[1]任 旭,丁锦希,李 伟.基金管理视角下基本医疗保险省级统筹模式研究[J].卫生经济研究,2026,43(06):45-48.
　REN Xu,DING Jinxi,LI Wei.Study on Provincial-Level Unified Management Model of Basic Medical Insurance Based on the Perspective of Fund Management[J].Journal Press of Health Economics Research,2026,43(06):45-48.
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基金管理视角下基本医疗保险省级统筹模式研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年06期
页码:
45-48
栏目:
医疗保障
出版日期:
2026-06-03

文章信息/Info

Title:
Study on Provincial-Level Unified Management Model of Basic Medical Insurance Based on the Perspective of Fund Management
作者:
任 旭1; 丁锦希1; 2; 李 伟1; 2
1.中国药科大学国际医药商学院，江苏 南京 211198
2.中国药科大学医药市场准入政策研究中心，江苏 南京 211198
Author(s):
REN Xu;  DING Jinxi;  LI Wei
School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing Jiangsu 211198, China
关键词:
基本医疗保险; 省级统筹; 基金管理
Keywords:
basic medical insurance;  provincial-level unified management;  fund management
分类号:
F840.684
文献标志码:
A
摘要:
目前，我国正在大力推进基本医保省级统筹，从基金管理的视角，可分为“统收统支”与“调剂金”两种模式，两者在实施条件、推进难度及适用范围等方面存在一定差异。目前尚未开展省级统筹的省份，起步阶段可优先采用“调剂金”模式，合理确定调剂金规模、明确调剂金分配条件、强化调剂金风险防控，同时，加强省级统筹与医保筹资待遇政策协同、与经办管理体制协同，稳步推动基本医保省级统筹。
Abstract:
At present, China is vigorously promoting the provincial-level unified management of basic medical insurance. From a fund management perspective, this can be divided into two models: "unified collection and expenditure" and "adjustment fund". The two models differ in terms of implementation conditions, difficulty of implementation, and scope of application. Provinces that have not yet implemented provincial-level unified management may prioritize the "adjustment fund" model in the initial stages. It is necessary to reasonably determine the scale of the reallocation fund, clarify the conditions for its distribution, and strengthen risk prevention and control measures. Concurrently, efforts should be made to enhance coordination between provincial-level unified management and policies regarding medical insurance financing and benefits, as well as with the administrative management system, so as to steadily advance the provincial-level unified management of basic medical insurance.

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更新日期/Last Update: 2026-06-03