Analysis of China's cross-regional medical insurance settlement policy based on policy tools
10.3969/j.issn.1674-2982.2025.10.005
- VernacularTitle:基于政策工具的我国医保异地就医结算政策分析
- Author:
Shi-qiang WANG
1
;
Hui WANG
;
Shu ZHANG
;
Zi-qi ZHANG
;
Yi-jie LI
;
Jia-yi LIU
;
Guo-heng HU
Author Information
1. 首都经济贸易大学城市经济与公共管理学院 北京 100070
- Publication Type:Journal Article
- Keywords:
Cross-regional medical treatment;
Policy objectives;
Policy tools;
Policy text
- From:
Chinese Journal of Health Policy
2025;18(10):32-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Systematically review the release status and characteristics of policies related to cross-regional medical insurance settlement policies in China,providing reference for promoting the convenience of medical insurance settlement services and improving management efficiency.Methods:Using content analysis,a two-dimensional framework of"policy objectives-policy tools"was constructed.A total of 127 policy documents were coded and analyzed.Results:Demand-based tools were applied most frequently(43.6%),followed by environmental and supply-based tools.Policy objectives mainly focused on improving service convenience,supported by expanding coverage and ensuring regulatory security.Conclusions:China's cross-regional medical insurance settlement policies have improved service accessibility and strengthened institutional supervision while gradually expanding coverage.However,deficiencies remain in assessment refinement and emergency mechanisms.Greater interdepartmental coordination is needed to enhance regulatory linkage and ensure the safe operation of medical insurance funds.
