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我国当前实行的城镇居民基本医疗保险制度(以下简称“城镇居民医保”)和新型农村合作医疗制度(以下简称“新农合”),虽然筹资方式、保障待遇以及医疗保险性质等方面基本相似,但由于制度分设、管理分割,两者在药品目录制定、定点医疗机构管理、医疗费用报销比例等许多方面还存在着显著的差异。但值得注意的是,城镇居民医保与新农合两种制度的基金筹集都是以财政补助为主,个人缴费标准也逐渐统一。
The current implementation of the basic medical insurance for urban residents (hereinafter referred to as “urban residents Medicare”) and the new rural cooperative medical system (hereinafter referred to as “NRCMS”), although the funding, protection and the nature of medical insurance, etc. However, due to the separation of systems and the division of management, there are still significant differences in many aspects such as the formulation of drug catalogs, the management of designated medical institutions and the proportion of reimbursement of medical expenses. However, it is noteworthy that both the medical insurance for urban residents and the fund for the new rural cooperative medical system are mainly based on financial subsidies, and the individual payment standards are gradually unifying.