17 provinces realize the unified management of people's and Society for universal medical insurance

Source: since the issuance of the opinions of the State Council on the integration of basic medical insurance system for urban and rural residents issued by the Ministry of human resources and social security on July 29, 2016, Hebei, Hubei, Inner Mongolia, Jiangxi, Xinjiang, Beijing, Hunan, Guangxi, etc 8 Provinces (autonomous regions, municipalities directly under the central government) have officially issued documents to plan and deploy the integration of the medical insurance system for urban and rural residents in the province, and completed the task requirements of the State Council for the first half of the integration of the system as scheduled The above eight provinces have made plans and arrangements for comprehensively promoting the integration of the system from the overall consideration of rationalizing the system, integrating the system and improving the efficiency First, it is clearly proposed that the new rural cooperative management function undertaken by the health and family planning department and the urban residents' medical insurance management function managed by the human resources and social security department should be merged and managed by the human resources and social security department Second, in accordance with the requirements of the "six unifications" document of the State Council, requirements are put forward for the comprehensive establishment of a unified basic medical insurance system for urban and rural residents through the integration of urban residents' medical insurance system and the new rural cooperative medical system The third is to make clear the division of tasks, schedule and roadmap of the integration work, and at the same time put forward specific requirements to ensure the smooth and orderly progress of the integration work Up to now, among 32 provinces, districts and cities (including XPCC), 8 provinces, Hebei, Hubei, Inner Mongolia, Jiangxi, Xinjiang, Beijing, Hunan and Guangxi, have issued integration plans, and 9 provinces, Tianjin, Shanghai, Zhejiang, Shandong, Guangdong, Chongqing, Ningxia, Qinghai and XPCC, have fully realized system integration before the release of the State Council documents All provinces have broken through the system and mechanism barriers of urban-rural division of medical insurance, clearly classified the integrated basic medical insurance system of urban and rural residents into the management of human resources and social security departments, and realized the unified management of the basic medical insurance system of the whole people and the whole social insurance system, which fully shows the high consensus of the local Party committee and government on the unified medical insurance management system and the social security with Chinese characteristics Deep understanding of the system From the perspective of local practice, the effect of system integration is remarkable: first, the masses generally get benefits, and the sense of reform gains is enhanced In practice, all localities adopt the idea of "payment is low, treatment is high, content is wide, and content is narrow" The fairness of the residents' medical insurance system is significantly enhanced, especially the utilization level and security level of rural residents' medical services are generally improved The second is to improve the efficiency of public services and reduce administrative costs Relying on the public service system of social insurance, it has realized the integrated management services of insurance registration, fund collection, rights and interests record, treatment payment, etc., avoided the repeated investment and multiple construction, and reduced the repeated insurance and repeated subsidies In Shandong Province alone, 2.5 million people were excluded from repeated insurance, saving more than 800 million yuan of financial repeated subsidies in that year Third, the ability of mutual assistance and mutual aid of medical insurance funds has been enhanced, which is conducive to the basic role of medical insurance in medical reform All localities pay attention to the law of social medical insurance system, promote the external incentive and restriction of medical insurance on medical services, and provide a solid foundation for the three medical linkage reform