内蒙古自治区城乡居民大病保险运行现状分析

Analysis on the Operation Status of Catastrophic Medical Insurance for Urban and Rural Residents in Inner Mongolia Autonomous Region

目的:分析内蒙古自治区城乡居民大病保险运行情况,提出完善的对策建议,为相关部门决策提供依据。方法:采用描述统计中的对比分析法,从纵向和横向两方面分析内蒙古自治区城乡居民大病保险的现状。结果:内蒙古自治区城乡居民大病保险筹资水平较低,基金使用不合理,各盟市之间差异较大;全区整体个人医疗费用负担虽明显降低,但部分盟市大病患者医疗费用负担仍较重。结论:拓宽大病保险资金筹集渠道,提高筹资水平;建立省级统筹,合理设置补偿方案;积极推进支付方式改革,建立大病保险协商谈判机制,控制医疗费用不合理增长。

Objective:To analyze the operation of catastrophic medical insurance for urban and rural residents in Inner Mongolia Autonomous Region,and put forward perfect countermeasures and suggestions,so as to provide foundation for decision-making of relevant departments.Methods:The comparative analysis of descriptive statistics was used to analyze the current situation of Inner Mongolia Autonomous Region from both vertical and horizontal aspects.Results:The financing level of serious illness insurance for urban and rural residents in Inner Mongolia Autonomous Region was relatively low,and the use of funds was unreasonable.There were great differences among the league cities.Although the overall burden of personal medical expenses in the whole district had been significantly reduced,the burden of medical expenses for some of the major illnesses in Allied Cities was still heavy.Conclusion:Broadening the financing channels of major illness insurance and improving the financing level;establishing overall planning at the provincial level and setting up reasonable compensation schemes.It needed to actively promote the reform of payment methods,establish a negotiation mechanism for major illness insurance,and control the unreasonable growth of medical expenses.