Monday, August 6, 2012

Jiangsu: Will accelerate advancing the medical insurance in urban and rural areas to merge next year

Jiangsu: Will accelerate advancing the medical insurance in urban and rural areas to merge next year
Jiangsu: Will accelerate advancing the medical insurance in urban and rural areas to merge next year
Yesterday, society department Vice Minister Hu XiaoYi revealed people at the 18th meeting of the 11th Standing Committee of the National People's Congress, the medical reform will advance the clinic pool of urban and rural residents synchronously next, will bring those common diseases, frequently-occurring diseases into the payment range of the medical insurance too. As to this, the intersection of society and the intersection of Room and relevant director, people of Jiangsu Province, say, the next step, Jiangsu plans to regard ensuring the institutional improvement in basic medical treatment in urban and rural areas of the pool as the goal, break the limitation of many department's management, realize on the system the basic medical treatment in urban and rural areas ensures the unified management of the system. Bulletin reporter phoenix's China [awkward current situation ] 3 kinds of medical insurance of whole family are variant 42 -year-old Lao Zhang is shut by Nanjing six the person this year, participate in the local new rural cooperative medical service; Wife of Lao Zhang one factory go to work at town, enterprise pay urban medical insurance, worker of enterprise, for her; The son going to school in the town has participated in resident's medical insurance in the school too. "Medical insurance of wife, preferably, each have money enter account month at the the intersection of medical insurance and card, diagnose the illness proportion that wipe out most high. The premium that the son pays every year is similar to me, but see the doctor the proportion of submitting an expense account is higher than I. " Lao Zhang says, the medical insurance has divided our three people of one family into three grades. Lao Zhang is awkward, reflect the awkwardness of the system of medical insurance at present vividly. What our country implemented is according to the identity, medical insurance system that the job divided. According to the regulation, urban enterprise worker, flexible employee participate in worker's medical insurance, urban non-professional residents participate in resident's medical insurance, the peasants without stable work participate in the new rural cooperative medical service. Different the intersection of medical insurance and system, effect an insurance, pay the fees different, it is different for finance to subsidize, proportion that wipe out difference enormous. Take Jiangsu Province as examples, at present, the proportion, as about 80% that enterprise worker's medical insurance submits an expense account on average, resident medical insurance wipe out proportion on average as 50% about, and new agricultural reality that shut submit an expense account, compensate, it compensates to be 24% by about 42%, clinic in hospital. The medical insurance belongs to different administrative departments respectively to manage, manage resources to disperse, has already influenced the management and efficiency done, increase and manage the cost, bring inconvenience to masses again. After some places still exist and reply the problem of effecting an insurance such as Taizhou and combine the medical insurance and manage resources emphatically, find that 200,000 people effect an insurance repeatedly; 110,000 urban residents of Qixia district of Nanjing effected an insurance in personnel, 40,000 people participated in and shut newly and agriculturally again at the same time. [Solution ] break in urban and rural areas demarcation line, implement people of pool Jiangsu Province the intersection of society and the intersection of Room and director say, on the promotion tactics of the pool in urban and rural areas of medical insurance of Jiangsu, do a good job of the medical insurance of urban worker's medical insurance, urban residents, new agricultural shutting, connecting during the medical rescue in urban and rural areas at first, form the medical security system covered extensively, well versed in each other; Secondly combine the basic medical insurance and handle and manage resources progressively, realize urban worker, medical insurance and new agricultural a department that handle jointly of urban residents to manage, handle procedure, a service window externally in unison. At present, already the 18 Overall Planning areas have realized the medical insurance system of the pool in urban and rural areas is merged in Jiangsu, in that 10 areas are managed by the social security department. Combine medical treatment and ensure the system form, promotes and shuts carrying out the transition to resident's medical insurance system newly and agriculturally in Suzhou, Zhenjiang and other places, and set up the policy interface connecting each other, changing each other, residents can choose to ensure the insurance kind according to one's own ability and demand, at the same time can not behind it vary resident identity or it have it if you can't work, concern steadily a level of insurance kind transitions upwards. Outside civilian worker can also participate in medical insurance make the intersection of breakfast and the intersection of bus and Mr. Lin, people of Anhui, of retail business, want to participate in the medical insurance in Nanjing, have office have local household register refuse on medical insurance at the door. As to this, the relevant persons in charge say, Jiangsu will take many kinds of measures next, promote flexible employee and rural worker to participate in the medical insurance. For example sign the labour contract and establish and trouble the rural worker of the relation with the employing unit steadily, can participate in the local urban worker's medical insurance system; Other rural workers can participate in medical insurance of the residents in the site or the household register site of working to shut newly and agriculturally according to the actual conditions, this mean in join, keep pay attention to, breaking in urban and rural areas demarcation line, household register limit. Community's hospital sees the doctor and wipes out while improving worker's medical insurance personal account policy more, advance the clinic pool of urban and rural residents synchronously, bring those common diseases, frequently-occurring diseases into the payment range of the medical insurance too, expand the masses' benefited one. The reporter knows, already many areas have brought common disease, frequently-occurring disease into the medical insurance in the range of submitting an expense account in Jiangsu, some areas still take and reduce or remit community's registration fee, favourable measures such as the fee,etc. of making a diagnosis, personnel enter the community to guide and effect an insurance. In the future, wipe out policy too until community's hospital of the multidirection slope.


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