| Although the current level of medical security is improving steadily,and the coverage of medical security is expanding gradually,there are still many problems which need to be solved urgently,due to the influence of many objective and subjective factors.For example,the basic medical insurance of floating population goes to see a doctor settlement.In the Context of the acceleration of urbanization,population Cross-regional flow phenomenon,for the overall social and economic development,population flow has a positive impact,population increased mobility at the same time,however,many of the new social security management issues arise,long-distance medical patients with long-standing "difficult to submit an expense account" of different ground be in hospital,is one of the most prominent social security problem.At present domestic insurance of primary medical treatment as a whole level is low,the level of regional economic development gap is bigger,long-distance medical policy difference is big,the provinces of the basic medical insurance in our country at present stage,the intercity medical system highly decentralized,ginseng protect patients in ginseng as a whole the area outside of the doctor,still unable to fully enjoy basic medical insurance system of different ground settlement.Based on Lanzhou chengguan town worker medical insurance different ground settlement policy implementation process as an example,through literature analysis,field observation method,interview method,questionnaire method,carding domestic long-distance medical research achievements,to foreign in summarizes the successful experience of health care research,especially for the European Union countries between cross-border medical management practice and experience to carry on the analysis,This paper analyzes the current situation of the policy implementation of urban employee medical insurance settlement in Lanzhou.At the same time,from the medical insurance for urban employees,the long-distance medical concept of the settlement,the integrated use of public product theory,new public management theory,and the theory of government process,town worker medical insurance different ground settlement in Lanzhou city,the problems existing in the implementation of inquiry in clear Lanzhou town worker medical insurance settlement pain points in the process of policy implementation and long-distance medical plugging point basis,This paper puts forward the general idea and countermeasures to solve the difficulty of remote medical settlement,that is,through the way of clearing,simplifying,integrating and finally automating,the whole policy implementation process of remote settlement is reconstituted,and a smooth path of "concept reconstruction-function reconstruction" is established.Optimization of long-distance medical billing service is the embodiment of the government service function,and protect people’s basic interests directly reflected,long-distance medical billing system of process reengineering is conducive to further improve the basic medical insurance system of long distance medical billing for Lanzhou city employees,is to address the Lanzhou ginseng protect a worker to different ground treatment is the most outstanding,the most important reform measures of concerns. |