医疗保险制度运行和发挥功效的关键是医保基金。山东省淄博市在医保城乡统筹之后,考虑城乡居民收入存在差距,没有将农村居民的缴费水平与城镇居民直接接轨,同时将原城镇居民基本医疗保险中的基层首诊、双向转诊机制沿用到城乡居民基本医保中,并通过建立统一的城乡基本医疗保险信息管理系统,不断强化与改进基金管理、费用结算与控制、医疗行为管理与监督、参保单位和个人管理等业务功能,取得了明 The key to the operation and effectiveness of the medical insurance system is Medicare. Zibo City, Shandong Province, after the medical insurance in urban and rural areas, taking into account the income gap between urban and rural residents, rural residents do not pay the level of direct contact with urban residents, while the original basic medical insurance for urban residents in the first clinic, two-way referral mechanism used Through the establishment of a unified urban and rural basic medical insurance information management system, the Bank continued to strengthen and improve the business functions of fund management, cost accounting and control, medical behavior management and supervision, social insurance units and personal management,