What problems will arise from the low level of medical insurance coordination

It is reported that during the "Eleventh Five-Year Plan" period, China's social security system has made breakthrough progress, and the framework of the social security system has basically taken shape.

It is understood that, compared with the "Eleventh Five-Year Plan", the "Twelfth Five-Year Plan" is being formulated in the "social security" part of a lot of ink, the requirements of the obvious refinement, enrichment. This is closely tied to the 2020 time frame for building a moderately prosperous society.

A few days ago, the reporter interviewed He Ping, director of the Ministry of Human Resources and Social Security Social Insurance. He said, "Twelfth Five-Year Plan" period, China's social security will be from the large-scale system construction stage, into a new stage to promote the system of solid refinement, do the real effect. At the same time, the social security development of the offensive problems faced by the more prominent.

Hard requirements and hard targets

"From the point of view of full coverage of the system, the large-scale construction of the system during the '11th Five-Year Plan' period has substantially made up for the gaps in the original system," He said, adding that there is still a blank spot remaining --- old-age protection for non-employed elderly residents in cities and towns.

It is understood that more than 40 cities in China have begun to explore the implementation of urban non-employment of elderly residents of old-age security approach, only the central level has not been unified to issue documents. "'Twelfth Five-Year' period only need to make up for this one more institutional arrangement, so there is no longer much pressure on system construction," He Ping said.

It is understood that the "one card" is an indicative requirement for improving the management and service capacity of social security agencies during the 12th Five-Year Plan period.

Yin Weimin, minister of the Ministry of Human Resources and Insurance, said publicly that he would focus on vigorously promoting the application of social security cards with unified standards and compatible functions, and that on the basis of 100 million cards expected to be issued by the end of 2010, he would strive for the issuance of 800 million cards nationwide by the end of the 12th Five-Year Plan period and strive for the realization of the "one-card" at an early date.

"'Twelfth Five-Year' period, 'one card' is a hard target." He Ping said, the social insurance card according to the plan by the end of the "Twelfth Five-Year Plan", 800 million insured people's pension, medical care, unemployment, maternity and other social security information will be unified in this social security card. In cities with the conditions, the social security card will also become a "citizen card" to realize a wider range of electronic settlement functions.

Local divisions need to be broken down

The "through" of "one card" refers to the use of one card for all social insurance information, making it easy for participants to check their entitlement records anytime, anywhere. The "pass" refers to the "pass" of all social insurance information on one card, which makes it convenient for the insured to inquire about their rights and interests anytime and anywhere, and enjoy social security services conveniently and quickly. On the other hand, this "through" is far from being a "through to the world", but a "through to the local community". The "through" - the cross-provincial and municipal social security "through" is still facing the difficult problem of the low level of coordination.

Medical insurance is still practiced in most places at the local and municipal levels, and the goal of provincial integration seems quite distant. At present, across the provincial and municipal health insurance "roaming" more "batch processing" in the form of "inter-city agreement". The biggest resistance to provincial integration comes from the balance of local interests, involving the upper and lower levels of government financial "benefit and damage" interest game.

Therefore, inter-provincial and inter-regional health insurance "roaming" is not a technical problem but a systemic problem, a problem of interest. However, with the "Twelfth Five-Year Plan" during the further active mobility of talent, more one-child employment after the parents will increase the situation of the old age of the parents to see a doctor, health insurance can not be roaming the reality of the problem has become more and more prominent in front of policymakers at all levels.

Social security five major problems to be solved

He Ping said, against the goal of building a moderately prosperous society in 2020, the "12th Five-Year Plan", "13th Five-Year Plan" period of the development of social security is still a daunting task, at least five major problems need to be overcome, and each one of them is a major challenge to be solved. To overcome, and each one is a "hard bone".

First of all, the empty accounts of individual pension insurance accounts. After the establishment of China's united accounts system, the funds in individual accounts are used to pay current pensions, resulting in the formation of a huge scale of "empty accounts". Once the "pay-as-you-go" model has turned the corner, the empty accounts will greatly threaten the credibility of China's social pension insurance system.

Secondly, the reform of the pension insurance system of the institutions. 2008, the State Council executive meeting in principle through the "reform of the pension insurance system of the staff of the institutions of the pilot program", Shanxi, Shanghai, Zhejiang, Guangdong, Chongqing and other five provinces and municipalities to start the pilot. Involving 30 million "career people" of the pension reform thus started.

This reform involves a number of major system changes, such as the reform of the classification of institutions and the reform of the personnel management system of institutions, and the object of the reform involves the majority of China's "professional and skilled personnel", so the reform resistance and difficulty is very great, and the design of the relevant systems still need to be integrated and perfected.

Thirdly, the special groups represented by migrant workers and flexible employment groups.

Fourth, the rate of return on investment and operation of social security funds is low. In some places, the return rate of investment and operation of social security funds is less than 2%, and there is no complete set of systematic methods on how to preserve and increase the value of the people's life-supporting money.

Fifth, effectively narrowing the gap between urban and rural security. "The protection gap caused by the dual structure of urban and rural areas needs a rather long process to be effectively narrowed." He Ping said, generally speaking, in the industrialization development to a certain extent, farmers accounted for 15-20% of the case, can afford to the rural areas of substantial subsidies to fill the gap between urban and rural security level.