Research On The Division Of The Central And Local Government’s Basic Medical Insurance Authority

The division of the central of the local government’s basic medical insurance authority is refers to divide the government’s basic medical insurance authority between the central and the local government,then to determine which one of authority shall be borne by which level of government.In order to put forward the plan and suggestion,this paper studies the theme from three aspects:theory overview,current situation investigation and international comparison.Theoretically,the different of benefit scope of the government’s basic medical insurance authority and the difference of governments’ability to understand authority is the main reason of the division of the government basic medical insurance.The contents and the requirements of division are diverse.The contents of division mainly includes the power of the system design and legislative proposals,the power of daily supervision,the power of fund compensation and fund supervision,the power of information platform building in,the power of agencies organization and fund supporting.The requirements of division mainly includes clear,standardized,reasonable,adjustable.The different of benefit scope of the government’s basic medical insurance authority,the governments’ ability to understand authority,the basic national condition and the development of basic medical insurance are main factors to influence the division of authority.Actually,the short time of basic medical insurance system construction in our country,the inadequate concepts of the division of authority,the illogicality of the intergovernmental fiscal and taxation system caused many problems arise in the division of the central of the local government’s basic medical insurance authority.Those problems include the faultiness of laws and regulations,the illogicality of The existing division pattern,the mismatching between the authority and financial resources.Internationally,the content and the pattern of government’s basic medical insurance authority are different.However,they are in line with their respective actual conditions.Besides,through the improvement of the legal system and transfer payment system,ensure the effective operation of the division of powers.Therefore,we can draw three conclusions.Firstly,although the contents of national basic medical insurance authority are different,they regard authority of basic medical insurance as crossing powers between the central and local government.Secondly they divide it according to the specific content of the powers of benefit coverage and importance and national conditions and mode of basic medical insurance.Thirdly,governments have established a legal system and transfer payment mechanism to ensure the effective implementation of the division of authority.