厚生労働省は２０日、社会保障審議会の部会を開き、医療保険制度改革の関連

厚生労働省は２０日、社会保障審議会の部会を開き、医療保険制度改革の関連法案を提示した。市町村が運営する国民健康保険（国保）を２０１８年度に都道府県に移管した後、市町村ごとの医療費抑制や保険料の納付率向上への取り組みを保険料額に反映させる新たな仕組みを導入する。政府は法案を３月３日に閣議決定し、今国会での成立を目指す。

都道府県は年間にかかる医療費の見通しを計算し、医療費を賄うために市町村から集める「分賦金」の額を決める。

分賦金の額は、都道府県が各市町村の人口や医療費、所得水準を考慮して決定する。同時に、市町村ごとの納付率目標や標準的な保険料率も示す。市町村はそれを参考に、独自の保険料率を設定する。

市町村がより多くの保険料を集めたり、住民の健康づくりに取り組んで医療費を少なくしたりできれば、住民一人一人の保険料額を安くすることができる。

また、都道府県が病床削減や高齢者が自宅で暮らす仕組みづくりを進め、都道府県全体の医療費を抑制できれば保険料の引き下げにつながる可能性がある。

結果 (英語) 1:

Open 20, Division of the Social Security Council of the Ministry of health, presented the health care reform bills. Introducing the new mechanism after 2018 year transferred to prefectures municipalities operated national health insurance (NHI), improving the payment rate of municipalities for each medical costs and insurance premiums will affect insurance premiums. And 3/3 to the Cabinet the Government Bill, aims to pass the National Assembly today. Determine how much '-賦金' to cover the medical expenses and calculates the expected medical costs per year the State collect from the municipality. Decided the amount of minutes 賦金 the State consider medical expenses, income levels and population of each municipality. At the same time indicating payment rate goals for each municipality and standard insurance rates. A municipality it sets reference to your own insurance rates. Collecting many premium municipality, working on community health promotion, medical costs, and reduce insurance premiums for every resident cheaply can be. Also, which could lead to lower premiums through devising a State bed reductions and elderly live at home, could suppress the medical expenses of the entire State.

結果 (英語) 2:

The Ministry of Health, Labour and Welfare the 20th, open the Group of the Social Security Council, presented the bills of health care reform. After the municipality has transferred the National Health Insurance (NHI), which operates in the prefectures in 2018 fiscal year, I want to introduce a new mechanism to reflect the medical costs and insurance premiums of efforts to payment rate improvement of each municipality in insurance premium amount . The government has cabinet decision on March 3 the bill, aim the establishment of in the current Diet session. Prefectures calculates the prospect of medical expenses for the year, collect from municipalities in order to cover the medical expenses determine the amount of "minute cloth". Amount of minute cloth, the prefectures population and medical expenses of each municipality, to determine taking into account the income level. At the same time, I show payment rate goals and standard insurance rates for each municipality. Municipalities in reference to it, set your own insurance rates. Municipalities or collect more premium, if possible or to reduce the health care costs working on health of residents, it is possible to cheaper insurance premiums amount of one person residents. In addition, prefectures advances the mechanism creating the beds reduction and elderly people living at home, there is a possibility that lead to reduction of insurance premiums if you can suppress the medical expenses of the entire prefecture.

結果 (英語) 3:

Ministry of health, labour and welfare too on the division of the Social Security Council open the presents of the medical insurance system reform bills. National health insurance management Municipality (Department) in the year to the prefectural transferred, after introducing the method to the mayor of the village, every effort to reflect the amount of insurance premiums of insurance medical expenses and payment rate is improved. Government bill on March 3, the cabinet decision, aiming at the establishment of the diet. Well, the prefectural medical expenses are calculated according to the expectedIn order to cover medical expenses for 賦金 "collect" from a municipality to decide the amount. The amount of 賦金 too, prefectures and cities of the population, the medical cost is determined in consideration of the income level. At the same time, the standard rate and payment of insurance premium rate for each target. Municipalities refer to it, set up their own insurance rate. Municipalities and villages by too many insurance, public health care costs and less working, if it is possible to each citizen insurance amount. In addition, tooHow to promote the prefectures in the elderly patients at home or reduced, there is a possibility that the whole of the prefectural medical cost reduction leads to the suppression of insurance premiums. At