Improving the compensation standard of the new rural cooperative medical system in Licheng District of Ji'nan
source: Xinhua
newspaper of March 19th (reporter Yu Lijuan Bai Pengfei correspondent Guo Jun Qu Zhenyao), the calendar has issued a 2013 new NCMS implementation plan, will be mentioned The proportion of reimbursement for high and new agricultural cooperatives has increased from 150 thousand yuan to 160 thousand yuan per year.
it is understood that in 2012, a total of 519 thousand and 100 people were compensated for medical expenses of 125 million 452 thousand and 600 yuan, and the utilization rate of funds reached 95.7%. This year, the financing standards for each person in the NNMS are raised from 300 yuan to 350 yuan each year, of which the standard of individual financing for farmers is raised from 60 yuan to 70 yuan. The government subsidy standards at all levels are raised from 240 yuan to 280 yuan. A total of 461 thousand and 200 people participate in the NCMS.
to reduce the burden on the medical expenses of the farmers and ensure the interests of farmers to the maximum extent, this year the region launched the "policy of benefiting the people again": the two level out-patient reimbursement ratio in the village and town is 50%, which is ten percentage points higher than last year. The proportion of the district level out-patient reimbursement is 40%, which is 5 percentage points higher than last year, and the village level medicine costs are reimbursed to each household. The maximum reimbursement per person per year increased from 40 yuan last year to 50 yuan. The proportion of reimbursement for hospitalization expenses in township medical institutions was 90%, 5 percentage points higher than that of last year, and the proportion of reimbursement for hospitals in provincial, municipal and district hospitals was the same as that in last year's three hospitals. The outpatient medical expenses of 13 special diseases and chronic diseases in the designated hospitals of the Licheng District were 5% on the basis of the ratio of reimbursement. End-stage nephrotic dialysis and hemophilia outpatient treatment were reimbursed according to the rate of hospitalization for major diseases. The cost of the outpatient treatment and chemotherapy for malignant tumors was reimbursed according to the hospitalization rate of general diseases in the hospital, and no starting line was set. On the basis of the above reimbursement ratio, the cost of Chinese herbal medicine and appropriate technology of Chinese medicine in designated medical institutions in Licheng District will be raised by 5%. The reimbursement policy for general medical expenses in primary medical institutions remains unchanged.
the major diseases are guaranteed to re expand, and 20 diseases, including end-stage renal disease, severe mental illness and lung cancer, are included in the scope of major disease protection. All the participating farmers suffering from 20 kinds of serious diseases are reimbursed for 70% of the hospitalization expenses at the designated medical institutions at all levels, and the compensation ceiling is 100 thousand yuan per person per year. At the same time, the new NCMS insurance system was carried out. After the 20 kinds of major diseases were joined by the farmers, the proportion of the compensation ratio of the compliance medical expenses of the new NCMS to the personal burden exceeded 8000 yuan was 73%, and the proportion of the compliance medical expenses of 8000 yuan (8000 yuan) was 17%.