BAO HI^M XA HQI VA BAO HlfiWI Y T^ d VIET NAM NGUYEN MINH PHONG NGUYEN TRAN MINH T M ' Tdm tit: Bao hilm xa hdi (BHXH) va bao hilm y tl (BHYT) la tru cgt bao dam an sinh xa hdi (BDASXH) d Viet Nam, gdp phan dtol bao quyln dugc sflng mdi trudng an toto, Itoh manh va thto thien Bai viet phan tich thuc trang BHXH va BHYT d Viet Nam; tren co sd dua mgt sl dinh hudng phat trien ngtoh bao hiem xa hgi Tic khda: Bao hilm xS hgi; bao hiem y tl; an sinh xa hgi; Viet Nam Md dau Trong qua trinh Dfli mdi va hfli nhap quflc te, Vift Nam nhto thuc vl BDASXH ndi chung, vl BHXH va BHYT ndi rigng cang day di, sau sac hon Dudng Idi, chi truang va quan diem cia Viet Nam vg BDASXH va cac chinh sach lifln quan cd tinh nhat quan cao, khflng nging duge phfli hgp bfl sung, toan dien, hf thflng va hoan thien hon; cac ngi dung, pham vi, muc hfl trg va cac ddi tugng BDASXH ctag timg budc md rgng, cai thifn va dupe thfl chf hda cac van ban phap luat (Luat Lao dflng, Lugt Bao hiflm xa hdi, Luat Bao hiflm y tfl, Luat Binh dtog gidi, Lugt Day nghfl ), dugc hoach djnh va triln khai cy the lien quan dfln cac dfli tugng khac Dugc cai each manh me tir diu nhfimg nam 90 thi ky XX, he thflng BDASXH hifln cia Vift Nam gflm cd nhilu bd phto cau thtoh khac nhau, vdi cac try cgt chinh la BHXH, BHYT, ciu trg xa 40 hpi, uu dai xa hgi; nfli bat hom ca la bao hiem xa hpi va cuu trg xa hgi Hf thing BHXH, BHYT la ndng clt cia BDASXH d Viet Nam fren co so nguygn tac ba bgn ctag tham gia (ngudi lao dflng, ngudi s i dung lao ddng va Nha nude) de giam bdt ganh ntag cia ngan sach nha nudc va hudng den xa hpi hda cac hoat dgng BDASXH, phii hgp vdi qua trinh chuyen dfli tu mfl hinh kinh te ke hoach hda, tap trung, bao cip, phta phfli binh quan, hota toan Nha nudc dam nhifm, sang mfl hinh kinh tl thj trudng djnh hudng XHCN Cung vi giai dogn qua dp chuygn dfli nay, he thflng BHXH hifn cd hai loai la BHXH bat bugc (dugc ap dung cho khu vuc chinh thic, gflm ngudi lao dgng cac to chic, cg quan, doanh nghiep thupc mpi phin kinh tl, cd hgp Tien sT, Bao Nhan dan ' *' Vi^n Kinh tl va Chinh trj thi gidi, Vien Han lam Khoa hgc xa hgi Vigt Nam Bdo hiem xd hdi vd bdo hiem yted ddng lao dpng tu thtag frd Ifln) va BHXH ty nguyfn (do ngudi lao dpng ty nguyfln, ed m i c ddng gdp thip, phi hgp vdi kha nang thu nhap nen mic hudng thu cflng thap) Dflng thdi, ctag cd hai loai BHYT, gdm BHYT bit bugc (ap dyng cho ngudi lao dpng khu vyc chinh thic); BHYT ty nguyfln (ap dung cho cac dfli tupng hge sinh, sinh vien va mgi ngudi dan) Ngoai ra, BHYT ngudi ngheo (nguiri ngheo dugc Nha nudc cip the BHYT) cung la minh chiing tiflu bieu cho tinh dgc thi cia nganh bao higm Viet Nam va thi hifln tinh uu vift chl dp ta S i menh va mue tieu phat trifln BHXH, BHYT dugc thi hien ctog dtol net cac chi fruomg