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福建省三明市于2014年将新型农村合作医疗与城镇居民基本医疗保险整合为城乡居民基本医疗保险,其做法有诸多亮点,最重要的是通过成立医疗保障基金管理中心有效实现医保整合;但也存在一些问题,主要体现在筹资缺乏科学性和基层能力不足方面。在接下来的改革中,需要通过科学测算调整筹资、补偿水平,并以“强基层”为突破口强化医保整合效果。
In 2014, Sanming City, Fujian Province, integrated the new rural cooperative medical system and urban residents ’basic medical insurance into basic urban and rural residents’ basic medical insurance. There are many bright spots in this practice. The most important thing is that medical insurance integration can be effectively implemented through setting up a medical protection fund management center. There are some problems, mainly reflected in the lack of scientific funding and lack of grassroots capacity. In the ensuing reform, it is necessary to adjust the funding and compensation levels through scientific calculations and strengthen the integration effect of medical insurance with the breakthrough of “strong grassroots”.