The national health and family planning commission about completes the integration of urban and rural residents basic medical insurance system about the work

The 2016-01-21 national health and population and family planning commission of the People's Republic of China

Who hair [2016] 5 at the grass-roots level

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission:

To implement the "state council on the opinions of the integration of urban and rural residents basic medical insurance system" (guo fa [2016] no. 3, hereinafter referred to as "opinions") spirit, completes the integration of urban and rural residents basic medical insurance system, regarding the notify is as follows:

A, unified thought, raising awareness

Integration of the new rural cooperative medical care system (hereinafter referred to as the "new farming close) and basic medical insurance for urban residents (hereinafter referred to as the urban residents health care) two system, establish a unified urban and rural residents basic medical insurance system of medical insurance) (hereinafter referred to as the urban and rural residents, is the party central committee and the state council put forward clear requirements, is further advance the deepening medical and health system reform and realize the fairness of urban and rural residents shall enjoy the rights and interests of basic medical insurance, and promote social equity and justice, increase the well-being of the people important measures, to establish and improve the basic medical and health system covering both urban and rural residents, to build a well-off society in an all-round way and promote the health of China construction is of great significance. Place the family planning administrative department of public health at various levels shall earnestly study the "opinions" requirement, further unified thought, fully recognize the importance and complexity of the integration of urban and rural residents health care system, stand at the height of protecting the interests of the people, the scientific design, elaborate organization, made solid progress.

Second, in order to ensure the health as the goal, a reasonable overall planning

Around to be in strict accordance with the "opinions" requirement, in order to guarantee the health rights and interests of the people as the fundamental goal, after the first difficult, step by step, perfect the policy of gradual system integration work. To be in line with conducive to medical treatment, medicine, health care linkage, and promoting the further development of reform, to speed up the transformation government function, improving the efficiency of the management, promote everyone will have access to basic medical and health services, let the crowd really benefits principle, strengthen the overall planning, timely formulate the overall plan for the integration of work and implementation plan. To integrating urban and rural residents health care work in deepening the reform of medical health system and health "much starker choices-and graver consequences-in" family planning career development planning, to promote integration of urban and rural residents health care system and deepen the reform of relevant working coordination and orderly development, efforts to improve the level of security, efficiency of management and service level.

Three, focusing on the "six", smooth and orderly progress

Around to, in accordance with requirements of the "opinions" unite "six", combining with the actual strengthening, based on the level of economic and social development, urban and rural residents burden and fund bear ability, on the basis of fully considering the gap between urban and rural areas, regional disparities, gradually unified urban and rural residents health care coverage, financing, security, directory, the fixed-point basic policy management and fund management, etc. Around unified treatment of policy, fund management approach, information systems and medical settlement steady progress was made in municipal plan as a whole, and strengthen fund classification management, give full play to the government at the county level, management of orgnaization of agency of fund management motivation and initiative. Comprehensive advancement according to macro-reforms, according to head to pay, and other forms of the combination of compound payment reform, to guide the medical establishment that decide a dot standardize service behavior, control the medical expense unreasonable growth. Must complete before and after the integration of cohesion, further summarizes the experience for the construction of the existing health care system, apply mature and effective approach to urban and rural residents medical insurance system, to ensure that the integration work smooth connection, a smooth transition, ensure that both urban and rural residents, especially low-income groups to ensure treatment is not affected.

Fourth, the orgnaization of innovation management, improve service efficiency

Integration of urban and rural residents health insurance agency orgnaization, personnel and information system, encourage conditional area of health care management system, to promote coordinated development of health care and medical services as a whole. Around in orgnaization of agency of integration, attention should be paid to play the advantages of existing management agencies, good use of the existing team, maintain the stability of the ranks, the enthusiasm and initiative. Continue to adhere to the principle of pipe be separated, and give play to the role of market mechanism, to mobilize social forces, such as commercial insurance agency orgnaization of participation in urban and rural residents health care services, to establish diversified pattern of orgnaization of service of orderly competition, improve the efficiency of handling, orgnaization of excitation energy. Specification of urban and rural residents health orgnaization of service of process, strengthen perfect instant knot to go to a doctor working in the province, accelerate the provinces by verification and knot at work, for the integration of urban and rural residents, efficient and convenient handling services.

Fifth, strengthen organizational leadership for the work of integration

The provinces, autonomous regions and municipalities directly under the family planning administrative department of public health under the leadership of the provincial party committee, provincial government's strong, will integrate the work as a priority task of deepening the reform, strengthen the leadership, elaborate organization, the fulfillment of real responsibilities, as actively, to ensure that in 2016 the overall plan for the integration work completed before the end of June. Should notice to strengthen communication and coordination with the provincial health reform leading group and reporting, in the reform leading group of the leadership and the framework of deepening reform, actively put forward integrated work scheme, research to solve problems in integration process in a timely manner. Establish regular reporting system, strengthening the supervision inspection, related work progress to report in a timely manner by commission. Has not yet been integrated region should combined with actual science, to formulate specific implementation plan; Has integrated areas should be carefully controlled "opinions" requirement, make relevant policies and measures of adjusting and perfecting, correct in time when problems found. Strengthen the propaganda guidance, summarize experience, popularize advanced region properly in a timely manner to respond to public concerns, efforts to create a good atmosphere of integration of urban and rural residents health care system.

The national health and family planning commission

On January 20, 2016