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整合城乡三项基本医保制度是决策高层、理论界和实务界的共识,各地方整合城乡医保的试点进行了多样化的制度模式探索,有共同经验,也遵循了医疗保障制度由制度碎片化走向制度统一的规律。但是,囿于地方政策的分设、管理的分割,城乡医保整合的试点又产生了更多新问题,诸如整合制度仍难逃碎片化命运、制度整合没有总体规划、缺乏整合目标、管理权顶层分割,基层进行管理权整合创新,提高管理效率走了样等。急需城乡医保制度整合目标的明确和总体医保制度框架的系统搭建。
The integration of the three basic medical insurance systems in urban and rural areas is the consensus of policy-makers, theorists and practitioners. Various pilot schemes for integrating medical insurance in urban and rural areas conducted diversified institutional models, shared common experience, and followed the trend toward fragmentation of the medical insurance system System of uniform law. However, there are still more new problems arising from the separation of local policies, the division of management and the pilots for the integration of urban-rural medical insurance. For example, the integrated system can not escape the fragmentation of fate. There is no overall plan for system integration, lack of integration goals, and top-level management , The grass-roots integration of management innovation, improve management efficiency go. Urgent need for integration of urban and rural medical insurance system and the overall goal of a clear system of medical insurance system framework set up.