“放管服”背景下广西异地就医监管的困境与对策

The Dilemma and Countermeasures of Guangxi Medical Supervision in Different Places under the Background of “Streamline Administration, Delegate Power, Strengthen Regulation and Improve Services”

“放管服”高质量发展是建设现代化体系的必由之路。为促进“放管服”高质量发展和广西医保体制改革升级,广西异地就医作为一项社会公共事务亟待加强监管。因此要通过政府顶层设计,以降低异地就医监管漏洞风险,渐进修正异地就医无序监管问题。在此基础上提出要完善异地就医基金监管,今后积极创造条件逐渐深化医保支付方式改革,调整社会特殊群体基本医保待遇,完善信息管理网络的对策,进一步降低监管模糊性和冲突性。

The high-quality development of “decentralization, management and service” is the only way to build a modern system.In order to promote the high-quality development of “decentralization, management and service” and the reform and upgrading of Guangxi’s medical insurance system, as a social public affair, it is urgent to strengthen supervision of medical treatment in Guangxi.Therefore, it is necessary to adopt the top-level design of the government to reduce the risk of loopholes in the supervision of medical treatment in different places, and gradually correct the problem of disorderly supervision of medical treatment in different places. On this basis, it is proposed to improve the supervision of medical care funds in different places, actively create conditions to gradually deepen the reform of medical insurance payment methods, adjust the basic medical insurance benefits of social special groups, improve the information management network, and further reduce the ambiguity and conflict of supervision.