Saturday, May 19, 2012

The medical insurance of the worker in Jiangsu will only pay 20% for itself next year

The medical insurance of the worker in Jiangsu will only pay 20% for itself next year
The medical insurance of the worker in Jiangsu will only pay 20% for itself next year
Than the whole country " Nearly one step " The new medical reform scheme is required: The government reaches 120 yuan for each person every year to medical insurance and financial subsidy standard of the new rural cooperative medical service of urban residents - -This goal Jiangsu can realize next year. The new medical reform scheme is required: The medical insurance is paid the limit at most, the ones that improve to annual mean salary of the local worker and disposable income of residents are about 6 times - -This year, Jiangsu will reach this level progressively too. Yesterday, the medical insurance Hu DaYang, director of centre in the province introduced to the reporter, a step of straightforward man of the respect that Jiangsu and submitted an expense account in the coverage rate of the medical insurance proportion,etc., according to the new medical reform scheme, by next year, the medical insurance level in our province can jump onto the new first class step also. A coverage rate of keyword basically realizes the whole people's medical insurance according to the new medical reform scheme within the year, our country will set up the basic medical guarantee system of covering the whole people progressively, will realize the whole cover of the medical insurance for the first time. (understand) At present, medical insurance and resident's medical insurance of the worker in Jiangsu effect an insurance the number of people is up to 16,040,000, 12,340,000 respectively, the coverage rate of these two items of medical insurance has already been more than 90%. The person in charge of the medical insurance centre in the province says, our province will continue expanding effecting an insurance in the coverage of medical insurance this year, worker's medical insurance respect, do difficult enterprise's retired personnel and worker, non-public economic organization, work of effecting an insurance of flexibility employees, rural workers and lost territory peasants well especially, stay in Jiangsu unit and enterprise's unit under the province in the middle of the ones that have not participated in basic medical insurance in the possession yet, must all participate in before the end of this year; The intersection of resident and the intersection of medical insurance and respect, this year, our province too can obtain employment all town residents and university students receive in, basically realize the whole people's medical insurance. Proportion that the second keyword submits an expense account Resident's medical insurance submits an expense account and strives for 60% of Damien this year Raise and submit an expense account the proportion to solve " It is expensive to see the doctor " One item effectively move. The new medical reform is required, proportion and clinic expenses range and proportion of submitting an expense account that the ones that raise in policy range submit an expense account in hospital progressively. (understand) The reporter knows, in this respect, the plan of our province is, by 2010, the medical fee in the fixed range of worker's medical insurance submits an expense account the proportion will be more than 80%, be more than 75% this year, that is to say, worker's medical insurance of this year effects an insurance personnel pay the proportion for itself without exceeding 25%, drop to 20% next year. Meanwhile, the treatment of the medical insurance of urban residents ensures competence to improve to some extent too, the relevant person in charge in the medical insurance centre in the province says, urban residents medical insurance wipe out proportion, try to be up to 60% this year. Our province still encourages all parts to set up compensation mechanism two times of hospitalization cost, by the end of the year, according to the balance situation of the local medical insurance fund, suffer from serious illness and serious disease, personal medical burden serious effecting an insurance to those personnel help, further reduce the personal hospitalization cost burden. Subsidize standard Jiangsu and reach the country to require according to the request of new medical reform next year three times in keyword, next year, will subsidize the standard to improve by 120 yuan for each person every year in medical insurance. (understand) It is reported, Jiangsu is 80 yuan for each person every year to the medical insurance of urban residents and financial subsidy standard of the new rural cooperative medical service at present, Jiangsu will reach 120 yuan for each person every year according to the regulation next year, will reflect the general favor of the medical insurance. The new medical reform is required to pay the insurance of serious disease in Nanjing of limit and already no ceiling at most four times in keyword, what the medical insurance of urban workers or residents is paid the limit and improved to annual mean salary of the local worker and disposable income of residents progressively separately at