Jiangsu advances the reform of way of paying of the medical insurance The proportion at one's own expense or in 30

Jiangsu advances the reform of way of paying of the medical insurance The proportion at one's own expense or in 30
Jiangsu advances the reform of way of paying of the medical insurance The proportion at one's own expense or in 30
Raise the intersection of resident and the intersection of medical insurance and finance, subsidize standard, raise, wipe out proportion and bind the line, pass " Group purchase " Reduce the medicine price On January 3, the vice floormanager of drawing room of society of people in Jiangsu Province Hu DaYang reveals when being interviewed by reporter, " the medical industrial injury birth insurance of the whole province handled the working main point in 2012 " to make, in how Jiangsu lighten, effect an insurance personnel diagnose the illness burden, reduce individual, pay proportion, the intersection of all-inclusive cost and the intersection of person who control and respect for itself, write an essay this year. Covering the university students of surface 1,750,000 will all enter the medical insurance This year, Jiangsu is besides guaranteeing the retired personnel of difficult enterprise all participate in worker's medical insurance, will also advance the urban non-public employees of economic organization, the employee of service industry, flexible employee, employment are difficult for personnel, the foreigners of rural worker and employment in China to participate in worker's medical insurance. Set up university student's long-efficiency mechanism that participate in medical insurance of urban residents, handle the personated old man's problem of effecting an insurance well properly, guarantee 1,750,000 university students at school all effect an insurance. Consolidate and expand " The whole people's medical insurance " The achievement, strove to make the urban worker's medical insurance of the whole province effecting an insurance by the end of this year the number of people has been up to 20,700,000, the urban residents medical insurance effects an insurance the number of people is up to 15,300,000, the coverage rate steady and above 95% of effecting an insurance of medical insurance of urban worker, resident. Subsidize the standard resident's medical insurance finance to subsidize and improve to 240 yuan Will improve the competence of always raising funds of resident's medical insurance this year. Hu DaYang introduces, by the end of last year, besides Yangzhou, 12 other municipal government per persons subsidize competence reaching or over 200 yuan. This year, Jiangsu will also improve the financial subsidy standard of resident's medical insurance, will improve by 240 yuan for each person every year, strengthen system attractiveness conscientiously. Wipe out medical insurance, resident of proportion, see clinic little disease offer half the the intersection of moustache and ocean, say at least, guarantee worker medical insurance and the intersection of urban residents and the intersection of medical insurance and policy in hospital in the range the intersection of hospitalization cost and the intersection of pool and fund wipe out proportion, up to 80% and 70% respectively this year. Adjust worker's medical insurance, medical insurance of urban residents to pay the limit at most, reach more than 6 times of annual per capita disposable income of annual mean salary of the local worker and resident separately. Hu DaYang reveals, will improve resident's medical insurance clinic and conduct the treatment this year, effect an insurance personnel make a diagnosis fee, class-A medicines of medical insurance generally in fixed the intersection of basic unit and whom medical health organ take place ' Includes the basic medicine) With other coincidence being fixed to make a diagnosis fee, it is not lower than 50% to pay the proportion in principle. It is expressed that the reform of way of paying pursues total value and controls the advance under to make the ocean of moustache in an all-round way, in the intersection of Jiangsu Province and that large hospital go to a doctor patient, it exceeds 50% to be medical insurance effect an insurance person, the proportion of the hospital medical insurance personnel at county level is up to 70%- 80% especially, this proportion also excludes the medical insurance personnel that seeks medical advice in the strange land. How give play to the intersection of medical insurance and fund these one effectively " VIP customer " Resource,it is use medicine rationally not to last medical organization, is it excessive to contain by medical treatment, it is last not diagnosing the illness to bear of personnel not to lighten, give play to the greatest benefit of the medical insurance fund, it will be Jiangsu the medical insurance pays an important responsibility in the reform this year. The reporter knows, Jiangsu will set up in conformity with system development of the basic medical insurance and combinedly and pay the system this year, pursue total value and control the advance system under in an all-round way, combine the pool of clinic and pay according to the number of people the medical insurance of urban residents, combine the guarantee in hospital serious disease and push into the hospital above county level to pay according to number. Set up and improve the negotiation mechanism with medical organization, medicines and special medical consumptive material supplier, for example effect an insurance outside the catalogues with higher voice of personnel while medicines include in the medical insurance catalogue, the medical insurance department will also give full play to the group advantage of 30 million members of effecting an insurance more, together with price, call for bid department negotiate with medical organization, make it the intersection of personnel and consumption further reduce prices than loud medicines to effect an insurance. "Goal of us to control hospitalization cost to be unreasonable to increase effectively, strive to pay for itself the proportion of the expenses of individual to limit to 30%, namely individual of the all-inclusive cost pays for itself and does not exceed 30% partly in hospital. " Hu DaYang says, Suzhou implemented prepaying and making the result prominently combinedly last year, the expense increasing degree chain rate that year of tertiary hospital dropped by 2.7 percentage points, all hospitals dropped by 1.4 percentage points on average. (Xiang FengHua)


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