va thg che hda ctog day d i cac lugt djnh, van ban phap ly lifln quan Nam 2012, Bp Chinh trj da ban hanh Nghj quyflt sfl 21-NQ/TW vfl tang cudng su lanh dao cia Dang dfli vdi cdng tac BHXH, BHYT giai dogn 2012 - 2020 Cto CO qugn chic nang da xay dung Dfl ta "Thyc hifln 16 trinh bao hilm y tf toto dto giai doan 2012 - 2015 va 2020" va Dfl ta "Phat trien y te biln, dao din nam 2020", vdi muc tiflu md rgng ty If dta sfl va dam bao quyfln Igi ngudi tham gia BHYT theo hudng cflng bing, hieu qua, chat lugng va phat trifn bfln vitng; bta hanh chfl dp kf tota cia BHXH; quy chfl ph6i hgp BHXH vol Tdng Lien dota Lao dgng Vift Nam, Tong cue Canh sat phdng ch6ng tpi pham va 11 bp, nganh dl trifln khai thyc hien chinh Vift Nam sach BHXH, BHYT Dfln nay, Viet Nam da ban hanh hon 222 vta ban cac logi ehi dgo, lanh dgo, td chic thyc hifn chinh sach BHXH, BHYT trfln ca nudc Cd thi khing djnh, ctag vdi he thflng chinh sach, chuong frmh frg giup xa hgi giao due, hpc nghfl, tao viflc lam, thy hudng cac phic Igi vta hda - xa hpi va cac quyln khac, till BHXH va BHYT da, dang va se ctog la fry cflt frong BDASXH d Viet Nam, gdp phin dam bao quyfln dugc sdng ttong mfli trudng an toan, lanh mgnh va thto thifn, giam thilu bat binh dtog vfl muc sflng, vg ca hpi phat triln gifla cac nhdm xa hgi khac Thanh tmi Trgn thyc tl, viflc thyc hifln cac chinh sach vl tifln luong, BHXH, BHYT, bao hiflm that nghifp (BHTN) va thyc hifn phap lugt ve lao dflng dugc ttiln khai cang ddng bg va tot hom Hgi dfing tiln luong quoc gia da dupe lap Cac mic luong tfii thigu va ngudng phan logi ngheo quflc gia, ty If ngudi tham gia va dupe nhto BHXH, BHYT, BHTN, thdi gian nghi 6m dau va sinh de gio nguygn lucmg kh6ng ngimg dugc nang Ign; thul thu nhap ca nhto va thue thu nhgp doanh nghifp, ty If tiiat nghifp thudng xuyfn dugc giam xuflng, Igi ich va chit lugng sflng cia ngudi lao dflng kh6ng ngimg dugc cai thifln Quyfln lgi cia ngudi lao dgng ctog cao nhd lifn tuc (5 lin t i thtog nam 2007 din thtog nam 2014) ttog mic ddng hing thang cho ddi tupng dfing thdi tham gia ca BHXH, BHYT va 41 Tgp chi Khog hgc xd hgi Vift Nam, sd 3(88) - 2015 BHTN t i tfing cpng 23% Ifln 32,5% (frong dd ngudi s i dung lao ddng cung ttag mic ddng tu 17% Ign 22%) tdng mic tiln luong, tiln cfing ghi hgp dfing lao dgng hogc hgp dflng lam vifc Luong tfli thigu tigp tuc dugc digu chinh theo 16 frinh vdi myc tiflu btog vdi mic sflng tfli thilu, gdp phan giam khd khta, cai thifln ddi sflng cia ngudi lao dgng Cg che tifln luong frong khu vyc doanh nghifp (DN) cang gin vdi nang suat lao ddng, hifu qua kinh doanh Ctag vdi sy phat triln kinh tg va hgi nhap qudc tl, cac loai hinh bao hilm cho ngudi dta cang md rgng va da dang hda sta phim Dfli tugng tham gia BHXH, BHYT ctag tang, nam sau cao hon nam trudc