制度城乡并轨 服务城乡一体——基于苏州市的实践

To Integrate the Institution Construction and Incorporate Service System in Both Urban and Rural Aarea—Based on the Pratice of Suzhou

苏州市以实现城乡居民医保制度并轨为契机,同步推进职工医保与城乡居民医保服务一体化,建立起纵连四级的服务体系和"六到位"的村级社保平台,村级劳动保障服务站建站率、村劳动保障工作人员专职化率均达到100%,促进了医保公共服务均等化和规范化,提升了医保服务质量,促进全民医保体系日趋健全,医保质量不断提升。参保覆盖率达到99%以上。职工医保政策范围内住院费用支付比例达到90.78%以上,居民医保政策范围内住院费用支付比例达到75.96%。

To blend the medical insurance for residents in both urban and rural area,Suzhou compels the progress of integration in medical insurance service, builds up the service system containing quaternary structure and establishes a six-in one village-level social insurance platform.Every village has its Labor security service station with full-time attending staff, which promotes the course of equalization and standardization in public service of health insurance,improves the quality of service,strengthens the increasingly sound system of universal health care.More than 99 percents of residents have participated in medical insurance.The medical insurance funds pay more than 90.78 percents of hospitalization expense regulated by employee medical insurance policy. Respectively, 75.96 percents of hospitalization cost regulated by resident medical insurance policy is paid.