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《关于加强和改进基本医疗保险参保工作的指导意见》政策解读

发布时间: 2019-10-10     选择阅读字号: [ ]     阅读次数: 0

 

一、政策背景

bbin官方CANBAOGONGZUOSHIJIBENYILIAOBAOXIANDEJICHUXINGGONGZUO。WOGUOJIBENYILIAOBAOXIANZHIDUJIANLIYILAI,TEBIESHIQUANMINCANBAOJIHUASHISHIYILAI,CANBAOFUGAILVYIZHIBAOCHIZAI95%YISHANGDEJIAOGAOSHUIPING,WEIBAOZHANGGONGMINYIFAXIANGYOUJIBENYIBAOQUANYIFAHUILEZHONGYAOZUOYONG。

JINGJISHEHUIFAZHANJINRUXINJIEDUANHOU,CANBAOGONGZUOMIANLINXINDEXINGSHI,ZHUYAOTIXIANZAI: YISHIRENKOULIUDONGHEJIUYEXINGTAIDUOYANGHUADUICANBAOGONGZUOTICHUGENGGAOYAOQIU。XINXINGCHENGZHENHUASHENRUTUIJIN,RENKOUZAICHENGXIANGZHIJIAN、QUYUZHIJIANPINFANLIUDONG,XINJIUYEXINGTAIBUDUANZENGJIA,CANBAOGONGZUOBIXUSHIYINGJINGJIJIUYEFAZHANXINBIANHUA,WEIZHONGDIANRENQUN、XINJIUYEXINGTAICONGYERENYUANTIGONGGENGJIAYOUZHIDEbbinGUANFANG,GENGHAOCUJINRENKOUHELIYOUXULIUDONG。ERSHIYILIAOBAOZHANGGAOZHILIANGFAZHANYAOQIUBUDUANWANSHANCANBAOGONGZUO,BIXUGENGJIAZHUZHONGTIGAOCANBAOZHILIANG,JINYIBUGUIFANJICHUXINXICAIJI、TIGAOXINXIZHILIANG、TONGYIXIAOYANGUIZE,JIANSHAOBUBIYAODEZHONGFUCANBAO,WEIYILIAOBAOZHANGGAOZHILIANGFAZHANDIANDINGJICHU。SANSHIYIBAOXINXIHUAbbinGUANFANGWEIJIAQIANGHEGAIJINCANBAOGONGZUOCHUANGZAOLETIAOJIAN。SUIZHEQUANGUOTONGYIDEYILIAOBAOZHANGXINXIPINGTAIbbinGUANFANGSHENRUTUIJINYIJIYIBAODIANZIPINGZHENGDEGUANGFANTUIGUANG,QUANGUOYILIAOBAOZHANGXITONGJIANGZHUBUSHIXIANQUANGUOCANBAOXINXISHISHICHAXUNGONGNENG,WEIGENGJIAJINGZHUNZHIDINGZHENGCE、JINGXIHUATIGONGbbinGUANFANGTIGONGJISHUZHICHENG。WEICI,GUOJIAYIBAOJUHUITONGCAIZHENGBU、SHUIWUZONGJUYANJIUZHIDINGLE《ZHIDAOYIJIAN》,YIJINYIBUTISHENGCANBAOJIAOFEIbbinGUANFANG,WENTUOYOUXUQINGLIZHONGFUCANBAO,JIANHAOGUOJIAYILIAOBAOZHANGXINXIPINGTAIJICHUXINXIGUANLIZIXITONG,TUIDONGCANBAOGONGZUOGENGJIABIANMINGAOXIAO、FANGBIANKUAIJIE。

二、主要原则和目标

bbin官方《ZHIDAOYIJIAN》TICHULESIXIANGYUANZE: YISHIJIANCHIQUANMIANFUGAI,BUQIDUANBAN。LUOSHIQUANMINCANBAOJIHUAHEYIFACANBAOYAOQIU,ZHEYANBAOJIBEN、QUANFUGAI,YOUZHENDUIXINGJIAQIANGZHONGDIANRENQUN、KUNNANRENQUNCANBAOJIAOFEIbbinGUANFANG,GAIJINCANBAOBORUOHUANJIEbbinGUANFANG。ERSHIJIANCHIFENLEIWANSHAN,JINGZHUNSHICE。DUIJIANDANGLIKAPINKUNRENKOU、XUESHENG、XINSHENGER、JIAOFEIZHONGDUANRENYUANDENGCANBAODUIXIANG,GENJUSHIJIQINGKUANG,BUGAO“YIDAOQIE”,FENLEIZHIDINGZHENDUIXINGZHENGCE,BAOZHANGHELIDAIYU。SANSHIJIANCHIYOUHUAbbinGUANFANG,BAOZHANGDAIYU。CHIXUJIAQIANGCANBAOZHENGCEXUANCHUAN,TISHENGCANBAOBIANMINbbinGUANFANG,BAOZHANGCANBAORENYIFAXIANGYOUJIBENYILIAOBAOZHANGDAIYU,ZENGQIANGQUNZHONGHUODEGAN。SISHIJIANCHIJISHUZHICHENG,TIGAOZHILIANG。YITUOQUANGUOYILIAOBAOZHANGXINXIPINGTAIJICHUXINXIGUANLIZIXITONGCANBAOGONGNENGMOKUAI,QINGLIWUXIAO、XUJIA、ZHONGFUSHUJU,SHISHISHIBIECANBAORENCANBAOJIAOFEIZHUANGTAI,TISHENGCANBAOZHILIANG。