Phgm vi dfli tugng tiiam gia cac hinh ttiic BHXH va BHYT cang dugc md rgng Cac chl dg chinh sach, luong huu, frg cap dfli vdi ngudi tham gia BHXH, BHYT dugc thyc hifln kjp thdi, diy di, an toan ding quy djnh, vdi thi tuc ctag dugc cii thifn nhd BHXH Vift Nam da tiln hanh soat va cit gitai sfl thi tuc hanh chinh (TTHC) tu 263 xudng cdn 111; thyc hifln giao djch theo co chfl "mot cua" lien thflng va ap dung He thing quto ly chat lugng c6ng vifc theo tieu chuin ISO 9001:2008, friln khai thi dilm giao djch tren mang internet tgi 36 BHXH tinh, phi, tao thuto lgi t6i da cho ngudi dta va DN giao djch vdi ca quan BHXH Dgc bift, cong tac dli mdi thi chl quan ly BHXH va BHYT dugc thuc diy mgnh me nhflng thang 42 culi nam 2014, Lugt Bao Mem xa hpi sia ddi (thdng qua thtag 11 nam 2014 va cd hifu lyc thi htah tu thtog nam 2016) da md rdng va tao cfing btag hon cho cac dfii tugng tham gia BHXH, hoan thifln nguyfln tic ddng hudng bao hilm xa hgi, mang y nghia dota kit chia se ttong cpng ddng, la sir bto dtol thay thfl cho ngudi lao dfng nham giai quylt nhumg rii ro frong cupc sflng 6m dau, bfnh tat, tai ngn lao dfng, benh nghe nghifp, mit vifc lim va tuli gia; giao quyln nhilu hom cho eo quan thu va quto Iy bao hilm, ttong cd quygn dugc tra chuyfln nganh vl ddng bag higm xa hpi, bto hiem y tl va bao hiflm that nghiflp, vdi nhflmg chi tai ntog hom dfl "quto" cac doanh nghifp cd tinh vi phgm Ngay 10 thtog 10 nSm 2014, Quylt djnh 1018/QD-BHXH vl sia ddi mflt sfl ngi dung quan ly thu, chi BHXH, BHYT da logi bd bilu miu, cdng vto, dom dg nghj cua dom vj sil dung lao dpng (SDLD) va ngudi lao dpng (NLD); logi bd nhiflu tiflu thttc khong can thiet miu biflu dtog ky tham gia va huong chfl BHXH, BHYT, gdp phin giam thilu thdi gian DN giao djch vdi co quan BHXH Ngay 10 thtog 11 nam 2014, Ban Cto su Dang BHXH Vift Nam ban hanh C6ng vto s6 84-CV/BCS yeu ciu BHXH cac dta phuang thyc hifn nghifm tic, quylt lift, hieu qua Nghj quylt sfl I9/NQ-CP, Chi thj s6 24/CT-TTg va Quyflt djnh 1018/QD-BHXH; neu eao tinh thin frach nhifm, giai quylt kjp thdi, diy du Bdo hiim xd hdi vd bdo hiem yted chf dg chinh sach BHXH, BHYT; ttog cudng kilm fra vipc thyc thi cdng vu, kifln •quyet x i ly can bp gay philn ha, sach nhiflu dfli vdi DN va ngudi dto (trfln thyc tl, dfln cufli nam 2014, thdi gian giao dich nop BHXH cia DN vdi CO quan BHXH da giam xudng cdn 108 gid) Ngay 18 thang 12 nam 2014, BHXH Vift Nam da tilp nhto phto mim kfl khai hfl so tham gia BHXH, BHYT qua mang internet (BHXH) t i Cflng ty C6 phan TS24, sau qua trinh thyc hifn thi dilm dap i n g dugc yflu cto Sap tdi BHXH Vift Nam se trinh Thi tudng Chinh phi ban hanh Quy djnh ve giao djch difn tu; dflng thdi, tifln htoh dang ky v i thyc hifln chfl ky sfl cho tit ca nhtmg cto bp cd frach nhifm toan nganh