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医院医保管理探究 被引量:2
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作者 朱蓉娟 《管理观察》 2015年第8期147-148,共2页
随着医保覆盖率的提高以及老龄化趋势的日益加剧,我国的医保面临着日益严重的医保资金压力,于是新的医保管理和医保控费的形式也日益多样。医改已是一个长期任务,参保人员成为最大就医群体,医保基金成为最大收入来源,规范医疗保险管理... 随着医保覆盖率的提高以及老龄化趋势的日益加剧,我国的医保面临着日益严重的医保资金压力,于是新的医保管理和医保控费的形式也日益多样。医改已是一个长期任务,参保人员成为最大就医群体,医保基金成为最大收入来源,规范医疗保险管理和服务,完善医保工作制度和管理,实现制度规范化、程序化,提升内涵建设和服务水平,促进医保和谐、健康、可持续发展,构建法治医保,是我们共同的责任。 展开更多
关键词 管理 规范疗行为 医保制度健康 可持续发展
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The Chinese Dream of a More Progressive Welfare State: Progress and Challenges
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作者 Kristian Kongshoj 《Fudan Journal of the Humanities and Social Sciences》 2015年第4期571-583,共13页
"The Chinese Dream" and its ideational precursors in official discourse touch upon issues of social policymaking. More specifically, official China has stated the goal of achieving a "moderate" or "appropriate" ... "The Chinese Dream" and its ideational precursors in official discourse touch upon issues of social policymaking. More specifically, official China has stated the goal of achieving a "moderate" or "appropriate" universal welfare state in order to mitigate increasing inequality and the individualization of social risk. Consequently, the new millennium witnessed a wave of social reforms in China's Mainland, the most significant of which were arguably within the policy fields of health insurance, pensions and unemployment protection. This paper reviews reform efforts within these three policy fields and discusses progress and looming challenges with the concept of universalism as the yardstick. From the perspective of universalism, the social right dimensions of coverage (the share of the population included), generosity (benefit levels or adequacy of welfare proved for those included) and financing (such as state, contributions or private) are quintessential. Coverage of social protection has increased significantly with new schemes in all three policy fields. The hukou divide in coverage of social insurance is not as pronounced as before, especially in health insurance. However, major challenges still persist. Declining benefit generosity or adequacy has been a tendency in both pensions and unemployment protection. The pension system also faces problems of financial fragmentation and unsustainability. The health insurance system is still inadequate in terms of protection against health risks, particularly serious or chronic illnesses. These issues are more pronounced in schemes catering to rural residents or urban residents outside the labor market. This reflects that schemes for urban workers are still much more generous. In this regard, recent tentative efforts to integrate the divided welfare system should be noted. 展开更多
关键词 China · Welfare · Social policy · Unemployment · Health · Pension
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