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中国医疗保障发展报告(2021)

书 名: 中国医疗保障发展报告(2021)
英 文 名: ANNUAL REPORT ON CHINA’S HEALTH CARE DEVELOPMENT (2021)
作 者:  郑功成 申曙光
I S B N: 978-7-5201-9074-9
丛 书 名: 医疗保障蓝皮书 订阅
关 键 词:  医疗保健制度 医疗保障改革 医保治理现代化
出版日期: 2021-11-01

中文摘要

《中国医疗保障发展报告(2021):走向全面深化的医疗保障改革》梳理和剖析了2020~2021年中国医疗保障制度深化改革的进展。报告涵盖了对全面深化医疗保障制度改革的整体评价以及对医保扶贫、医保支付改革、异地就医结算、医用耗材招标采购、医保标准化建设和“三医”联动进展的评估,同时还客观地反映了广东省医保经办发展情况、四川省成都医保参保情况、陕西省重特大疾病医疗保障制度实践情况、江苏省做实基本医疗保险市级统筹的进展和浙江省医疗保障地方立法探索情况。报告分为总报告、专题篇、区域篇和附录四部分。通过本报告,可以观察到学界视角下我国全面深化医疗保障制度改革的深刻意义和实践效果,进而加深对推动医疗保障制度改革向纵深发展并最终全面建成中国特色医疗保障制度的了解与理解。

报告指出,目前,全面深化医疗保障制度尚处于初始阶段,但已经出台的改革举措及行动效果表明已经取得了多方面的重要进展,并正在释放出日益丰厚的改革红利。其中,中共中央、国务院发布的《关于深化医疗保障制度改革的意见》作为科学的顶层设计,为全面深化医保改革提供了行动指南;《医疗保障基金使用监督管理条例》的颁行,开启了医疗保障法治化大幕;改革职工医保个人账户的行动,表明国家开始矫正现行制度的内在缺陷;全面推进做实市级统筹并迈向省级统筹,意味着基本医疗保险制度的统一公平正在取得明显的实质性进展;药品、医用耗材集中带量采购使用常态化制度化及药品目录调整更加合理化,真正确立了医保的战略性购买地位并发挥出日益显著的作用;按疾病诊断相关分组(DRG)付费和按病种分值(DIP)付费及门诊付费方式的推进,发出了明确的医疗服务价值导向信号;建立待遇清单政策性文件出台,必定促进法定医保制度权益走向公平;疫情应对中一系列新政的出台,使医疗保障应急机制逐步建立;“惠民保”及此类业务在各地的兴起,表明积极推动商业健康保险发展找到了新的突破口;高起点推进规范化、标准化、信息化建设,正在扎实推动医保治理现代化;“三医”也因医保改革深化而更加紧密地联结在一起。正是这些重大改革进展,使我国医疗保障制度在没有大幅度增加公共投入的条件下,持续释放惠及制度发展和造福亿万人民的改革红利,包括:医疗保障发展理念、目标、路径更加清晰,医保改革不会再迟滞,更不会出现折腾现象和方向性错误;基本医疗保险制度的公平统一性与互助共济性显著增强,统筹保障能力持续提升;人民群众的重特大疾病负担得到实质性减轻,跨省异地就医直接结算已基本实现;医疗保障治理能力提升进入新境界。

报告同时也指出,全面深化医疗保障所面临的挑战不仅包括已经形成的利益失衡格局与路径依赖,以及各地行动的参差不齐,而且包括必须妥善应对利益格局深刻调整可能导致的社会风险、人口老龄化加速可能导致的医疗保障财务风险,城乡居民对完善医疗保障制度和加快构建多层次医疗保障体系的客观需要,以及“三医”联动对更好地发挥医疗保障作用的新要求。因此,医疗保障制度改革事实上进入了重塑利益格局的深水区。

报告建议,在全面深化医疗保障制度改革开局良好的条件下,面对现实问题与挑战,必须基于目标导向,切实树立起大局、全局意识,遵循系统集成、高效协同的原则,持续推动医疗保障制度改革向纵深发展。为此,需要进一步明确“十四五”“十五五”时期的阶段性目标任务,将加快优化现行基本医疗保险制度安排作为主攻方向,以中国特色的“惠民保”为突破口推动商业健康保险大发展,进而使多层次医疗保障体系建设取得实质性成效,同时加快建立全国统一的医保经办服务机制和医保信息平台,不失时机地促使医疗保障制度运行在法治化轨道上。

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