医保经办机构体制改革的思考

Thoughts on the Reform of the System of Medical Insurance Agency System

继医保行政管理体制改革之后,作为执行机构的医保经办机构体制同样需要改革。文章阐述了经办机构体制的基本概念、揭示了现行体制存在的主要弊端、分析了经办机构体制改革势在必行的趋势,比较了不同体制改革方案的可行性,从适应国情和利于医保发展出发,提出了体制改革的目标、原则以及与统筹层次、法治水平相匹配的第一步经办机构体制改革方案的建议。

Following the reform of the medical insurance administrative management system,the medical insurance agency system as the executing agency also needs reform.The article expounds the basic concepts of the system of the organization,reveals the main drawbacks of the existing system,analyzes the imperative trend of the institutional reform of the organization,compares the feasibility of diff erent institutional reforms.Starting from the development,it puts forward the objectives and principles of the system reform and the recommendations of the system reform plan for the fi rst step of the agency that matches the level of the overall planning and the level of the rule of law.