Can offer 70 while making appendix operation Pay the first 10 pieces of number by norm according to number in Chengdu
Reading the urban worker and paying lowest 12% for itself in core, urban and rural residents are not in this range In the tertiary hospital treatment, individual pays the highest exceeding 30% of proportion for itself, the lowest one is 17% in second hospital treatment, pay the highest exceeding 25% of proportion for itself, a low one 12% yesterday most, Chengdu human resources and the intersection of social security and office announce news: From May 1, the urban worker's basic medical insurance of Chengdu effects an insurance 10 kinds of diseases such as the acute appendicitis, acute mastitis of personnel's hospital treatment, pay by norm according to number for the first time in Chengdu second and medical insurance fixed hospital of the above city. After paying by norm according to number, it is 23.5% that individual pays the proportion for itself on average, the lowest one is only 12%. This action, it is exploration deepening the system reform of the medical insurance in Chengdu, realize, effect an insurance personnel to be clear to seek medical advice, consume progressively, reduce, effect an insurance personnel medical treatment bear in hospital. The intersection of the whole city and cities and towns effect an insurance worker can build and grow the introduction according to the intersection of number and the intersection of quota and the intersection of payment and the intersection of society and the intersection of office and in urban and rural areas medical the intersection of industrial injury and the intersection of insurance and Li, division chief of, people of Chengdu, the office of society of people in Chengdu studies and uses the domestic and foreign means of payment of medical insurance premium of advanced area for reference, health bureau issue " notice regarding some diseases pay by norm according to number the medical insurance " together with Chengdu ' Hereafter referred to as " notice ") ,Stipulate from May 1, the urban worker's basic medical insurance of the whole city, pay by norm according to number in Chengdu second and medical insurance fixed hospital of the above city for the first time. The definite one pays number by norm and amounts to 10 this time, including acute appendicitis competent appendectomy, acute the intersection of mastitis and competent abscess cut drainage, benign the intersection of prostate and hyperplasia, pass through urethral the intersection of prostate and electricity, cut skill,etc.. After paying by norm, in the tertiary hospital treatment, individual pays the highest exceeding 30% of proportion for itself, the lowest one is only 17%; In second hospital treatment, pay the highest exceeding 25% of proportion for itself, the lowest one is only 12%. Pay standard determination by norm, it is according to paying the medical service price that basically paid the project, different grade medical organizations of number by norm, confirm the concrete payment standard of paying number with the expense level previously by norm, and will change in right time. Number range expand urban and rural residents, make the intersection of method and Li, build and grow and say separately progressively, choose these 10 pieces of number as the pilot project paid by norm, because the Ministry of Health has already announced the clinical route of the number, and the diagnostic standard of number is clear, the norm of making a diagnosis. The next step, the office of society of people in Chengdu, according to paying the development situation of the work by norm according to number, expand and include in number range progressively, and after summarizing the experience, in the basic medical insurance of urban and rural residents progressively, pay by norm according to number. Implement, effect an insurance person for the intersection of Chengdu and urban the intersection of worker and basic medical insurance according to crowd that number pay by norm this time, urban and rural residents are not in this range. Li built and gave birth to and said, paid and worked according to number about the urban and rural residents basic medical insurance, the office of society of people in Chengdu, according to medical insurance policies and actual conditions of urban and rural residents, on the basis of the urban worker pays the experience according to number to summarizing, make the method separately. Effect an insurance the intersection of personnel and the intersection of hospital treatment and 10 hospitalization cost that disease take place, helped each other and supplemented the insurance fund to pay according to the quota standard by personal, basic medical insurance pool fund, serious disease. Personnel have not participated in serious disease to help each other and supplement medical insurance to effect an insurance, being undertaken in person is that serious disease helps each other to supplement the part that paid of the insurance by norm. Especially remind gt; gt; gt; The hospital can't charge the service item separately and have detailed regulation " notice " that standardizes the concrete problem implemented in the course: Effect an insurance the intersection of personnel and treatment pay disease by norm according to number, because other disease in hospital again in the same year naturally, one pair of standards arises in hospital to reduce one by one according to the current relevant regulations of basic medical insurance of Chengdu. Second, one is in year naturally, basic medical insurance pool fund, serious disease medical treatment help each other and supplement the insurance fund, pay, effect an insurance the intersection of personnel and treatment pay disease and other hospitalization cost total value of disease by norm according to number, do not exceed basic medical insurance pool fund, serious disease medical treatment and help each other and supplement the insurance fund to pay the limit at most. Meanwhile, " notice " also especially points out, the fixed medical organization should be according to paying the basic service item and checking, treating by norm according to number strictly, effect an insurance personnel condition need service item that increase, can't personnel collect the charges separately to effect an insurance. For this reason, the basic service items of 10 pieces of number of the pilot project have a detailed regulation. First batch of medical insurance of Chengdu pays the number list by norm according to number 1. The appendectomy of walking of acute appendicitis is 2. Acute the intersection of mastitis and competent abscess cut 3 drainage. The hyperplasia of benign prostate passes through the electricity of urethral prostate and cuts the skill 4. Ureteral calculus passes through the ureteral mirror rubble and fetches the stone skill 5. Specially sending blood platelet reducing purpura 6. Internal medicine department of spontaneous pneumothorax guards and treats 7. Spontaneous the intersection of pneumothorax and competent the intersection of lung and loud bubble excise and mend the skill 8. Ovarian the intersection of benign tumour and competent ovarian cyst reject 9 skill. External hemorrhoid of thrombus of walking thrombus external hemorrhoid excises the skill 10. Uterus the intersection of skin and the intersection of tumour and competent the intersection of uterus and the intersection of skin and tumour reject the intersection of skill and case, attack directly, take appendectomy as examples, in tertiary hospital, total amount of money 5440, basic medical insurance pool fund pay 3230 yuan among them, the medical treatment of serious disease helps each other and supplements the insurance fund to pay 530 yuan, individual pays 1680 yuan for itself; In second hospital, total amount of money 3400, basic medical insurance pool fund pay 2380 yuan, the medical treatment of serious disease helps each other and supplements the insurance fund to pay 220 yuan, individual pays 800 yuan.
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