城镇居民基本医疗保险制度建设在一些先行试点的城市运行两年多了,初步积累了一些成功经验和做法,但一些地方现有的管理体制筹资机制、待遇支付和制度衔接等方面也暴露出一些不容忽视的问题,给城镇居民医保扩面工作带来一定困扰。笔者就存在的问题进行探讨,并提出一些解决的办法。 The basic medical insurance system for urban residents has been operating in some pilot cities for more than two years and has initially accumulated some successful experiences and practices. However, in some places, some existing management system funding mechanisms, payouts and institutional links have also been exposed The problems that can not be ignored bring some distress to the expansion of medical insurance for urban residents. The author discusses the existing problems and proposes some solutions.