Henan: " in charge of doing and separating " The mode ensures shutting the fund security newly and agriculturally

Henan: " in charge of doing and separating " The mode ensures shutting the fund security newly and agriculturally
Henan: " in charge of doing and separating " The mode ensures shutting the fund security newly and agriculturally
Henan: " in charge of doing and separating " The mode ensures shutting the fund security newly and agriculturally
Channel of Henan, December 6 (Xinhuanet) ' Reporter Guo JiuHui) Henan Province Zhengzhou, Luoyang, Xinxiang and other places explore the intersection of government and hygiene, financial the intersection of department and new rural cooperative medical service fund of management, the government of Israel buys commercial service and relevant department to supervise, the way which the Chinese life insurance company undertakes medical fee concrete business of checking, paying etc. runs. This kind is " in charge of doing and separating " The mode, has raised and handled efficiency and quality newly and agriculturally jointly, has reduced the administrative operating cost, in order to ensure shutting funds to explore a new way newly and agriculturally safely. --The government is in charge of managing the hidden danger by oneself more by oneself Try first " In charge of doing and separating " Xinxiang city. In 2003, shut the first batch of pilot projects newly and agriculturally as the whole country in Xinxiang, adopted the government to organize leading, managing the fund in the financial department, management mode paying that the Ministry of Health is responsible for the concrete medical subsidy. But run soon, find " government runs this kind, manages by oneself " Mode have system hidden danger. According to the introduction of Vice Mayor of Xinxiang city Yang ShuTing, the functional department each has division of labour, supervises mutually, it is feasible in theory, display three respect questions once putting into operation. First, the potential safety hazard of the fund, shutting funds newly and agriculturally although in the special management of the Bureau of Finance of up to ten million yuan of each one county, but develop, face fund under the situation of bottleneck in at the basic level different fields, it shuts hidden dangers that funds is diverts to be out have, while being agricultural while being new. Second, " build the temple and raise people " The operating cost is high. The townships of cities and counties of Xinxiang are tertiary to set up and shut the management office newly and agriculturally, the personnel engaged in new agricultural government that shut management of the whole city amount to 554, add office premises and apparatus,etc., will increase expenditures of 1500 ten thousand yuan every year, government's burden is heavy. Third, it is difficult to supervise, have a big risk. Undertake medical subsidy and authorize, supervise functions and powers such as the fixed medical organization,etc. in the Ministry of Health, have already worked as " athletes" ,Work as " referee " again ,Very difficult to supervise to put in place. Deputy Bureau Director of Xinxiang Municipal Health Bureau Xu GuangYou likens it to vividly to " hits one's own child, go down hand. " This makes cadre on key post face clean government's testing constantly. Do not according to the policy, once go wrong, it was government's image that was destroyed. Surveyed and studied conscientiously, from April of 2004, Xinxiang chose to cooperate with Chinese life insurance company, adopt " the government organize guiding, the functional department supervises and manages, the insurance company undertakes medical subsidy and pays the business ", the fixed medical organization offers medical treatment service " Shutting on operational moding,effect of making soon. With shutting the enlargement of the pilot project newly and agriculturally, this mode is popularized in 12 counties,cities and districts of Luoyang, districts of 3 counties of market of Anyang. In July of 2011, the market of Zhengzhou will be all shut the business to transfer to the Chinese life insurance company to act on one's behalf newly and agriculturally affiliated counties,cities and districts. 5 cities such as Nanyang, Xu Chang, Kaifeng consult with Chinese branch company of Henan Province of life insurance company actively too. Henan is here at present " In charge of doing and separating " Accept management service effect an insurance jointly while being agricultural while being new masses exceed 1300 people Wan under the operational mode, account for the whole province and join 1/6 which are shut the number of people. --In charge of doing and separating: The government saves worry masses' benefited reporter's investigation finds, shut " in charge of doing and separating " newly and agriculturally The operational mode is popularized, is mainly because of three respect benefits that this new mode brings. First, guarantee fund's security. Shut the tube to do and separate newly and agriculturally, raise funds newly and agriculturally jointly policies such as the standard, subsidy standard and method,etc. are all made by the government, and is supervised and carries out by the functional department of the government; Country the intersection of longevity and Company responsible for, effect an insurance personal information input and hospitalization cost check appropriate and the intersection of fund and the intersection of account and the intersection of person who manage and concrete affairs; The fixed hospital is responsible for medical care. Form the mechanism of supporting, supervising mutually each other, restricting among longevity companies and fixed hospitals of government department, country. Implement in Henan " In charge of doing and separating " The place of the mode, shutting funds newly and agriculturally for many years is diverted, or the doctor makes the single, excessive checking and such questions as the favor paying, relation is paid arbitrarily, it is safe and joining and shutting peasant's interests to safeguard funds effectively. Second, reduced the operating cost. " in charge of doing and separating " The mode fully utilizes Chinese existing operation network and professional personnel's team and field of life insurance company, have reduced the expenditure of the government. The government of Xinxiang pays the life insurance company administrative expenses according to