Medical reform of Jiangsu Can reward expenses personnel when participating in the medical insurance while encouraging residents

Medical reform of Jiangsu Can reward expenses personnel when participating in the medical insurance while encouraging residents
Medical reform of Jiangsu Can reward expenses personnel when participating in the medical insurance while encouraging residents
[Dragon's tiger's network report ] " Resident's medical insurance " Can only enjoy the treatment for one year while paying the expenses for one year, effect an insurance in 10 and effect an insurance for one year there is not difference in the treatment. Reporter's medical insurance from Jiangsu of yesterday " Thousands upon thousands " The ring province walks and knows in the interview activity, the thinking of development of the medical insurance of Jiangsu will be in the future, let to pay the fees service life tie to treatment, in order to encourage urban residents to effect an insurance continuously. This means, " resident's medical insurance " in the future Join sponsor pay the fees service life to be long, enjoy pay limit, wipe out proportion, can raise while being corresponding at most. Can reward a reporter and know expenses personnel, in order to improve and effect an insurance enthusiasm that personnel effect an insurance continuously, many places have already begun to ferment the incentive policy, among them the medical insurance of the residents in Nanjing thinks out the wonderful method: So long as effect an insurance continuously, the medical insurance fund will increase by 10,000 yuan every year when being paid the limit at most totally, the maximum number can rise to 150,000 yuan; Ones that stop paying the fees, effect an insurance to calculate from the first year again again. If the baby has effected an insurance since a years old, reach 7 at the age of, it pay limit, rise to 150,000 from 80,000 that stipulate originally at most. The medical insurance department of Suqian is even more " Positive" ,"To resident that effect an insurance continuously, pay the fees one for less than year from second, increase by 5000 yuan on the basis of submitting an expense account and binding 100,000 yuan of line, pay the fees for more than 10 years continuously, cancel submitting an expense account and binding the line. Medical expenses have not happened for two years in succession to residents to effecting an insurance, still reward the measure, can participate in a health physical examination free. " Suqian work with the intersection of social security and Su YaoXi, chief of office, introducing in giving an interview while being municipal. The relevant experts of medical insurance department of province tell reporters, the existing policy pays the fees in 10 and pays the fees for one year continuously, the guarantee treatment enjoyed is the same, this makes some people feel still healthy at present, the thing of participating in the medical insurance is all right " Wait a moment " . Require Jiangsu set up the intersection of medical insurance and service life of paying the fees and enjoy mechanism that treatment be got in touch according to the intersection of Jiangsu and new the intersection of medical reform and scheme, pay the fees 10 year in the future, take than most high amount submitted an expense account 1 year to pay the fees many. All parts also can explore, to effect an insurance continuously, take place to effect an insurance person hospitalization cost actively at the same time, reward or reduce the preferential policy with standard personal burden appropriately. " wait for one " Can wipe out according to policy, medical insurance break assuare personnel behind not making up, effecting an insurance expense, the ones that have 3 months " Wait for one " ,That is to say that if waiting for the hospitalization cost that happened after 3 months, could submit an expense account. Bear in order to lighten the diagnosing the illness of the patient and encourage effecting an insurance, Lianyun Harbour issues the regulation this year, participate in the intersection of worker and basic medical insurance but stop, pay the fees person in 6 months due to special reasons, behind the the intersection of medical insurance and expenses during making up and cutting off, see the doctor expenses in the three month from the months can 30% of treatment pay according to in hospital while being ordinary, submit an expense account according to the original policies and regulations three months later. After policy this issue, it attracts 5000 to be more than person disconnected to protect person's initiative renewal of insurance already. Province the intersection of medical insurance and central Wei Zhang, director of office, say in Jiangsu, because various reason cut off insurance effect an insurance personnel have hundreds of thousands. According to the new medical reform scheme requirement in Jiangsu, will accelerate doing non-public economic employees well this year, rural worker, the work that peasants, the flexible employee and freelancer effect an insurance of taking over the land for use, strengthen the alternative of the system, personnel's work of renewal of insurance of doing well and stopping paying the fees. Reduce burden, halt great the intersection of prescription and making when checking the project all to make while being unnecessary, department of medical insurance of Huaian " Number fen are worth settling account " Have caused the concern. According to the introduction of administrative center director money soldier of the National Social Security Fund (NSSF) of Huaian, it is according to different Shi Zhi's requirement and historical average level of the expenses, give different scores of each number determination. Serious disease and serious illness " The score " High, the small disease, light disease " score " Low, different the intersection of grade and hospital, score multiply by different coefficient, in order to add up to the total score and medical insurance centre to check out every month such as hospital. Because total value certain, the same the intersection of number and the intersection of hospitalization cost and low expenses that hospital get compensate, stand opposite each other much. If the doctor constructs and cures blindly, it is consumed and gone beyond according to " score " actually which is made the big prescription, will make The medical insurance settled is paid, bring loss to hospital. After implementing, make the per capita hospitalization cost drop by 1800 yuan in the first quarter alone. The expert of medical insurance department of province says, this kind of settlement way and disease diagnosis, treating and is concerned with, represent a kind of developing direction of means of payment of medical insurance, has dealt with " the expenses are difficult to control ", the expenditure pressure can not be only increased and decreased " Contradiction. Extend and read Author: Xiang FengHua


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