首先,完善医保经办管理体系和管理机制。一是整合和统一城乡医保管理体系,提升经办机构的购买实力。我国已经实现全民医保,但却存在着城乡制度、统筹地区之间的管理分割,使得医保管理过于分散,不能形成强有力的购买实力。因此,整合和统一城乡医保管理体系非常必要。一方面应该尽快实现城乡医保管理的整合,形成统筹地区范围内统一的医保机构,形成统一、强大 First of all, improve the health insurance management system and management mechanism. First, integrate and unify urban and rural medical insurance management system and enhance the purchasing power of handling agencies. China has achieved universal health coverage, but there is a system of urban and rural areas, the overall division of management between regions, making the health care management is too fragmented, can not form a strong purchasing power. Therefore, it is very necessary to integrate and unify urban and rural medical insurance management system. On the one hand, the integration of urban and rural medical insurance management should be realized as soon as possible so as to form a unified medical insurance agency within the unified region and form a unified and powerful