Ngay 27 thtog 12 nam 2014, BHXH Viet Nam va Tflng cue Thufl cung da ky Quy chfl phfli hgp cflng tac va nam 2015 sfl xay dyng quy chl phfli hgp s i dung chung mgt ma sfl DN frong dang ky DN, khai thul, khai BHXH DN chi cin khai bto dfii vdi CO quta la se dugc su dyng chung, qua tilt kifm thdi gita, chi phi giao djch cho DN va ngudi dta Theo Bao hiflm Xa hgi Viet Nam, tinh dfln 31 thtog 12 nam 2013, so ngudi tham gia BHXH, BHYT ca nudc la ttfln 62,3 trifu ngudi, tang 3% so vdi cing ky nam trudc Trong do, tham gia BHXH, BHYT bit bugc la han 10,6 trifu ngudi, ttag 1,9% (cd 8,5 triflu ngudi tham gia BHTN); 51,5 trifu ngudi chi tiiam gia BHYT, ttag 3,2% va tham Viet Nam gia BHXH ty nguyfn la 170.600 ngudi, tang 22,2% so vdi nam 2012 Thu BHXH, BHYT ttfln 159.171 ty dflng, dgt 108,2% kl hogch; bao gdm thu BHXH bit huge 111.000 ty ddng, tiiu BHXH ty nguyfn 532,5 ty dflng, tiiu BHYT 47.500 ty dflng Sfl chi BHXH, BHYT dgt hon 172.700 ty dflng Trong dd chi 48.000 ty dflng t i quy BHYT cho 125 triflu lugt ngudi kham chfla bfnh; chi 80,3 ty dflng tu quy BHXH ty nguyfn cho tren 6.000 lugt ngudi; chi 82.700 ty dong tu quy BHXH bat bupc cho gta 7,9 ttifu lugt ngudi vfl tien huu tri, t i tuRt, tai ngn lao ddng - bfnh nghg nghigp, dm dau thai san, BHTN (ttong thtog nam 2014, ty lfl thit nghifp cua lao dflng dp tufli la 2,12%) Trfln 67% dto sd ca nudc da cd BHYT Nhieu logi dich vu ky thuat cao, chi phi Idn chtta benh nghfl nghiep cho ngudi lao dflng da dugc BHYT hfl ttg toan Tinh riflng nam 2012, ca nudc cd 432.356 ngudi dugc huomg trg cap that nghiSp htag thtog va trgn 121 triflu lugt kham chtta bfnh BHYT, tang gto 2,6 trifu lugt so vdi nam 2011 Trong giai dota 2011 - 2012, Nha nudc da hfl trg 22.303 ty dflng dg cip the bto hilm y tl mifln phi cho 29 ttiflu lugt ngudi ngheo, ngudi dan tgc thiflu sfl, tre em dudi tufli; hd frg btag 70% mfnh gia the mua bao hiflm y te cho ngudi dto thugc difn cto ngheo (mic menh gia BHYT cho cto dfii tugng tang lien tuc, tu 50.000 dflng/ngudi/nam 2002; 60.000 ding nam 2005; 80.000 ding nam 2007; 43 Tgp chi Khoa hoc xd hgi Vift Nam, sd 3(88) - 2015 130.000 dflng nam 2008 va hifn la 3% muc luomg tfli thilu chung) Cac dja phuong diu friln khai cap the BHYT cho tre dudi tudi, tinh cd ty If cap the BHYT dgt cao nhit la 98% Hon 90% sfl tte dudi tudi dugc tiflm chung day di Chuong frinh "Mdr sdng ngudi cao tuoi" giai dota 2012- 2015 dugc friln khai t i quy II nam 2012 Tinh t i thang nam 2012 din 31 thang nam 2013 d 61/63 tinh, ca nudc da tfl chic kham, tu van cto bfnh ve mat, phat thuflc mifln phi cho 1,5/4 trifu ngudi cao tufli theo kl hoach, kl ca ngudi eao tufli d cac huyfn ngheo, vung sRu, vung xa Din het thtag 12 nam 2014, ca nudc cd khotag 64,7 ttifu ngudi tham gia BHXH, BHYT, tang 3,7% so vdi cung ky nam 