广西城乡不同医保制度衔接对策的思考.pdfVIP

第 24 卷第3 期 Vo l.24 No.3 医学与社会 • 20 • 2011 年3 月 Medicine and 广西城乡不同医保制度衔接对策的思考 曾庆鸿 .l..前强 广西医挑大学人文管理学院，陶宁，530021 摘要 通过对广两不间民保制度衔接现状与需求的分析，探讨H 前解决广西不问医保制度衔接的现实可行方案，提出 了引入医疗保险统筹缴费替代率系数，科学折算不同区保制度之间的缴费年限:道吗提高统筹层次:科学划转医保绕筹基金: 建立区内异地费用结算机制，科学有敛地解决好异地就臣费用结算问题:完善和现J~管理体制:越步推进社会保险背玛倍息 系统建设，推广使用统一的医保个人信息账户等配套措施和政策。 关键词 基本民疗保险:制度衔接:异地就医 中阁分类号民197.1 文献栋识码 A DOI. 1O.3870NXYSH.201 1.03.008 Reßection on the Cohesion Methods of Different Medical Insurance System in Guangxi Zeng Qinghong et al Gua.ngxí Mcdícal University, No础7íng， 53∞121 Abstract This sωdy analyzes different medical insurance sys忧ms convergence of the staωs quo and needs in Guangxi， ωexplore the reality options of solving to c町rent different medicaI insurance systems convergence. This study presents to introduce firstly health insurance coordinate contribution rate ofsubstitution coe衍icient， scientifically to convert pa归nent among the contribution Iimited year ofdi仔erent medi- caI insurance systems. Secondly we increase the overalllevel appropriately ,scientific co-ordinate the transfer ofmedical insurance 仙nds. Thir- dlywecons位uctaω5t ofsettlement among di衍注rent areas, scientific and e的ctive solution ωthe billing issues among the cost ofoff-site medi- cal care. And last we improve the management s位ucture， and 锣8dually promote the construction ofωcial insurance management information system, spread like a unified medical insurance personal information account to support measures and policies. Key words Basic medical insurance; Medical insurance systerns ωnvergence; Visit out翩。f-town hospital 现阶段，由于医疗保险关系转移接绩不畅， 疗保险基金累计姑