Study On JiangSu Urban-rural Medical Security System

Put forward the Third Plenary Session of the 18th CPC, two structure in urban and rural areas is the main obstacle to the integration of urban and rural development. We must improve the systems and mechanisms, urban and rural basic medical security system, the establishment of a more equitable and sustainable social security system, make farmers participate equally in the process of modernization, to share the results of modernization.China’s current medical insurance system includes a support basic medical insurance for urban employees, basic medical insurance for urban residents and the new rural cooperative medical system in the three, the first two by the social security department director, the latter by health departments; three different financing channels, the proportion of reimbursement is not consistent,reimbursement directory is not the same.The larger urban workers.security financing ability the strongest,urban residents and the new agriculture close cover the largest group, but the security capacity is low, is the weakest link of medical insurance system.Urban and rural areas there are a lot of drawbacks in medical insurance.System establishment and management separation caused by repeated government fiscal repeat residents subsidy. Urban and rural medical insurance were the establishment of medical insurance information system development agencies,respectively, into the daily operating costs,greatly increasing the cost of management.These are caused by the individual and the government in the capital,the waste of human investment. At present,china’s urban and rural medical insurance system still has obvious characteristics of two yuan.The first is the health care system in urban and rural population and set up. Three medical insurance system on the employment status of household registration, to divide the coverage. Urban workers, urban residents and rural residents can only participate in the respective staff insurance, residents and the new rural cooperative medical insurance.The second is the division of urban and rural medical insurance management.Town worker medical insurance and medical insurance,new rural cooperative medical system in rural residents respectively by human agency department,health department director,urban and rural medical insurance were set up agencies specifically level of urban and rural medical insurance. The new rural cooperative medical insurance for urban workers is much higher than that of financing and payment level, the basic medical insurance for urban residents in the level of funding, the scope of protection and pay pay level is significantly higher than the new rural cooperative medical system. In addition, the medical service in rural areas to provide level also significantly behind the urban areas,this is also an important factor to cause the gap between urban and rural medical insurance level.Methods through literature review and combined with the actual data, previous research experience. Taking JiangSu as the research object, introduces the content and the development of urban and rural medical security in JiangSu, with total scores of general form, to the overall analysis,and then divided into three regions, finally summarizes the overview. Through the analysis of the status, analysis and shortcomings of JiangSu urban and rural medical security of the achievements, and puts forward countermeasures and suggestions.