Analysis of the Provincial-level Overall Planning Path of Basic Medical Insurance from the Perspective of Incrementalism

Abstract

Objective — To analyze the situation of the provincial-level overall planning of basic medical insurance in China, so as to put forward some suggestions on the path of promoting the provincial-level overall planning in China. Methods — By means of literature search and incremental analysis, a systematic study was conducted on the current situation and implementation path of the provincial-level planning of basic medical insurance in China. Results — At present, only some provinces have achieved provincial-level overall of some insurance types, and the overall paths of these provinces basically incubate the principle of incrementalism. The overall planning of benefit has transitioned from “one system and multiple tranches” to a unified system; the overall planning of fund has transitioned from the risk adjustment mechanism to fund unified revenue and expenditure; the overall planning of regional is characterized by gradual progress by region; the overall planning of insurance types is basically advanced in the order of first employee medical insurance and then resident medical insurance. Conclusion — The general path of provincial overall planning should follow the principle of incrementalism. On the premise of ensuring policy stability, provincial overall planning should be gradually promoted in stages, tasks, regions and types of insurance.