美国医疗救助制度及其启示

Medicaid System in U.S. and Its Enlightenment

美国医疗救助制度为脆弱人群搭建起医疗保健安全网,在提高医疗保健服务可及性方面发挥了重要作用。美国医疗救助制度成功的原因在于福利给付的针对性、资金来源的稳定性以及支付方式的多样性;对处于发展初期的中国医疗救助制度而言,美国经验值得学习和借鉴。基于此,我们提出中国医疗救助制度改革的政策建议:为脆弱人群建立有针对性的医疗救助制度;坚持以政府为责任主体的筹资模式;提供基本保健与大病医疗相结合的医疗救助服务;确立补需方与补供方相结合、灵活多样的支付方式。

Medicaid general and high-quality system of U. S. offers a secure health nets for the poor through providing a services. We believe that the success of Medicaid in U.S. depends on its independent system design, constant funding supply and diversified payment system. Chinese medical assistance is at the initial stage. So we can learn experiences from U. S. We propose several suggestions about the reform of medical assistance in China.. build a targeted medical assistance system for the vulnerable groups; establish a funding system mainly depending on the governments; provide medical services both for the primary health care and serious illness; establish a reimbursement model both for the demand-side and supply-side and design flexible payment system.