医疗保障基金管理体制若干问题分析及政策选择.pdfVIP

第29卷第9期 卫生软科学 Vol.29 No.9 2015年9月 Soft Science of Health Sep.,2015 ● ● 医疗保险 医疗保障基金管理体制若干问题分析及政策选择 分 及 策 择 单大圣 （国务院发展研究中心，北京 100010） 摘 要：医疗保障基金是医疗保障制度的核心，完善医疗保障制度必须建立科学、合理的医疗保障基金管理体制。根 据中国国情，应建立独立于医疗保障行政管理部门的经办机构管理医疗保障基金，并按照准公共机构的形式运行。在 医疗保障基金的不同管理环节加强不同机构、部门的协作，积极稳妥提高基金统筹层次。 关键词：医疗保障；医疗保障基金；管理体制 中图分类号：F840.684 文献标志码：A 文章编号： 1003-2800（2015）09-0566-05 The problems analysis and policy choices of medical security fund administrative system SHAN Da-sheng (Development Research Center of the State Council, Beijing 100010, China) Abstract: Medical security fund is the key of medical security system. Thus, establishes scientific and rational administrative system of medical security fund to perfect medical security system. According to China’s condition, it needs to establish independent organization that takes charge of medical security fund in a quasi-NGO manner. And it is suggested that the collaboration among various organizations and departments should be enhanced in the administration of medical security, and the coordination criterion of medical security fund should be heightened. Key words: medical security, medical security fund, administrative system 医疗保障基金是医疗保障制度的核心，是医疗保障 欠发达国家最为明显。多数国家建立社会医疗保险的路 制度得以建立的物质基础。医疗保障制度的建立和运行， 径都是先在正规部门和发达地区建立独立的医保计划， 归根到底是医疗保障基金的计划、筹集、管理和支付的