加速补齐医保治理的短板——基于对部分统筹地区应保未保、重复参保情况的调研  

Accelerate to Make Up for the Shortcomings of Healthcare Security Governance——Based on the Investigation of the Situation of the Uninsured and the Repeated Insured in Some Overall Planning Areas

作　　者：谭中和 Tan Zhonghe(China Academy of Labor and Social Security,Beijing,100029)

机构地区：[1]中国劳动和社会保障科学研究院

出　　处：《中国医疗保险》2020年第1期32-37,共6页China Health Insurance

摘　　要：研究发现,我国基本医疗保险还存在大约13.1%的人应保未保、7.8%的人重复参保。应保未保与重复参保相交织、缴费时断时续并存。这些问题主要发生在流动就业人员、新业态平台就业人员和婴幼儿群体。建议深化医疗保障制度改革,建立统一的不分职工还是居民、不论收入高低覆盖全民的制度体系。实现按家庭参保,并按家庭收入和财富缴费,单位按支付工资总额缴费;对居民参保不再实行缴费补贴,而是针对家庭收入和财富等实行家计调查的待遇补贴;婴儿及儿童适时实行免费医疗。同时,建立居民家庭财产核查、多方参与治理和多渠道筹资的医疗保险体制机制。It is found that about 13.1%of the basic medical insurance in China should not be covered and 7.8%of them should be covered repeatedly.It mainly occurs in fl oating employees,new business platform employees and infant groups.It is suggested that we should deepen the reform of the healthcare security system and establish a unifi ed system that covers the whole people regardless of their income.Insured by family,and paid according to family income and wealth.It is no longer subsidized for the residents to participate in the insurance,but for the family income and wealth to carry out family planning investigation.Free medical care for infants and children.At the same time,we should establish the medical insurance system and mechanism of household property verifi cation,multi-party participation in governance and multi-channel fi nancing.

关 键 词：应保未保 重复参保 按家庭参保 医保治理体系和治理能力现代化 

分 类 号：F840.684[经济管理—保险] C913.7[社会学]