bbin官方《ZHIDAOYIJIAN》TICHULEJIEDUANXINGMUBIAO: ZI2021NIANCANBAONIANDUQI,QUANGUOCANBAOXINXISHIXIANHULIANHUTONG、DONGTAIGENGXIN、SHISHICHAXUN,CANBAOXINXIZHILIANGMINGXIANTISHENG;DAO2025NIAN,JIBENYIBAOCANBAOLVWENZHONGYOUSHENG,GUANLIFANWEISHUIPINGMINGXIANTISHENG,QUNZHONGHUODEGANMANYIDUCHIXUZENGQIANG。

三、重点任务

《ZHIDAOYIJIAN》TICHULIUXIANGZHUYAOGONGZUORENWU,FENBIESHIHELISHEDINGCANBAOKUOMIANMUBIAO、LUOSHICANBAOJIAOFEIZHENGCE、ZUOHAOKUAZHIDUCANBAODEDAIYUXIANJIE、YOUXUQINGLIZHONGFUCANBAO、WANSHANGERENCANBAOJIAOFEIbbinGUANFANGJIZHI、JIAQIANGCAIZHENGBUZHUZIJINGUANLIbbinGUANFANG。

QIZHONG,YISHISHOUCITICHUZHONGFUCANBAODEJIEDINGJICHULIYUANZE。MINGQUEYUANZESHANGBUYUNXUZHONGFUCANBAO,ZHICHUZHONGFUCANBAOZHITONGYICANBAORENZHONGFUCANJIATONGYIJIBENYILIAOBAOXIANZHIDU(ZHIDUNEIZHONGFUCANBAO)HUOZHONGFUCANJIABUTONGJIBENYILIAOBAOXIANZHIDU(KUAZHIDUZHONGFUCANBAO),JUTIBIAOXIANWEITONGYISHIJIANDUANNEITONGYICANBAORENYOULIANGTIAOJIYISHANGCANBAOJIAOFEIZHUANGTAIZHENGCHANGDECANBAOXINXIJILU。TICHULEZHIDUNEIZHONGFUCANBAO、KUAZHIDUZHONGFUCANBAODECHULIYUANZE。ERSHIJINYIBUMINGQUELEKUAZHIDUCANBAODEDAIYUXIANJIEYUANZE。WEIBIMIANCANBAORENSHENFENQIEHUANSHICHUXIANDAIYUKONGBAIQI,《YIJIAN》TICHUCANBAORENYILIANXU2NIAN(HAN2NIAN)YISHANGCANJIAJIBENYILIAOBAOXIANDE,YINJIUYEDENGGERENZHUANGTAIBIANHUAZAIZHIGONGYIBAOHEJUMINYIBAOJIANQIEHUANCANBAOGUANXIDE,QIEZHONGDUANJIAOFEISHIJIANBUCHAOGUO3GEYUEDE,JIAOFEIHOUJIKEZHENGCHANGXIANGSHOUDAIYU,QUEBAOCANBAORENDAIYUWUFENGXIANJIE。ZHONGDUANJIAOFEISHIJIANCHAOGUO3GEYUEDE,GETONGCHOUQUKEGENJUZISHENQINGKUANGSHEZHIBUCHAOGUO6GEYUEDEDAIYUXIANGSHOUDENGDAIQI。DAIYUXIANGSHOUQIMANHOUZANTINGYUANCANBAOGUANXI。SANSHIJINYIBUMINGQUELEGERENCANBAOJIAOFEIbbinGUANFANGJIZHI。ZAIJIAOFEIbbinGUANFANGFANGMIAN,TICHUYAOLIYONGGUOJIATONGYIYIBAOXINXIPINGTAIJICHUXINXIGUANLIZIXITONGSHISHIHEDUICANBAORENCANBAOQINGKUANG。JIADACANBAOJIAOFEIXUANCHUANLIDU,TUOZHANDUOYANGHUADECANBAOJIAOFEIQUDAO,BUDUANTIGAOCANBAOJIAOFEIbbinGUANFANGBIANLIXING。MINGQUELEDUIYUTUIFEIDECHULIYUANZE,DUIJUMINYIBAO,DAIYUXIANGSHOUQIMEIYOUKAISHIQIANZHONGFUJIAOFEIDEKEYITUIFEI;DAIYUXIANGSHOUQIKAISHIHOU,ZANTINGDECANBAOGUANXIBUZAITUIFEI,ZHUYAOKAOLVSHIQICANBAOGUANXIMEIYOUZHONGZHI,KEYISUISHIGENJUXUYAOHUIFUDAIYUXIANGSHOU,BIANYUCANBAORENGENJUZISHENJIUYEZHUANGTAIBIANHUA,WENDINGLIANXUXIANGSHOUDAIYU。QIYUQINGKUANGYOUSHENGJIYILIAOBAOZHANGBUMENHUITONGXIANGGUANBUMEN,QUEDINGKEYITUIFEIHEBUYUTUIFEIDEJUTIQINGXING。SISHITICHUJIAQIANGCAIZHENGBUZHUZIJINGUANLI。CHUDAZHONGZHUANXUESHENGRUXUEDANGNIANZHONGFUCANJIAJUMINYIBAOQINGXINGWAI,QITAZHONGFUCANJIAJUMINYIBAODE,XUZHONGZHIXIANGGUANJUMINYIBAOCANBAOGUANXI,BINGKOUJIANZHONGFUCANBAODANGNIANSHEJIDEGEJICAIZHENGBUZHUZIJIN。KUAZHIDUZHONGFUCANBAOQIELIANXUCANJIAZHIGONGYIBAOYINIANYISHANG(HANYINIAN)、CANBAOJIAOFEIZHUANGTAIZHENGCHANGDE,ZAIANBENYIJIANGUIDINGDEYUANZECHULIHOUKOUJIANZHONGFUCANBAODANGNIANJUMINYIBAODEGEJICAIZHENGBUZHUZIJIN。

