论城乡居民基本医疗保险财政事权与支出责任划分

Study on the Division of Financial Power and Expenditure Responsibility for Urban and Rural Residents’ Basic Medical Insurance

明确医保事权与支出责任是推进医保治理现代化和提高治理能力的重要环节。作为一项重要的公共政策,我国城乡居民医保被确定为中央与地方共同事权,但在居民医保的发展中,仍然存在政府和个人责任不平衡、支出责任和事权不平衡、区域间财力不平衡等问题。面对这些问题,我国城乡居民医保事权与支出责任的划分需要与医保整合的需求相适应,明确各级政府的筹资责任和提升财政管理效率,完善政府转移支付制度,逐步提高医保统筹层次,促进多主体参与的同时实现责权利的平衡统一。

Clarifying financial power and expenditure responsibilities for medical insurance is an important part of promoting the modernization and capabilities of governance. As an important public policy, China’s urban and rural residents’ medical insurance has been determined to be the joint authority of the central and local governments. However, in the development of residents’ medical insurance, there are still imbalances in government and personal responsibilities, imbalances in expenditure and responsibilities, and imbalances in regional financial. Faced with these problems, the division of medical insurance financial power and expenditure responsibilities needs to meet the needs of medical insurance integration, clarify the funding responsibilities and improve the efficiency of financial management, promote the government transfer mechanism, gradually improve the level of medical insurance coordination, and achieve a balanced and unified responsibilities and rights between multiple subjects.