A few days ago，"Pilot Plan for Comprehensive Reform of the Medical and Health System in Shaanxi Province" (hereinafter referred to as & ldquo; "Plan" & rdquo;)，Shaanxi urban residents' medical insurance and new agriculture integration，It will be uniformly managed by the health planning department。Urban and rural residents' medical insurance management rights become confusing again。

 

  It was only announced for the first time at the end of May for the first time，11 provincial units in the country have clearly cleared the medical insurance of urban and rural residents after the integration of urban and rural residents.。This move was once regarded as a signal for the dispute between the management rights of the Ministry of Human Resources and Social Security and the Health and Family Planning Commission。

 

  Previous，The two departments fought fiercely in 2013 around medical insurance management rights，No points to know。Now，Public consequences for 3 years to see the hammer，A crisp sound of the Ministry of Human Resources and Social Affairs is terrified and delayed。

 

  Changes

 

  At present, there are 11 provincial administrative regions to fully realize the & ldquo; Erbao One & RDQUO;，Shanxi、Hebei、Hubei、Inner Mongolia has also introduced integration overall plan，The above provinces are all controlled by the Human Resources and Social Security Department to control the medical insurance of urban and rural residents。After the "Plan" was introduced，Shaanxi became the first province to give management rights to the Health and Family Planning Commission。

 

   & ldquo; The heavy punch of the Ministry of Human Resources and Social Affairs hit the cotton again。& rdquo; Some experts told the 21st Century Business Herald reporter。Experts who support the human social department control medical insurance have a strong response to Shaanxi。

 

  & ldquo; The management rights of more than a dozen provinces are returned to the Human Resources Stake Sports BettingStake Sports BettingSociety Department，Shaanxi also gives it to the Health and Family Planning Commission。& rdquo; Zheng Gongcheng, a professor at the School of Labor and Social Security, Renmin University of China, who has been concerned about medical insurance for a long time。

 

  And Bai Chongen, deputy dean of the School of Economics Management of Tsinghua University, is more concerned about & ldquo.，I may cause further splitting with the medical insurance of urban employees。

 

  Professor Cai Jiangnan, Director of the Medical Management and Policy Research Center of China Institute of Technology and Industry of China，Shaanxi plan reduces the gap in the management rights of the two departments in the province，strengthened the two parties' & ldquo; confrontation & rdquo;，This is likely to lead to the future & ldquo; three guarantees & rdquo;。

 

   & ldquo; unexpected，reasonable。& rdquo; The enhanced version of Shaanxi & ldquo; confrontation & rdquo;，Zhu Junsheng, a professor at the School of Labor and Economics of the University of Economics and Trade, made the above evaluation。

 

  An expert who participated in the Ministry of Human Resources and Social Affairs at the end of May of the Ministry of Human Resources and Social Affairs; experts from the employee medical insurance funding and treatment seminar & rdquo; told the 21st Century Business Herald reporter，At that time, the person in charge of the human and social department of many provinces reflected to the department，Due to the defeat in the competition for the coordination of medical insurance in urban and rural residents，Provincial Health and Family Planning Commission aimed at the management right of the entire medical insurance。

 

  This expert thinks，In 32 provincial administrative regions，The first -planned 15 urban and rural residents' medical insurance for the plan to introduce the integration of the people's medical insurance。But Shaanxi is the 16th family.，It is likely to be from the above background。

 

  Zhu Junsheng said，This may make the provincial human -social department very anxious，Can the Health and Family Planning Commission take the entire medical insurance management right，It is related to the existence of the provincial human -social department。The practice of the local Health and Family Planning Commission may be the leader of the provincial government in charge，Once the leadership decision is in charge，The human and social department will no room for turning around。

 

  Chi will not fall into the hammer

 

  Early Year，The State Council announced the "Opinions on Integrating the Integration of Urban and Rural Residents' Basic Medical Insurance System" (hereinafter referred to as & ldquo; "Opinions" & rdquo;)，Formulated timetable、Roadmap，Requires the planning and deployment of medical insurance for urban and rural residents by the end of June this year，Each coordinated area issued a specific implementation plan before My stake betting appstake online sports bettingthe end of December 2016。

 

  "Opinions" guidance of the integration work can be described as detailed，But the issue of ownership of no management rights。Only emphasize & ldquo; improve the overall level，In principle, the implementation of prefecture -level coordination，Encourage conditions for regions to implement provincial overall coordination & rdquo;。

 

  Professor Zhu Lijia, a professor of the National Administrative College of the State Council and the departments of the State Council and the departments, told the 21st Century Business Herald，& ldquo; The proportion of medical insurance accounting for fiscal revenue and expenditure and GDP is high，Getting involved in major，& rdquo; This is likely to be the reason why the Central and State Council has not been able to determine the ownership of management rights。

 

  Wang Lusheng, deputy leader of the Guidance Group of the National New Agricultural Intellectual Expert, told the 21st Century Business Herald Reporter，The proportion of medical insurance accounted for fiscal revenue and expenditure and GDP can be calculated by the total amount of medical insurance funds and fiscal revenue and expenditure。

 

