特大型城市的医疗保险改革在全国医疗保险改革中具有举足轻重的地位。本文重点分析了特大型城市医疗保险制度改革的特点和特殊矛盾,并提出,积极慎重推进改革,运用历史和长远的观点解决退休人员医保问题,实施灵活筹资政策,加快调整、优化卫生资源配置步伐,建立多种形式的补充保险制度等改革思路。 The medical insurance reform in extra-large cities plays a decisive role in the reform of the national medical insurance system. This article focuses on the characteristics and special contradictions of the reform of the medical insurance system in extra-large cities. It also proposes that prudently push forward the reform, use historical and long-term perspectives to solve the medical insurance problems for retirees, implement the flexible financing policy, speed up the adjustment and optimize the allocation of health resources , Establish a variety of forms of supplementary insurance system reform ideas.