从医疗保险基金的角度论述我国医疗保障体系管理的关键环节及其存在的问题和对策是本文的主旨。筹集、分配和使用是医疗保险基金运行管理过程中的三个关键环节。每个环节都有问题存在,只要抓住关键制定科学对策,就能确保医疗保险基金的安全、完整和及时支付,保障我国医疗保障体系的健康发展。 From the perspective of medical insurance fund, the key link of our medical insurance system management and its existing problems and countermeasures are the main points of this article. Raising, distributing and using are the three key links in the operation and management of medical insurance fund. Each link has its own problems. So long as we grasp the key scientific measures, we can ensure the safety, completeness and timely payment of the medical insurance funds and ensure the healthy development of our medical insurance system.