Urban and rural residents' medical insurance management is under the jurisdiction of human resources and social security department. What do authoritative experts say?

Source: Chu Fuling, Professor, School of insurance, Central University of Finance and economics, official website of the Ministry of human resources and social security, August 9, 2016: there are following reasons for conformity with the legal requirements of social insurance law, integration of urban residents' medical insurance system and the management of new rural cooperative to the human resources and social security department: first, it is an inevitable requirement to improve scale effect and reduce cost Because the human resources and social security department currently manages the basic medical insurance for employees, as well as the basic medical insurance for urban residents After the new rural cooperative medical system is unified to the human resources and social security department for management, this realizes the scale effect of the insurance system, that is, various costs in the early stage have been invested, such as the investment in network construction, and the investment in various handling facilities and personnel After the business of the new rural cooperative medical system is integrated, it only increases A module, or a module with urban residents' medical insurance, can be used without developing a new system, so it can achieve scale effect, save costs and improve efficiency, which is an internal requirement of the human resources and social sectors after the integration of urban residents' medical insurance and new rural cooperative medical system The second is the legal principle requirement of social insurance law Every social member will face multiple risks such as pension, work-related injury, unemployment and medical treatment If the medical insurance is specifically divided and managed by another department, the system will be separated, which is not in line with the spirit of unified management by the social security department stipulated by the social insurance law Therefore, if the three major medical insurance are divided, it will inevitably bring system fragments Therefore, it will also affect the overall promotion of social insurance, which is also contrary to the legal requirements of social insurance law This group of statistical data also further shows that it is a local choice to unify the urban and rural basic medical insurance system and be managed by the human resources and social security department, which can also be said to be everyone's choice Most provinces and regions choose the human resources and social sectors to manage this business, which can be said to be the result of democratic decision-making and the touchstone of public opinion The reason why the State Council document did not stipulate which department to manage at that time is also a decision-making option, which is also a kind of test Through the test, it is proved that most provinces think that the management of human resources and social security department can reduce costs and improve efficiency, conform to the law of large numbers of risk management, and more conform to the internal requirements of social insurance law Therefore, this data fully shows the necessity and inevitability of the human resources and social security department's management after the integration of the two medical insurance systems Yang Yansui, Professor, School of public management, Tsinghua University: a bottom-up exploration of health insurance reform As for the integration of urban and rural medical insurance, since the 18th National Congress of the Communist Party of China, the State Council has been emphasizing the integration, and has taken the initiative to integrate from the top to the bottom with the administrative means of the central government However, after a period of practice and investigation, it has been proved that this top-down administrative approach is different from the current actual situation, because China's medical insurance is a bottom-up overall planning model In other words, the county and city co-ordination is the first step, and the provincial co-ordination plays a role of adjustment, so the decision-making power of medical insurance is at the grass-roots level When the top-down reform path fails, the grass-roots level will choose the way Because the fund co-ordination is at the grass-roots level, the grass-roots level will choose the reasonable path according to the actual situation In the past three years, 32 There are 17 provinces, districts and cities that make it clear that urban and rural residents' medical insurance is managed by the human resources and social security department In terms of the number of provinces under centralized management, it seems to be in the upper hand, but in fact, it is absolutely in the upper hand in terms of the number of people Because there are more than 100 million provinces in these 17 provinces, it shows that medical insurance is a local overall planning, and in terms of specific management mode and path selection, Local governments have made their own choices according to the actual situation In the exploration of the management mode of medical insurance, the local government has become more and more clear, so it chose to put the integration of residents' medical insurance and the new rural cooperative medical system under the centralized management of the human resources and social security department This choice is correct and normal, it has been tested by practice, and it is promoted and formed from the bottom up, which is also the practice of social security system with Chinese characteristics at the grass-roots level Liang Hong, Dean of Fudan University's Institute of social development and public policy: what is the significance of integration? There are two main purposes for the integration of urban and rural residents' medical insurance system One is from the perspective of the role of our social security system, the purpose of social security system is essentially to establish a national security system Only the national security system can give full play to the social effect There are two main functions of the social security system The first is to achieve social equity through this construction and provide security for the people The second is to better promote the development of social economy, especially to promote employment security, which is the requirement of the overall social function of social security In terms of medical security, there are two specific requirements One is to meet the rights and interests of the insured and the medical personnel; the other is to reduce their medical and economic burden In this sense, this is our development goal We should focus on building an urban-rural overall medical insurance system The second is its practical significance Only after the urban-rural integration, can this system become fair and sustainable, and also can play the anti risk ability of its fund After the urban-rural integration, the cost of management and operation can be reduced more The system is more fair and effective; the overall coordination of the agencies in charge improves the efficiency of handling affairs, avoids the problem of repeated insurance participation, and will be more economical Zhu hengpeng, researcher of Institute of economics, Chinese Academy of Social Sciences: after integration, the masses can get these benefits First of all, the urban and rural residents are integrated to expand the insured population According to the law of large numbers, the risk pool of medical insurance fund will be expanded, the level of risk dispersion will be improved, the comprehensive guarantee ability will be improved, and the space for improving the medical insurance treatment of the insured will also be created; second, the integrated management and unified management will save the cost of management and management; third, this kind of behavior is more Fourth, it is also conducive to the negotiation between the medical insurance department as a group buyer and the medical department In addition, the integration of urban residents and the new rural cooperative medical system is also an essential step towards national health insurance For urban and rural residents, first of all, the integration of urban and rural residents' medical insurance follows the integration principle of "high treatment is not low, and the catalog is not wide but narrow" Among them, "the contents are wide, not narrow" It means that the direction is to move closer to the national basic medical insurance catalogue implemented by the large and urban residents' medical insurance, so that the scope of reimbursement is increased, which is an advantage of the urban and rural residents participating in the insurance; secondly, in the process of overall planning, the selection scope of residents' medical institutions will be expanded, which is also a real advantage; finally, in the process of population flow, the medical insurance will be separated from the medical insurance The problem of insurance has been alleviated