近年来,各省辖市大力推进基本医疗保险和生育保险市级统筹,取得积极成效。为深入贯彻落实《中共中央国务院关于深化医疗保障制度改革的意见》(中发〔2020〕5号)和省政府工作报告精神,进一步增强基本医疗保险和生育保险基金共济能力和抗风险能力,提升医疗保障效率,促进基本医疗保险和生育保险制度的公平性、可持续性,省政府办公厅印发了《关于全面实施基本医疗保险和生育保险市级统筹的意见》(以下简称《意见》),现将有关政策解读如下:
一、《意见》出台的背景
全面做实基本医疗保险市级统筹,是国家部署的深化医疗保障制度改革的重要任务,也是提高医保治理体系和治理能力现代化幸运飞艇软件的重要举措。今年,中共中央、国务院印发的《关于深化医疗保障制度改革的意见》(中发〔2020〕5号)明确要求,按照制度政策统一、基金统收统支、管理幸运飞艇软件一体的标准,全面做实基本医疗保险市地级统筹。2019年,国家医疗保障局、财政部联合印发了《关于做好2019年城乡居民基本医疗保障工作的通知》(医保发〔2019〕30号),要求做实城乡居民医保市级统筹。2020年,国家医疗保障局、财政部和国家税务总局联合印发的《关于做好2020年城乡居民基本医疗保障工作的通知》(医保发〔2020〕24号)也要求,要加大市地级统筹推进力度,建立基金市级调剂金的要尽快实现统收统支。国家医疗保障局印发的《贯彻实施<中共中央>重要举措分工方案》(医保发〔2020〕25号)也明确了全面做实基本医疗保险市级统筹的分工方案和完成时限。今年幸运飞艇软件省省政府工作报告中,也将做实基本医疗保险市级统筹列为保障和改革民生的一项重要任务。通过省辖市统筹区域内实行统一的保障范围、筹资政策、待遇水平,有利于增强制度公平性;通过扩大基金统筹范围,有利于提高基金统筹共济和抗风险能力;通过实现一体化经办,有利于提升管理幸运飞艇软件效能。
muqian,xingyunfeitingruanjianshengchengzhenzhigongjibenyiliaobaoxianhechengxiangjuminjibenyiliaobaoxianyijingjianlilediaojijinmoshixiadeshijitongchou。gejiyiliaobaozhangbumenchenglihou,yijubeizaiquanshengfanweineiquanmianzuoshishijitongchou、shixingshijijijintongshoutongzhideshijihetiaojian。zuoshishijitongchouhou,jijinjiangzaigengdadefanweineidiaojishiyong,tishengjijinfengxiangongjinengli,gengyouliyubaozhangcanbaorenyuandaiyu。tongshi,congwanshanheyouhuaquanshengyiliaobaozhangzhidutixi、yunxingjizhi、jichuzhichenghejingbanxingyunfeitingruanjiantixizheshou,zhubusuoxiaodiyuchabie,zaishiyufanweinei,qunzhongjianghuodegengjiagongpingdezhidufugai、gengkechixudeyiliaobaozhang、gengjiabianjiedexingyunfeitingruanjiantiyan,buduantishengquanshengrenmindehuodegan、xingfuganheanquangan。
二、《意见》的政策要点
幸运飞艇软件 zhuyaobaokuogongzuomubiao、gongzuorenwuhebaozhangcuoshisangebufen。
zhuyaomubiaoshiyixijinpingxinshidaizhongguoteseshehuizhuyisixiangweizhidao,jianchizhengfuzhudao、weihugongping、fengxiangongji、zerenfendan、pingwenguodudejibenyuanze,zuoshijibenyiliaobaoxianheshengyubaoxianshijitongchou,zai2021nian12yue31riqianquanmianshixiangeshengxiashineijibenyiliaobaoxian(hanzhigongdaeyiliaofeibuchongbaoxian)heshengyubaoxianjibenzhengce、daiyubiaozhun、jijinguanli、jingbanguanli、dingdianguanli、xinxixitongde“liutongyi”。
gongzuorenwushiweirao“liutongyi”,hexinshishixianjijintongshoutongzhi。yishitongyijibenzhengce,geshengxiashiyaogenjudangdijingjishehuifazhanzhuangkuang,wanshanquanshitongyidejibenyiliaobaoxian(hanzhigongdaeyiliaofeibuchongbaoxian)heshengyubaoxianzhengce。ershitongyidaiyubiaozhun,geshengxiashiyaoguanchezhixingyiliaobaozhangdaiyuqingdanzhidu,shixianshiyuneiyiliaobaozhangdaiyubiaozhuntongyi。sanshitongyijijinguanli,quanmianshixianjijinshijitongshoutongzhi,tongyiyujuesuanguanli。sishitongyijingbanguanli,geshengxiashizhidingbingzhixingtongyidejibenyiliaobaoxianheshengyubaoxianyewujingbangongzuoliuchenghexingyunfeitingruanjianguifan,tuijinyiliaobaozhangyizhanshixingyunfeitingruanjian、yichuangkoubanli、yidanzhijiesuan。wushitongyidingdianguanli,geshengxiashizhidingbingzhixingtongyidedingdianyiyaojigouxieyiguanlibanfa,shixingfenjifenlei、jingxihuaguanli。liushitongyixinxixitong,anzhaoquanshengyiliaobaozhangxinxihuaxingyunfeitingruanjiandetongyianpaibushu,goujiantongyi、gaoxiao、jianrong、bianjie、anquandeyibaoxinxixitong,shixianshujuxiangshangjizhong、xingyunfeitingruanjianxiangxiayanshen,manzujijintongshoutongzhiguanliyaoqiu。
幸运飞艇软件 baozhangcuoshiyishiyaoluoshizhutizeren,yaojianliduixian(shi、qu)dekaohepingjiajizhi,xihuafenjiegexiangmubiaorenwubingducushishi。ershimingquebumenzhize。gejiyiliaobaozhang、caizheng、shuiwu、shenjidengbumenyaogesiqizhi、xiediaopeihe,xingchenggongzuoheli。sanshiqianghuajijinjianguan,yanlidajiqizhapianbaoxingwei,jianlijianquanjijinguanlineikongzhiduhejijinyunxingfengxianyujingjizhi,weihujijinanquan。sishijiaqiangxuanchuanyindao。jishihuiyingshehuiguanqie,qieshirangguangdaqunzhonglejiezhengce、zhichizhengce、dedaoshihui。