the proportion amounting to 2 of the fund, 240 ten thousand yuan every year. The whole city eight the intersection of county and four district engaged in new agricultural government finance that supervise jointly support personnel, reduce 73 people to from 544 people, the operating cost is limited to 300 ten thousand yuan, can be reduced by expenditure 800 more than ten thousand yuan every year than government's direct management and operation, have reduced government's operation cost. Did not begin to try until this year " In charge of doing and separating " Zhengzhou of the mode, in fact 387 staff members of government are engaged in managing newly and agriculturally jointly the whole city, personnel's salary expenditure is no less than 1000 ten thousand yuan every year alone, the concrete business transfers Chinese life insurances after companies now, government keep 165 supervisor only, and the intersection of Zhengzhou and city pay country the intersection of longevity and Company to it undertakes expense to be 280 ten thousand yuan. Be regarded as, Zhengzhou has saved the financial expense of 700 ten thousand yuan at least after changing the mode. Third, high-efficient, high-quality service, the masses are satisfied. Shutting the business newly and agriculturally to bearing of branch company of longevity Henan in the country, have unified the information management of the computer, verified the standard in unison, settled account to pay in unison. It is high-efficient and accurate that high-efficient, specialized management has guaranteed to shut the business newly and agriculturally. " in charge of doing and separating " Well received by medical organization. At present, several hundred shut the fixed hospital newly and agriculturally inside the province in Henan, and because still shut the pool at county level newly and agriculturally, fund-raising and subsidy standard of 157 counties,cities and districts in the whole province are not all the same, what some provincial fixed hospitals represented by first affiliated hospital Zhengzhou University,etc. accepted for medical treatment is shut to a patient to come from all parts of the whole province newly and agriculturally, before the new mode is implemented, these hospitals should settle account to replenish with dozens of pieces of the whole province, more than one hundred governments of counties,cities and districts per month, the work load is very large. Now, are implementing" in charge of doing and separating " Place,hospital be closed to be lasted longevity one of Company, save manpower financial resources of hospital, also raised the efficiency that the fund runs. " in charge of doing and separating " Improve the service quality, the masses are benefited. Chinese life insurance checks that adjusts experience, professional team, normal business administration with its health insurance hospitalization cost for many years, have promoted the new agricultural service level shut. The longevity company in the country should contrast original certificates such as the case, every daily medicine list,etc. to verify to each subsidy case which the hospital submits in an all-round way. The hospital mended more, should fine from the button of the hospital; The hospital has not mended enough for the patient, should made up again too. A peasant in the west work area of Luoyang makes heart valve and changes the operation, the hospital is checking and calculating while replenishing, fault replenish the artificial heart valve as at one's own expense event, the ones that found while checking the artificial heart valve is announced in the Ministry of Health in the longevity Company in the country are when can be wiped out the project catalogue, and allocate this sum of 3800 yuan to replenish fund to deliver to one's home. --Innovative social management, the government and enterprises " two-win " The reporter surveys and studies and knows, " in charge of doing and separating " explored in Henan The mode is not " Give the commercial operation of insurance company the rural cooperative medical service " . The policy that the governments at all levels still bear the new cooperative medical service is made, propagate and mobilize, such jobs as the fund is collected; The life insurance company is only responsible for the concrete business of checking and paying and serving in inputting, compensating case of the personal information of effecting an insurance etc.. " in charge of doing and separating " Make the government free from the concrete business out. In charge of doing shutting the management office to mostly only keep four or five staff members newly and agriculturally of every county separated at present, specially supervise the insurance company and pay rationally according to the regulation, the fixed hospital uses medicine rationally according to the medicines catalogue, and set up informants' hot-line telephone and set up fixed duke's showing, makes an inspection tour, audits, responsibility claim system, have strengthened the new agricultural supervision that shut. The investigation finds, the Chinese life insurance company undertakes and shuts newly and agriculturally profitlessly, also subsidize a large number of manpower, material resources, why undertake? Is this kind of cooperation sustainable? Henan Province general manager of branch company of Chinese life insurance Wang XinSheng says: "At present, the competition in the city of market of life insurance has been already fierce, potentiality is in the countryside, we participate in shutting the business newly and agriculturally, it is benefit to see in a short time, but several ten million of the whole province ' join and shut ' peasants become our prospect, whom we gain in not serving prestige and brand, watch while being long-term, will be benefited. " Member of the standing committee of Provincial Party committee in Henan, Zhengzhou secretary of Municipal Committee of the CPC Lian WeiLiang say, by the look of practice of all parts, the government combines social resources, is introduced to commercial undertaking, intermediary and participate in social management, make the government leave from the concrete social management affairs, promote the government to turn to the little government's great service, promote the social management innovation, improve a direction of government's management level. Author: Reporter Guo JiuHui



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