摘要
人口流动使得以户籍制度为基础的基本医疗保险制度在待遇给付时陷入"参保却不能报销"的困境,异地就医结算服务的实施不仅有利于确保人们享受基本医保待遇不受户籍与地域限制,而且对于推进基本医疗保险全国统筹具有重要意义。文章主要以基本医疗保险异地就医结算服务为研究对象,通过考察、分析海南省异地就医结算服务出台的背景、制度现状及实施情况,指出,异地就医结算服务对于打破基本医疗保险的地区割裂、实现全国统筹、实现参保人群的医保待遇具有重要意义;同时,这种异地就医结算还存在着受惠面小、程序繁琐、道德风险等问题。
Floating population makes the payment be difficult in basic medical insurance system based on household registration system. While the implementation of offset medical settlement can not only ensure the nationwide basic medical insurance,but also promote the overall national basic medical insurance system. The background and implementation of accounting of medical treatment in different places in Hainan Province were surveyed. Based on which,its significances can be concluded in breaking the separation of medical insurance system,realizing national financing and achieving the people＇s medical benefit. Meanwhile,there still had some problems such as limited benefit,complex procedure and moral risk.
出处
《中国卫生事业管理》
北大核心
2015年第3期197-200,共4页
Chinese Health Service Management
基金
教育部人文社会科学研究青年基金项目"城市社会分层结构影响社会福利的分析"(编号:11YJC840022)
海南大学科研启动基金资助项目"海南异地养老供给研究"(编号:kyqd1429)
关键词
基本医疗保险
异地就医结算
海南
basic medical insurance
offset medical settlement
Hainan