2013 Trong dd, tham gia BHXH bat bupc la 11,5 trifu ngudi, BHTN hifu ngudi; tham gia BHXH tu nguyfn la 200.000 ngudi; tiiam gia BHYT 64,5 trifu ngudi Tota ngtah da thu 195.300 ty dflng BHXH, BHYT, BHTN; dgt 101% so vdi kl hogch Co quan BHXH da giai quyet cho 8.054.435 trudng hgp hudng cac chl dp BHXH, tang 481.552 lugt ngudi (6,4%) so vdi nam 2013 Trong dd, 118.091 ngudi hudng chl BHXH hing tiitag, 642.239 lugt ngudi hudng ttg cip BHXH mft lin, 722.523 ngudi hudng trg cip BHTN, 6.571.582 lugt ngudi hudng chl dp Im dau, thai san, dudng sure - phuc hfli sic khde Co quan BHXH da toan chi phi cho 138.962.579 lugt ngudi di kham chtta benh BHYT, ttog 10.1687.280 lugt ngudi 44 (8,3%) so vdi nam 2013 Tgi Hdi nghi cip cao "Kgu ggi htoh dgng vi sy sdng cdn cia tte em" d Hoa Ky nam 2012, Lifln Hpp Quflc va cac tfl chic quoc tl da danh gia Vift Nam thuflc quflc gia dgt tifln dg thyc hien Muc tieu Thign nien ky (MDG4) vi giam tu vong tte em; thupc quflc gia dgt tign dg thyc hifn vg Muc tiflu MDG5 vf gigm t i vong me; xIp t h i 27/101 nudc dang phat triln vf ntag luc giam ngheo cia cto quflc gia trfln ca Ind6nflxia, Malaixia, Philippm, Thai Lan Nam 2012, ty lfl suy dinh duong thi nhe cto d fre em dudi tudi cdn 16,2% (la muc tieu cia nam 2015); ty lfl tu vong tte em ducri tufli cdn 23,2% (myc tiflu nam 2015 la 19,3%); Ty If t i vong tre em dudi tuoi cdn 15,4% (muc tiflu nam 2015 la 14,8%) Chflnh Ifch ty If t i vong tte em dudi tudi gitta ndng th6n va thj da giam xuflng cdn 14,3% so vdi 20,3% nam 2001 Nam 2014, ty suat chgt ciia fre em dudi I tudi (sfl tre em dudi tuoi t i vong/1000 tte sinh sflng) la 14,9%«, frong dd khu vyc thj la 8,7%(i; khu vuc ndng th6n la 17,8%o Ty suit ch6t cia tre em dudi tufli (sd tre em dudi tu6i tu vong/1000 fre sinh sing) la 22,4%o, ttong dd khu vyc thtah thj la 13,l%o; khu vuc ndng thfin la 26,9%o Han chfl BDASXH la nhifm vy da dang, noi dung rfing, dli tugng phuc tgp va thcri gian keo dai, nfln khd tranh khdi thieu sdt Bfln canh nhttng tyu to ldn, cac hoat dgng BHXH va BHYT khflng it han chl Chit lugng cflng tac Bdo hiem xd hgi vd bdo hiem y te a Vift Nam bao vf, cham sdc sic khde chua dap xa hfli chgm dugc khac phyc Dgc bift, ung dugc yflu can cia nhan dan, nhat la cd sy gia ttag phto hda thu nhap thyc tfl dfli vdi ngudi ngheo, dflng bao ving va ca muc luong hira (cd khdng it ngudi sau, ving xa, ving dan tflc thiflu sd; ty dang hudng muc luomg huu 40 ttifu If em suy dinh duong cdn kha cao va ddng/thang, nhung cung lgi cd ca htog giam chgm Ve sinh an toan thyc phim ngan ngudi luomg huu 1,1 ttieu ddng/ chua dugc kilm soat chat che Ty If thtog) giua cac vung va ting ldp xa hdi ngudi tham gia BHXH va BHYT cdn Tinh trgng lao dgng d cac khu vyc phi thip; ty lfl tham gia BHXH bing 20% chinh thic cd thu nhgp