High-quality development starts a new journey of medical security

Text | Xiao Xue, Secretary of the Party Leadership Group and Director of the Guangdong Medical Security Bureau

The Fifth Plenary Session of the Nineteenth Central Committee of the Communist Party of China was an important meeting of historical significance when my country made decisive achievements in building a well-off society in an all-round way and the "two centenary" entered the historical intersection.

Achievements in the development of medical security during the 13th Five-Year Plan period

During the "Thirteenth Five-Year Plan" period, the medical security system of Guangdong Province is guided by Xi Jinping’s new era of socialism with Chinese characteristics, and is guided by the 18th and 19th National Congress of the Communist Party of China and the 2nd, 3rd, 4th, and 5th Plenary Sessions of the 19th Central Committee of the Communist Party of China.

(1) The medical security management system has moved from departmental division to centralized and unified.

(2) The medical security system has become more complete.

(3) Fully exert the protection function of medical assistance.

(4) The level of medical security benefits continued to increase.

(5) Continuous improvement of medical insurance service capabilities.

(6) Medical security and service levels have been steadily improved.

(7) The supervision of medical insurance funds has achieved remarkable results.

(8) A diversified and compound medical insurance payment system is basically established.

(9) The "three medical" linkage reform has entered a new stage.

(10) Remarkable results have been achieved in response to the new crown epidemic.

Countermeasures and Suggestions for the Reform of the Medical Security System during the "14th Five-year Plan

During the "14th Five-Year Plan" period, my country has entered a new stage of development.

Steadily advance the reform of the medical insurance system.

Optimize the medical insurance ecological environment.
Strengthen the social governance of medical insurance, build a community of social governance in which everyone is responsible, everyone is responsible, and everyone enjoys, and form a good external ecological environment for medical insurance.
Focus on the formation of consensus and action coordination, fully mobilize all social forces to participate in medical insurance governance, and promote the formation of a self-resolving mechanism for conflicts; focus on the basic and leading role of medical insurance, actively promote the reform of the "three-medicine linkage", and give full play to the development of medical services In coordination with the guiding and basic role of health resource allocation, we will promote the in-depth development of the "three-medicine linkage" reform; focus on industrial development and benefit the masses, and actively promote the interaction of "management departments, medical institutions, manufacturing enterprises, and insured objects".
Promote and benign development; focus on teamwork, division of labor and collaboration, and be good at leveraging social wisdom and social forces in medical insurance system reform, medical insurance policy implementation, and public opinion formation to improve the social governance pattern of medical insurance co-construction, co-governance and sharing, and strengthen medical insurance services Skill building.

Comprehensively promote the construction of medical insurance under the rule of law.
Speeding up the formation of a legal system that is connected with the reform of medical security is conducive to a mature and finalized legal system.
Strengthen legislation in key areas of medical insurance, focus on establishing and improving mechanisms for benefit protection, fund-raising operations, medical insurance payment, fund supervision, etc.
, and introduce relevant local laws and regulations, and further improve relevant supporting systems, so that the basic medical insurance system is more mature and finalized, and the institutional framework is more standardized Unification, the system is more complete, the multi-subject consultation joint construction, co-governance and sharing mechanism has been further improved, the medical security legislation has achieved phased results, and the long-term fund supervision mechanism has basically been established.

Take multiple measures to ensure safe medical insurance.
The basic medical insurance fund management has been strengthened, the operation is safe and stable, the payment responsibilities of individuals, units, and the government are more balanced, the fund balance is reasonable, the risks are controllable, the multi-level medical insurance is connected in an orderly manner, and the burden of medical expenses for the masses is further reduced.