on establishing and improving the outpatient mutual aid security mechanism of basic medical insurance for employees. After more than a year, what is the current situation of promoting the reform in various regions, and what are the common trends and differences in policy design? On the basis of collecting and sorting out local documents, this paper compares and analyzes the outpatient mutual aid security policies in 31 provinces and 32 overall planning areas, and further puts forward countermeasures and suggestions to promote the reform of the outpatient mutual aid security mechanism.
Key Words: Employee medical insurance; the outpatient mutual aid security;current situation; countermeasures and suggestions