bap benh, lyc lugng lao dong (nam 2011) Bao thiflu vifc lam dn djnh trudc nhiing bifln hiflm bat bupc bao phi 70% lao dgng dflng thdi tiflt va thj trudng, ddi lap vdi thupc difn bat bupc tham gia; BHXH tu Men tugng dau tu va tiflu dtog ltog phi nguyfn thu hit 0,22% sfl lao dflng thuflc xa hfli Hien tugng ng lucmg, chiem difn tham gia Dp an tota va hifu qua dung, trfln va ng dgng BHXH, BHTN, quta ly Quy BHYT dang bao dgng cflng nhu Igm dung chinh sach BHTN Chflnh Ifch cac chi sfl vg an sinh xa hgi kha phfl bien Tir nam 2008 dfln nay, tinh gitta mien nii, ving dflng bao dan tpc trtag doanh nghifp ng dgng, tham chi thieu s6 vdi m i c trung binh cia ca nudc trfln ddng hogc cfl tmh chiem dung tifln cdn ldn, chua theo kip vdi sy phat trifln ddng bao hiflm xa hfli va y tfl cia ngudi cua kinh tfl thi trudng djnh hudng lao dgng cd xu hudng tang nhanh theo XHCN Mdt sd chinh sach xda ddi giam ting nam Tinh din 30 thtag 11 ngheo cdn ntag tinh chit bao cap, xin - nam 2014, ng BHXH va BHYT cua cac cho, tao hifn tugng "xin d lai" difln doanh nghiflp la 11.114ty dflng, ttag 455 ngheo, y lgi, thu dgng thoat ngheo; hogc ty dflng so vdi nam 2013 Hau nhu dja bi cudng b i c khoi dien ngheo d dja phuang nao cflng xay tinh trmg chtoi phuong theo chi tiflu ap dgt chi quan, ddng, ng dgng Diflu da anh hudng lam tha hda cac gia trj xa hfi va cac ro tdi quyfln lgi cia ngudi lao ddng chinh sach BDASXH Cflng tac difu Sjnh hirdmg phat trien hda, phfli hgp, 16ng ghep va kiflm soat Trong thdi gian tdi, BHXH cdn nhilu cac chuang ttinh, chinh stoh BDASXH viflc phai lam vfl hoto thifn chinh sach, chua dflng bp, din din ngufln lyc cdn bj phap luEit va co chfl quto ly Quy bao dto ttai, trtag lip, bj Iam dung, that hiflm xa hgi, khuyfln khich nflng dan, lao thoat, kem hieu qua ma sy viflc cap dgng khu vyc phi chinh thic tham tring htog chuc ngto the BHYT cho gia bao hiem xa hpi ty nguyfln Quy ngudi ngheo la difln hinh Nhiflu bieu dinh bat bugc ngudi s i dunglao dgng hifn tiflu cyc, nhung "16 h6ng dgo due phai ddng bao hiem xS hgi cho ngudi va chuyen mfln" giao dye, y tfl va lao dgng, dl dfln nam 2020 sg cd khotog cto hoat dgng tir tiiifn, cuu trg nhan dao 50% lyc lupng lao dpng tham gia bao 45 Tgp chi Khoa hgc xd hot Viet Nam, sd 3(88) -2015 hiflm xa hpi, 35% luc lugng lao dgng tham gia bao hiflm that nghiflp Bao dam dfln 2020 se cd khoang 2,5 trifu ngudi dugc hudng ttg giup xa hpi, dd tten 30% la ngudi cao tuli Bao dam giao dye tfli thiflu, y tfl tfli thiflu, nha d tfli thiflu, hudng true tiep vao ngudi ngheo, hfl ngheo Uy tin va hieu qua chimg cia BHXH va BHYT thdi gian tdi cdn thudc vao vifc giai quygt nhttng bit cap, chflng cheo phto cflng trach nhifm va hieu lyc thyc thi quan ly nha nudc; trinh df chuyen mfln va dgo due nghfl nghifp, tinh chuyfln nghiflp