基本医保跨省联网结算对建设全国统一社保公共服务平台的启示

The Enlightenment of the Medical Insurance Cross-provincial Network Settlement to the Construction of the Unified Social Insurance Public Service Platform

党的十九大报告要求建立全国统一的社会保险公共服务平台,这是党中央审时度势对更高质量、更高效率社会保险经办服务提出的新要求。建立全国统一社保公共服务平台是一个全新的命题,既是机遇,也是挑战。基本实现的跨省异地就医直接结算工程为分析全国统一的社会保险公共服务平台建设提供了难得的实践范例。本文从六方面分析跨省异地就医直接结算工程,提炼大平台共性特征,为分析建设全国统一大平台提供一个实践视角。

The nineteen report of the Communist Party of China calls for the establishment of a nationwide unified social insurance public service platform. This is the new requirement of the Central Committee of the CPC to improve the quality and efficiency of social insurance services. The establishment of a national unified social security public service platform is a new proposition, which is both an opportunity and a challenge. The basic implementation of the cross-provincial medical direct settlement project provides a rare practice example for the analysis of the national unified social insurance public service platform. From six aspects, this paper analyzes the cross-provincial direct settlement projects in different places, refines the common characteristics of large platforms, and provides a practical perspective for the analysis and construction of the national unified platform.