  Data Show of the Ministry of Finance，2015 general public budget revenue of the country 1521.7 billion yuan，National general public budget expenditure 17576.8 billion yuan。Data Show of the Ministry of Human Resources and Social Affairs，In 2015, the total income of the urban basic medical insurance fund for the whole year was 1119.3 billion yuan，expenditure 931.2 billion yuan。

 

  New Nonghe's funds are not counted，Only one cities and towns only one item，7.35%of the total fiscal revenue and expenditure, respectively、5.30%。

 

   & ldquo; I don’t think departmental competition is a bad thing。& rdquo; Member of the State Council National Medical Reform Expert Consultation Committee、Deputy Director of the Department of Economics and Management of Peking University、Liu Guoen, a special professor of the Economics of the National Development Research Institute of Economics, believes，Two sets of management systems in parallel，Competition of each other，It is conducive to improving the management ability of medical insurance。

 

  In addition，Liu Guoen thinks，Different provinces have different management capabilities for medical insurance，Therefore, it is necessary to allow localities to explore different management modes。

 

  Zhu Lijia said，This competition is & ldquo; Medical reform enters the embodiment of entering the deep water area & rdquo;。and & ldquo; Entering the deep water area & rdquo; it means it is difficult to make & ldquo; for & rdquo; and & ldquo; wrong，Allow all places to do different tests。

 

  But，Chinese Medical Insurance is in a bargain、The situation of distinguishing Xinjiang has been long for a long time。

 

  As the world's largest medical security system, New Farmers，It was proposed Stake Sports Bettingby stake online sports bettingthe central government in 2002，Open the pilot in 2003，Comprehensive advancement in 2007，The number of people in 2008 exceeded 800 million，Complete & ldquo; full coverage & rdquo;。

 

  Urban residents' medical insurance began in 2007，The number of insured at the end of 2011 exceeded 220 million，Per capita fundraising level is slightly higher than that of New Rural He，Jurisdiction of the Human Resources and Social Security Department。

 

  Differential governance brings high management costs and the differences in the treatment of urban and rural residents，The appeal to & ldquo; three guarantees & rdquo;。

 

  Also because of this，Compared to the optimistic attitude of the above experts to the competition，Cai Jiangnan and Bai Zhongn have more concerns。

 

  Cai Jiangnan thinks，Who should make a decision as soon as possible，But so，Only to solve & ldquo; three guarantees & rdquo; Questions。Bai Chong En emphasized，Administrative rights are delayed，means & ldquo; Sanbao & rdquo;、Repeat and the problems brought to the people are difficult to really solve.。

 

  Zhu Junsheng said，The contention of caught in the interests of the department means that attention cannot be put on more important issues。

 

  Who is Hua Luo

 

  Shaanxi's "Plan" is mistaken for & ldquo; the overall situation has been set with & rdquo;，Public report display，But the arguments of both parties have nothing new。

 

  Public report display，These reasons can even go back to the 2008 & ldquo; major system & rdquo; reform。At that time，The former Ministry of Health has strived to take over the management right of the medical insurance fund，and the Ministry of Health take over the medical insurance fund, which is also known as & ldquo;。

 

  Compared to the Human Resources Social Department，Proposal & ldquo; The health department that holds two & rdquo;。

 

  Tingwei School thinks，& ldquo; I hold two & rdquo;，It can make coordination costs & ldquo; internal & rdquo;，Reduce administrative friction and management costs between departments，Can also balance the Medical Insurance Fund、The relationship between the various elements of medical services and the supervision of the medical industry，Maximize the interests of all parties。

 

  Another reasons for the Pingsians are，No medical insurance management rights as a means，The health department will be difficult to promote the reform of public hospitals。

 

  Cai Jiangnan thinks，No & ldquo; entrust two & rdquo;。In his opinion，Medical Insurance Payment and other related reforms For public hospital reform、Supervision can really play a role，But the premise of action is the governance structure、Service price adjustment and other public hospital reform measures。

 

   & ldquo; Shanghai has done so many years of total prepaid，Pay for new attempts，The last proof is limited effect。& rdquo; Cai Jiangnan thinks，The reason why the reform of the medical insurance payment system My stake betting appStake Sports Bettingis the reason why the starting point will fail，Because the mechanism of public hospitals failed to be adjusted，In this case，Reform cannot be inverted in the end。

 

  Opposition & ldquo; Tinghe expert experts who hold two & rdquo; emphasize，& ldquo; In the case of the management of the management, the management is not distinguished & rdquo;，If medical insurance management rights are planned to be healthy，The pressure on the reform of public hospitals is even smaller。Because this is equivalent to & ldquo; your own money & rdquo; raise & ldquo; his son & rdquo;，No reform power。

 

  Zhu Junsheng is also more inclined to the Ministry of Human Resources and Social Security，But he frankly，Whether it is the Ministry of Human Resources and Social Security or the Health and Family Planning Commission，Nothing to get rid of & ldquo;。The Health and Family Planning Commission is no distinction between the hospital management office，The Ministry of Human Resources and Social Security is not distinguished by the management office。Low efficiency、Governance structure & ldquo; Guanjia's independence & rdquo;。

 

   & ldquo; Who cares is not the most important question，Compared with comparison，I care more about whether the people can benefit from it。& rdquo; Liu Guoen said。