“‘十一五’时期探索建立面向全体城镇居民的医疗保障制度,逐步实现人人享有基本医疗保障”成为医保改革新的历史起点和发展阶段。作为全国医保改革的先行者之一,江苏一些地区已经走出了探索之路。初步建立起适合江苏省情的城镇多层次医疗保障体系,覆盖范围从城镇就业人群逐步向城镇居民拓展。笔者认为,江苏经过10多年的积极探索,在医保覆盖人群上实现了“三个打破、三个拓展”。“三个打破”:一是适应所有制结构多元化发展的趋势,打破所有制的界 During the “Eleventh Five-Year Plan” period, we will explore and establish a medical security system for all urban residents, and gradually realize that everyone enjoys basic medical security and “a new historical starting point and development stage for the reform of medical insurance. As one of the forerunners in the national health insurance reform, some areas in Jiangsu have already embarked on a path of exploration. A multi-level urban medical security system suitable for Jiangsu’s situation has been initially established. The coverage has gradually expanded from the urban employment population to urban residents. The author believes that after more than 10 years of active exploration, Jiangsu has achieved “three breaks and three expansions” in the medical insurance coverage. “Three Breakthroughs”: First, to adapt to the diversified development trend of the ownership structure, to break the world of ownership