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1998年国务院正式决定建立的城镇职工基本医疗保险制度规定,所有用人单位都要按照属地原则参加统筹地区的基本医疗保险,执行统一政策,实行基本医疗保险基金统一筹集、使用和管理。但铁路、电力等跨地区、生产流动性较大的企业,可以相对集中的方式异地参加统筹地区的基本医疗保险制度。基本医疗保险的这些规定,对于控制医疗费用,提高企业竞争力等都起到了积极作用。但一些高度流动的企业在参加地方医疗保险后,则在实际操作中出现了系列亟待解决的问题。
The system of basic medical insurance for urban workers formally decided by the State Council in 1998 stipulated that all employers should participate in the basic medical insurance for overall planning in accordance with the principle of territoriality and implement a unified policy to implement the unified collection, use and management of the basic medical insurance fund. However, enterprises such as railways and electric power that cross the regions and produce more liquidity may participate in the overall system of basic medical insurance in a relatively centralized manner in different places. These provisions of basic medical insurance have played a positive role in controlling medical expenses and enhancing the competitiveness of enterprises. However, some highly mobile enterprises are participating in the local medical insurance, then in practice there have been a series of problems to be solved urgently.