Heilongjiang medical insurance Huimin gradually from " Click " And " one "

Heilongjiang medical insurance Huimin gradually from " Click " And " one "
It is reported ' Reporter Jiang Bin) " my life, I decide " ,Qiqihar the intersection of city and the intersection of medical insurance and department implement changing the place of examination methodding of transferring from one hospital to another new, realize by choosing to choose, not quantitative to choose transition that choose to pluralism independently by fixed position original, make patient can utilize best medical resource treat disease. This city is one of the medical insurance reform pilot projects of our province, at present, centre on " people's livelihood field " ,Our province implement multiple the intersection of medical insurance and the intersection of system and reform, make, effect an insurance interests of patient maximize not merely, and poured into new security mechanism in order to promote the masses of resident's health and happiness index. Qiqihar has set up " my life, I decide " New mechanism of the medical insurance. At present, Qiqihar effects an insurance a patient can choose to seek medical advice in the hospital in the area freely, begin from the tertiary hospital or second hospital, shift down first grade or two grades and submit an expense account each time the proportion is raised by 2%~15%, go out of city, go out of province, treat, have obstacle, wipe out proportion, reduce 10%~30%. Qiqihar other places of city change the place of examination, transfer from one hospital to another new method strengthen, effect an insurance patient choose initiative that hospital seek medical advice independently, can make a definite diagnosis of, treat effectively or not see disease of curative effect the system treatment such as suffering from malignant tumour, organ transplant, the cranium tumour special disease and this city, all can put forward, change the place of examination, transfer from one hospital to another, get Harbin or outside the province tertiary first rate hospital ' Includes the section hospital) Make a diagnosis and give treatment. Participating in individual medical insurance Ms. Shi to change the place of examination, transfer from one hospital to another method implement beneficiary. Ms. Shi suffers from malignant tumour, when learning and changing the place of examination the method of transferring from one hospital to another, filed an application with hospital immediately, ran well the procedure of seeking medical advice of Tianjin tumour hospital of going on the same day. After operation come back, yuan of hospitalization costs, medical insurance wipe out 21,400 yuan for it, and less than 10 days, Ms. Shi got the money submitting an expense account back. According to the introduction of medical insurance department head in Qiqihar, the new one changed the place of examination and transferred from one hospital to another the method has broken the restriction, make patient can utilize best medical resource make a diagnosis and give treatment disease, simplify handle procedure, the procedure can be finished within 2 hours. According to saving the human resources and introduction of person in charge of medical insurance of drawing room of social security, in order to strengthen the general favor of the system, our province has launched " my life in Qiqihar, I decide " Pilot project; City launch effect an insurance resident in Jiamusi " The unexpected injury " Include in medical treatment and ensure the pilot project of the range; Have put the medical insurance personal account fund of retired ex-employee in different places under the personal pension bankbook account pilot project in the land-reclaimable general bureau; The market has launched in Harbin " Obstacle does not effect an insurance " Pilot project. Pass " pilot project " ,Have strengthened the service consciousness of the medical service organization, strengthened the medical insurance to handle organization's responsibility consciousness, simplify medical service organization and medical insurance handle organization change the place of examination examination and approval procedures of transferring from one hospital to another, original " examine and approve " Become " put on record " ,And stipulated that accepts responsibility investigation mechanisms such as the time limit,etc. in time. At present, " pilot project " Experience made, popularize within the range of the whole province progressively, ensure and Huimin establishment and setting-up of system establish good working foundation again for new the intersection of medical insurance and system, mechanism, many. In addition, our province still issues a series of policy of Huimin of medical insurance, " four bankrupt, a difficulties " Include in the urban worker's medical insurance range. " four is bankrupt " China, retired personnel included in urban worker's medical treatment and ensured the range before May 30, 2007 for transferring central authorities and central authorities at first, local policies, bankrupt state-owned enterprises in accordance with the law of locality. State finance and provincial finance allocate and join the subsidy fund of the dangerous worker and reach 5,600 million yuan together. Among them, central authorities and central authorities transfer and effect an insurance the subsidy fund was lower than 12,600 yuan, filled according to 12,600 yuan standard; Have not joined per persons of personnel to subsidize 6300 yuan, has already joined per persons of personnel and subsidized 1260 yuan in local policy; The place has gone bankrupt and has not joined per persons of personnel to subsidize 5040 yuan in accordance with the law, have already joined per persons of personnel and subsidized 1008 yuan, it reaches 870,000 to involve worker's number. " four is bankrupt " Subsequently until retired ex-employee include in urban worker's medical treatment ensure the range before the the end of 2009 such as collective-owned enterprise such as closure and bankruptcy China, state revenue and provincial finance will include in the number of people and implement actually according to every pool area " Take the place of mending in order to reward " The policy, ensure this part of personnel's medical rights and interests. It reaches more than 1 million to involve the number of people. This job will be finished before the end of this year. " a difficulty " China includes already transferring central authorities and central authorities, local policy, the bankrupt state-owned enterprise, to the worker of state-owned enterprise retiring before December 30 of 2009 in May 30, 2007 in accordance with the law in the place, other state-run difficulty enterprise workers, difficult worker of collective-owned enterprise, retired reformed enterprise with worker's identity with the approval of due course of law and merging enterprise personnel except collective-owned enterprise of the closure and bankruptcy,etc., include in urban worker's medical treatment and ensure the range before the end of this year, and enjoy the country to " substitute with award and mend " Policy. For lighten, seek medical advice medical treatment of personnel bear, our province raise bind line, bind line originally medical insurance 4 of salary change, raise to 6 times on average prior year from local on-the-job worker; Raise, wipe out proportion, wipe out proportion, 70% bring the intersection of worker and medical insurance from the whole province up to more than 75% on average in the policy, make worker individuals pay the proportion for itself to limit to 25%.

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