近期,各地纷纷开展社会保障卡医保“一卡通”项目建设,这在一定程度上缓解了参保人员跨统筹地区就医难的问题。但“一卡通”不仅对信息技术提出了要求,同时也对现有医疗保险政策体系、管理经办规程带来了极大的挑战,特别是在不能打破现有医疗保险属地管理的前提下,实施“一卡通”面临着不 Recently, various places have carried out social security card medical insurance “Card ” project construction, which to some extent, to ease the problem of insured persons across the co-ordinating area medical treatment. However, not only does “Card” impose requirements on information technology, it also poses a great challenge to the existing medical insurance policy system and management procedures, especially under the premise that the existing medical insurance can not be broken down , The implementation of “One Card” is facing no