Research On Basic Medical Insurance System For Urban-rural Integration Of Shanghai

Basic medical insurance system for urban-rural split, not only affects the process ofurbanization in China, but also affects the fairness and efficiency of the basic medicalinsurance system’s running. Perfection is one of the hot issues of the basic medicalinsurance system in the field of social security. Shanghai as one typical representative ofChina’s economically developed cities, the level of economic development has been at theforefront of the country. Paper selected higher level of economic development in Shanghaias an example, Shanghai urban-rural integration of basic medical insurance systemconstruction, but also a typical representative.Through the research on the history and current situation of the basic medicalinsurance system for Shanghai, Shanghai is now analyzing the basic medical insurancesystem in three basic health insurance problems and deficiencies. Shanghai three basicmedical insurance through the analysis that there is a big difference in the mode offinancing, funding levels,and compensation levels of compensation items. Thesedifferences hinder Shanghai to accelerate the process of integration of basic medicalinsurance for urban and rural areas. Then study the process of urban-rural integrationsystem to share the responsibility to build the body-governments, businesses andindividuals,and their burden-sharing mechanism, emphasized the important role ofgovernment in the system build process. Studied abroad and rural basic medical insuranceand rural practices and experience enlighten to Shanghai. Construction of Shanghaiurban-rural integration of the basic medical insurance system, the government shouldfollow the dominant principle of gradual transition, building Shanghai gradientdevelopment of urban-rural integration system. In this system through the design of theunderlying platform and multi-level auxiliary platform, breaking binary restrictionsbetween urban and rural areas. Basic platform to develop a reasonable payment standard,that the level of urban population to pay between16-60years old pay levels for theunderlying platform, for lack of rural residents is borne by the government. Platform is designed to assist the individual needs and level of economic development of the freedomto choose different levels of payment according to the file, while enjoying correspondinglycompensate treatment. To individuals, businesses and government payment capacity as thestarting point for this system design verification and correction.With the improvement ofthe level of economic development, urban residents and the new rural cooperative unitywill gradually merged and merged with the operation of urban residents, and ultimatelyachieve full integration of urban and rural basic medical insurance system in Shanghai.Finally, the construction of the basic medical insurance after Shanghai sustainabledevelopment of urban and rural basic medical insurance system in Shanghai were verifiedfrom the economic, policy, population three factors put forward to improve the integrationof urban and rural basic medical insurance Shanghai run countermeasures and suggestions.