most is about 6 times. (understand) Hu DaYang reveals, our province will meet requirements for this one progressively this year. Because concrete wage level of area different, pool fund pay limit to be too different at most, such as Nanjing, pool fund payment ceiling rise to 60,000 yuan from original 40,000 yuan in the year naturally in one, Suzhou is higher, have already reached 80,000 yuan. And resident's medical insurance is paid the limit at most, in Jiangsu the every Overall Planning district is the lowest have 60,000 yuan. Meanwhile, our province will also cancel the highest payment limit of medical rescue of serious disease progressively, 200,000 yuan of Nanjing binds the line to already cancel at most at present, namely the serious disease insurance is no ceiling. Hu DaYang says, the purpose to do it in this way, it is for the personal burden that lightens the patient conscientiously. Five communities of keyword seek medical advice Jiangsu will popularize " Pay according to the number of people " The new medical reform requires, strengthen the organizational construction of health care at the basic level. (understand) " fall ill and crowd the large hospital " It is a difficult to see the doctor great factor, let the large hospital form the de facto monopoly too. Because of this, in the new medical reform scheme, the development of the medical organization at the basic level is thick and heavy in colours. Yesterday, insider say after the intersection of basic unit and medical the intersection of health organ and national construction well interview by reporter, can encourage ordinary people to like to get home in the hospital of the gate and seek medical advice through various preferential policies. Hu DaYang tells reporters, our province has already begun to lead common people's community to seek medical advice, guide through the way that can spend less money of seeing the doctor in community's hospital mainly. "Our province stipulates, effect an insurance personnel to the hygiene service organization of the community to go to a doctor, can reduce or remit and make a diagnosis fee, registration fee, and individual will obviously reduce to pay the proportion for itself, in addition, chronic disease, frequently-occurring disease, common disease are included in the service range of the fixed medical organization of the community, to it wipes out proportions to be can much higher than two, tertiary hospital expenses. " Hu DaYang introduces, in addition, nowadays sees the doctor in the community, the medicines expenses are cheaper than in the large hospital, because the price markup of links of circulating of medicines, the government checks. Yesterday, the reporter still learnt, Jiangsu was still popularizing a kind of " pay in the range of the whole province according to the number of people " progressively Subsidy mode,for example, it seek medical advice coming for to 100 people to communities a certain hygiene service organization, the local medical insurance department sets aside to the hygiene service organization of this community according to 100 people's hospitalization cost promptly, so as to arouse the enthusiasm of getting up in hygiene service organization of the community, give full play to them to resident's health and " gatekeeper " of the medical insurance Function. Seek medical advice and close Nanjing to begin to start the new medical reform to require in April in six strange lands of keyword, our country pursue the intersection of medical insurance and strange land, close the following three years, our country popularize, effect an insurance personnel seek medical advice " all-purpose card " . (understand) At present, the expenses should be paid first by individual first to effect an insurance in personnel's strange land and seek medical advice, then go back to submit an expense account effecting an insurance, it is very inconvenient. The reporter learnt yesterday, our province would start the medical insurance to see the doctor in the strange land and settle account in the first half of this year, going on at present " The settlement method of seeking medical advice in the strange land " Research. It is introduced, seek medical advice and settle account to mainly face two major difficulties in the strange land within the range of the whole province at present: First, to conduct level to be too low medical insurance, all parts wipe out competence, wipe out policy to be unified; Second, need a unified technological platform of the whole province to support. So, the settlement method of seeking medical advice of strange land of our province will take the way to advance progressively, if advance the strange land to seek medical advice and settle account within the range of city under the jurisdiction of the provincial government first. Nantong, Taizhou, Huaian, Changzhou inside the province,etc. at present Seek medical advice to settle account strange land already in being at city level to realize range. In April of this year, Nanjing will start the method of seeking medical advice and submitting an expense account in strange land in the range of area under one's jurisdiction too. Raise the sub network reporter Qi QingYan


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