党的二十届三中全会通过的《中共中央关于进一步全面深化改革 推进中国式现代化的决定》 明确提出,要“健全推进新型城镇化体制机制”。医疗保障作为减轻群众就医负担,增进民生福祉的一项重要制度安排,对于保障劳动力要素自由流动、推进城乡协调发展、实现高质量城镇化具有重要意义。近年来,我国加大跨地区医保制度的衔接和整合,在政策创新、管理创新、技术创新等方面进行了大胆尝试,通过提高统筹层次、落实属地参保、推进异地就医直接结算和医保关系转移接续等政策,不断满足新型城镇化进程中跨区域、跨制度流动人口的医疗保障可携带需求。随着新型城镇化深入推进,人口流动持久化、家庭化,就业形态转变等新形势对医保政策优化提出了更高要求。需进一步推动优化路径由制度衔接向制度切换乃至制度整合升级,放宽做实属地参保政策,完善转移接续,加快统筹层次提升,实现跨地区间医保权责平衡,推动新型城镇化进程中各类流动人口“应保尽保,各参其保”。

Resolution of the Central Committee of the Communist Party of China on Further Deepening Reform Comprehensively to Advance Chinese Modernization adopted at the third plenary session of the 20th Central Committee of the Communist Party of China states that "improving the institutions and mechanisms for advancing new urbanization". Healthcare security, as an important institutional arrangement to reduce the burden of medical treatment on the masses and enhance people's well-being, is of great significance in ensuring the free flow of labor factors, promoting coordinated urban-rural development, and achieving high-quality urbanization. In recent years, China has increased the connection and integration of cross-regional medical insurance systems, and made bold attempts in policy innovation, management innovation, and technological innovation. By improving the overall planning level, implementing local insurance participation, promoting direct settlement of medical treatment in different regions, and transferring and continuing medical insurance relationships, China has continuously met the portable medical security needs of cross-regional and cross-institutional migrant populations in the process of new urbanization. With the deepening of new urbanization, the persistence and family-oriented development of population mobility, and changes in employment patterns have put forward higher requirements for optimizing medical insurance policies. We need to further promote the optimization path from institutional linkage to institutional switching and even institutional integration and upgrading, relax the policy of local insurance participation, improve transfer and continuity, accelerate the level of overall planning, achieve the balance of medical insurance rights and responsibilities across regions, and promote the "full coverage and participation” of all types of floating population in the process of new urbanization.