新形势下医保扶贫高质量发展:机制、困境与路径  

High-Quality Development of Health Insurance for Poverty Alleviation under the New Situation:Mechanism,Dilemma and Path

作　　者：董波 李寒旋 邢怡青 姜孟涵 DONG Bo;LI Hanxuan;XING Yiqing;JIANG Menghan(School of Political Science and Public Administration,Wuhan University,Wuhan Hubei 430064,China)

机构地区：[1]武汉大学政治与公共管理学院,湖北武汉430064 [2]山东中医药大学护理学院,山东济南250355

出　　处：《卫生经济研究》2023年第1期14-17,21,共5页

摘　　要：我国贫困治理进入以相对贫困为主要特征的后脱贫时代,医保扶贫面临的环境和形势发生了变化,对其提出了更高的要求。本文从医保筹资机制、待遇保障机制、支付方式改革、监管体系完善及形成保障合力等方面对完善医保扶贫政策进行了思考,为充分发挥医保在健康扶贫中防止致贫、阻断返贫、促进脱贫的作用提供思路。As China’s poverty governance enters a post-poverty eradication era with relative poverty as the main feature,the environment and situation facing health insurance poverty alleviation have changed,putting forward higher requirements for it.This paper considers the improvement of health insurance policies for poverty alleviation in terms of health insurance financing mechanism,treatment guarantee mechanism,payment reform,improvement of supervision system and improvement of reasonable protection,and provides ideas for giving full play to the role of health insurance in preventing poverty,blocking return to poverty and promoting poverty eradication in health poverty alleviation.

关 键 词：医保扶贫 高质量发展 待遇保障 贫困患者 

分 类 号：R19[医药卫生—卫生事业管理] F840.684[医药卫生—公共卫生与预防医学]