四、加强改进重点人群参保缴费bbin官方

bbin官方《ZHIDAOYIJIAN》JINYIBUMINGQUELEZHONGDIANRENQUNDECANBAOJIAOFEIZHENGCE,BAOKUOJIANDANGLIKAPINKUNRENKOU、DAZHONGZHUANXUESHENG(HANQUANRIZHIYANJIUSHENG)、XINSHENGER、TUIYIJUNREN、DUANQIJIJIEXINGWUGONGRENYUANJILINGHUOJIUYERENYUAN、BEIZHENGDINONGMINDENG。

QIZHONG,DUIYUJIANDANGLIKAPINKUNRENKOU,WEIQUEBAOWENDINGTUOPIN,ZAIZHIGONGYIBAOHEJUMINYIBAOZHIJIANQIEHUANCANBAO、ZHUANYIJIEXUCANBAOGUANXISHI,BUSHEDENGDAIQI,BUSHOUJUMINYIBAOGUIDINGJIAOFEISHIJIANXIANZHI,ZAICANBAOJIAOFEIHOU,JIKEXIANGSHOUXIANGYINGDAIYU,YILIAOBAOZHANGJINGBANJIGOUYINGJISHIZANTINGYUANCANBAOGUANXI。DUIYUDAZHONGZHUANXUESHENG,GULIZAIXUEJIDICANBAO,ZHICHIJUBEITIAOJIANDETONGCHOUDIQUZAIQUEBAOYUXUESHENGYUANCANBAODIYILIAOBAOXIANDAIYUWUFENGXIANJIEDEQIANTIXIA,JIANGDAZHONGZHUANXUESHENGCANJIAJUMINYIBAODECANBAOJIAOFEIQICONGXUENIANDIAOZHENGWEIZIRANNIANDU,ZUOCHUDIAOZHENGDETONGCHOUDIQUXUESHENGZAIRUXUEDANGNIANXUEJIDIRUFASHENGYILIAOFEIYONG,CAIYONGYIDIJIUYIZHIJIEJIESUANBAOXIAOFEIYONG,BAOXIAOBILIBUSHOUZHUANWAIJIUYIDIAOJIANBILIGUIDINGXIANZHI。DUIYUXINSHENGER,GUIFANCANBAODENGJI,YAOQIUSHIYONGXINSHENGERBENRENZHENSHIXINGMINGHESHENFENZHENGMING,YUANZESHANGXINSHENGERCHUSHENGHOU90TIANNEIYOUJIANHURENANXIANGGUANGUIDINGBANLICANBAODENGJI,ZICHUSHENGZHIRIQIFASHENGDEYILIAOFEIYONGJUNKENARUYIBAOBAOXIAO。DUIYUDUANQIJIJIEXINGWUGONGRENYUANJILINGHUOJIUYERENYUAN,KAOLVDAOCANBAOGUANXIPINFANZHUANHUAN,WEIQUEBAODAIYUYOUXIAOXIANJIE,《ZHIDAOYIJIAN》TICHUXIANGSHOUXINCANBAODECANBAOGUANXI、ZANTINGYUANCANBAOGUANXI(BUZUOZHONGZHI)DECHULIBANFA,BAOZHANGHELIDAIYUXUQIU。

链接: 国家医保局 财政部 国家税务总局关于加强和改进基本医疗保险参保工作的指导意见

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