东西部四城市城镇居民基本医疗保险方案对比分析

The Comparative Analysis of Urban Resident Basic Medical Insurance Schemes of Four Cities in Eastern and Western China

为分析城镇居民基本医疗保险方案在不同经济水平地区的特点和差异,选取东西部4个有代表性的城市,从参保人群、医保基金来源、筹资标准、费用补偿和就医管理等方面进行对比分析,探讨其制度设计中存在的不足并提出相应的政策建议,以为我国城镇居民基本医疗保险方案设计的进一步改进和完善提供参考。

In order to analyze the different characteristics of urban resident basic medical insurance scheme among regions of different economic level, four representative cities in eastern and western China are chosen and a comparative analysis is made in terms of people who have insurance, funding sources of medical insurance, financing level, reimbursement of expenditure, and management for referral. The disadvantages and relevant implications for policy-making were discussed for further improving the design of urban residents basic medical insurance scheme.