cia dpi ngu cto bf; su da Aang hda va chit lupng thyc tl cto djch vu BHXH va BHYT thyc tiln cgng ddng Thyc tfl cflng cho thiy, dl giai quylt nhflng thach thic da difn va phuc tgp vl bao dam nhto quyln va hai hda lpi ich hogt dgng DN la mpt qua trinh khflng de dang, ddi hdi sy quan tam, phdi hgp thudng xuyfn, ch|t chfl gitta cac bgn lifln quan frong tuSn thi luat phap quflc gia va quflc tl, dac bift la Cflng udc Nhan quyln cia Lifln Hgp Quflc Viet Nam dang va se thudng xuygn cap nhat, chia sfl kinh nghifm, bai hpc cflng nhu trao dfli, dfli thogi vdi cto nudc, cac td chic qu6c tl va tfl chuc phi chinh phu dg cang cai thifn cac quygn cho ngudi dta ndi chung, nhan quyfln frong DN ndi riflng, ddng gdp vto sy nghiflp bao vf va thic diy cac quyln ngudi fren toto thfl gidi chiing phto bac manh me dd cfi tinh nghi ngd hay phi nhto vai frd Nha nudc Vift Nam cfing tac BDASXH Dd ctag la nhttng bing chiing xac thyc bac bd su vu khfing, bja dgt fring frgn va bdp meo sy that cho rtog dau dd cdn cd su ky thi dta tdc va Men tugng bd rod nguoi ngheo, nhat la nfing thfln, mifln nii S Ket lu^n Nhin toan cue, cd the khang djnh va tin tudng rtag, Viet Nam da, dang va se cfl ging Iam tit ca dfl BHXH, BHYT ndi rieng, hfl thflng BDASXH ndi chung ctag tflt hon Hy vgng, thdi gian tdi, ca chat lugng va df an tota ciia BHXH va BHYT sfl ctog dugc cai thifn, dap ing nhu ciu xa hgi va quyin lpi chinh dtog cia ngudi lao dflng, cflng nhu gdp phto phat friln bin vflng dit nudc, bao dam thyc hifn nhto quyfln ndi chtag, cac quyln xa hfi ndi riflng ctia ngudi dan Tai lieu tham khao Nghj quylt so 21-NQ/TW vl tSng cudng su lanh dao ciia Dang ddi vdi cdng tac BHXH, BHYT giai doan 2012 - 2020 "Chiln luge phat triln kinh tl - xa hgi 2011 2020" dugc thdng qua tai Dai hgi XI ciia Dang Dl an "Thuc hign lg trinh bao hilm y tl toan dan giai dojn 2012 - 2015 va 2020" Dl an "Phatuiln y tl biln, dao din nSm 2020" Bao cao Thong ke kinh tl - xa hgi Vijt Nam hang n5m cua Tdng cyc Thing ke, cac nam td 2010-2014 Luat Lao dgng, Lujt Bao hilm xa hgi, Nhflng kflt qua va muc tiflu phin diu BDASXH trfln day la nfi lyc va la bing 46 Luat Bao hilm y tl, Luat Binh ding gidi, Lujt Day nghi ... tiiu BHYT 47.500 ty dflng Sfl chi BHXH, BHYT dgt hon 172.700 ty dflng Trong dd chi 48.000 ty dflng t i quy BHYT cho 125 triflu lugt ngudi kham chfla bfnh; chi 80,3 ty dflng tu quy BHXH ty nguyfn... nganh Ngay 27 thtog 12 nam 2014, BHXH Viet Nam va Tflng cue Thufl cung da ky Quy chfl phfli hgp cflng tac va nam 2015 sfl xay dyng quy chl phfli hgp s i dung chung mgt ma sfl DN frong dang ky DN,... BHXH ty nguyfn la 170.600 ngudi, tang 22,2% so vdi nam 2012 Thu BHXH, BHYT ttfln 159.171 ty dflng, dgt 108,2% kl hogch; bao gdm thu BHXH bit huge 111.000 ty ddng, tiiu BHXH ty nguyfn 532,5 ty dflng,