Ji'nan residents medical insurance new deal: "grading treatment" is expected to ease the phenomenon of getting together.
source:
mass network Ji'nan September 29th news (reporter Sun Chengyun) public network reporter learned from the Ji'nan social security bureau that the Ji'nan city residents' medical insurance (hereinafter referred to as "the medical insurance new deal") will be implemented from January 1st next year. The phenomenon of pile up.
mass network reporter found that from the "implementation measures" on the ratio of hospitalization reimbursement, it embodies the principle of incline to the medical institutions at the grass-roots level. The proportion of reimbursement for township hospitals is 90%, the higher the hospital level, the lower the proportion of reimbursement, especially the ratio of the reimbursement ratio of the three level medical institutions in the province (Department). This has been reduced, which is in line with the state's requirements for the establishment of a grading medical treatment system. The proportion of differentiated payments is used to guide the insured to seek medical treatment according to their conditions.
because Ji'nan is the provincial capital city, the medical resources are rich, the insured person can go to the province three level hospital to see a doctor directly, and the foreign insured person must be a difficult miscellaneous disease which can not be treated locally and transact the referral formalities to the provincial hospital. Otherwise, it is necessary for a person to pay his own expense. Therefore, in contrast, the insured population in Ji'nan has concentrated on the large hospitals.
mass network reporter learned that in recent years, the number of medical insurance patients in the three level hospitals in Ji'nan (mainly 13 grade A hospitals) accounted for 64% of the total number of people in the city, 75% of the total expenditure in the city, only 25% of the other 97 fixed-point medical institutions, and the queuing phenomenon caused by "pile up" in the large hospitals. It makes a lot of people miserable. Ji'nan Social Security Bureau staff told the public network reporter: "this medical insurance new deal to implement the differential payment ratio, is to guide the insured people to treat the disease, the rational use of medical resources, and then to alleviate the phenomenon of large hospitals."