Yesterday, came from the leading groups of Peking University Guanghua School of Management, incumbent medical reform of the State Council and specially engaged the advisor's Liu GuoEn, with some other persons of the intersection of expert panel and member, until " whether Yunnan Province basic the intersection of medical insurance and strange land seek medical advice, serve and manage subject research " Finish the question to evaluate. At the meeting, saving human resources and social security drawing room Vice Chief Zhang YuXiang says: Yes begin to implement the pilot work of seeking medical advice of urban worker's strange land in Qujing, Pu'er, Nujiang three places on August 1 according to the request of provincial government, the whole province have over half the intersection of state and city realize strange land seek medical advice, by 2011, the whole province realize strange land seek medical advice " all-purpose card " in the range 2010 . The background which personnel study according to the subject that 100,000 strange lands seek medical advice in Yunnan, 2007, the whole province participate in urban worker 3,458,100 in number of medical insurance, and strange land that is register on the books seek medical advice number up to 101442 people right away, account for 2.9% of the number of medical insurance of the worker of the whole province, more than 75% among them, in order to found a room for in the strange land in Kunming or other relatively personnel in the big city in Yunnan after retirement, obtain employment, accredit field staff,etc. in the strange land in remaining majority. In 2007, the medical fee that Yunnan strange land seeks medical advice is 380 million yuan, account for 8.8% of medical fee of worker's medical insurance. The huge strange land seek medical advice crowd, until employment flow, horbor trend of the big city, will also increase continuously in the future. Medical insurance of people these seek medical advice 50% more than hospital treatment, how carry on strange land seek medical advice whom medical fee wipe out they? For example one hold the intersection of Yunnan Province and the intersection of social security and patient of card, need, keep and cut the organization to apply to seek medical advice in Kunming to medicine of person who effect an insurance, effect an insurance after the intersection of medical insurance and organization agree, could diagnose the illness, in hospital in designated Kunming hospital, the medical fee when in hospital is all paid first by the patient, after leaving hospital, hold the cost of hospitalization invoice, leave hospital brief summary, expense master list, doctor's order form copy, social security card,etc., arrive, effect an insurance the intersection of medical insurance and organization check not in accordance with local policy expense bear by oneself. Some the intersection of state and city, for reduce strange land, seek medical advice personnel, make, seek medical advice, reduce 20% regulation to wipe out volume to strange land also. The normal words of procedure of submitting an expense account of the the above-mentioned one, generally can get the medical fee paying first in 2-3 months, the long need, from half a year to one year. Can find out strange land difficulty brought to masses to seek medical advice to pay first fund to be loud at first. According to the investigation, it is probably 10,000 yuan that the persons who are in hospital pay for fund first an average once, clinic patient pays for 500-1000 yuan first once, as to one year many times in hospital person, the fund paying first will be brought to life and born greatly. Secondly, the procedure is tedious that submit an expense account, some units which found a room for personnel in the strange land, usually collect the document seeking medical advice in the strange land regularly, check that submits an expense account in unison, cause patient's cost of hospitalization not to submit an expense account for a long time. Third go back not effecting an insurance check, local the intersection of medical insurance and organization will event reject expense outside the catalogue according to the local medicines catalogue and making a diagnosis, cause and bear the fee personally to use heavily. One state the intersection of city and one the intersection of pool and standard the above-mentioned problem have deputy to the National People's Congress, member of the CPPCC National Committee propose, solve problem that strange land seek medical advice every year, the provincial government put forward the instruction to the pilot work of seeking medical advice of strange land in midyear of this year, personnel care about most to demand to put forth effort to solve and effect an insurance, the most direct, most realistic difficult problem of seeing the doctor of strange land, realize that personnel hold the card and seek medical advice, purchase medicines within the range of Yunnan Province across the pool to effect an insurance, purchase medicine is ordinary clinic, strange land in hospital in strange land by the intersection of strange land and pharmacy, strange land clinic rescue and the intersection of strange land and specific disease, chronic disease clinic go to a doctor. This is a very high requirement, it is difficult to lie in, the worker in Yunnan Province keeps and pays attention to the mode to take pool at county level as the core in medicine, every county makes amount, medicines, catalogue of making a diagnosis of the pool according to one's own economy and income level. If the unified settlement center seeking medical advice in the strange land calculates according to joining the standard of county that the sponsor belongs to, this is a very tedious job. So, save human resources and social security drawing room and province Medical Benefits Funds administrative center, require state city a to conduct the way. For example, there are 13 cities and counties, 5 systems in all in Red River state, because of the level difference of economic development levels, every county pay the fees proportion appear 5%, 6%, 8% level that vary, unify 2 system of county last year, will still continue it on the system to Red River state in unison. So, while grade conducts in the province, each state city should make sure to unify standard of the data, unity medical treatment, unified information network, manage the fund in unison, reduce the contradiction among the organizations. This time, can enter Qujing, Pu'er, Nujiang of the pilot project, one of its advantages is, conducting the standard and is relatively close between each county. But the economic development level in Yunnan Province is different, it is even competence of effecting an insurance of worker's to Kunming medical treatment in unison of each county to want the city of each state, it is impossible at present. So, save human resources and social security drawing room and require that must make sure a state one city conducts the standard, this settlement of seeking medical advice in the convenient strange land too, the worker of the the 148 Overall Planning area of the whole province is a medical insurance patient, only need to calculate according to the standard of the market of its state, has reduced much trouble. Can say, have not done the strange land to seek medical advice before management service to establish the settlement center in different places in the province, the one that received trouble is the masses, they want to rush about holding various materials seeking medical advice in the strange land everywhere, wait to render an account, human resources and social security drawing room and Yunnan Province Medical Benefits Funds administrative center of Yunnan Province take all the trouble over now, establish one the intersection of province and the intersection of medical insurance and in different places settlement center specially, responsible for strange land seek medical advice management that expense close. This large computer systems and relevant facilities of settlement center are all built at the cost of provincial finance, all the settlement center carry on the clearance on the account in the expenses seeking medical advice, purchasing medicines and producing in the strange land. Seek medical advice the intersection of medical insurance and organization of ground have one expert take the place of the intersection of medical insurance and organization of person who effect an insurance, go on verification of medicines, event of making a diagnosis,etc. used specially also, this is a very careful job too, because the standard of the market of each state is different, must check according to the standard of the market of corresponding state, the expenses that can't submit an expense account, the patient that still needs to be sought medical advice by the strange land undertakes. Strange land seek medical advice at first needing, applying to medical insurance organization of person who effect an insurance, upon approval, import personal card number to the medical insurance systems of the whole province, can realize that seek medical advice in the strange land. But this item work medical insurance of the whole province worker person realize by 2011 " The all-purpose card " When on convenient. This time remote software Limited Company of silver sea of Sichuan responsible for technical support, also take the questions of seeking medical advice of strange land of urban residents medical insurance of launching a pilot project, new rural cooperative medical insurance into account too, the questions of seeking medical advice of strange land of these two items of medical insurance are not outstanding and sharp yet, do well considering every possible angle now, have already done a good job of essential preparation for the pool of links such as the software and hardware construction, funds management and operation of information system,etc.. The news is chained The ordinary clinic of getting to the strange land can pay by credit card directly Hold on June 1 <
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