Monday, September 24, 2012

The medical insurance treatment of the residents in Shenyang is improved this year The clinic will submit an expense account if the clinic sees the little disease

The medical insurance treatment of the residents in Shenyang is improved this year The clinic will submit an expense account if the clinic sees the little disease
The morning paper is reported ' Reporter Chang Xu) The persons who effect an insurance of the medical insurance of the urban residents in Shenyang see common disease, frequently-occurring disease in the clinic, it is expected to enjoy the treatment of medical insurance this year. Yesterday, municipal office of people's society Deputy Bureau Director Yang Shunchang in Shenyang revealed, the medical insurance treatment of urban residents in Shenyang will be improved to some extent this year. Common disease is expected to enjoy the clinic to wipe out at present, when urban residents seek medical advice in the clinic, only can enjoy the pool of clinic in some fixed number. For example suffer from radiotherapy of malignant tumour, chemotherapy, the number that uremia is dialysed,etc.. But the number does not have universality. Nowadays, only university students have clinic pool which stipulate number to could enjoy. The reporter knows a good news from municipal human resources and social security office in Shenyang, plan to pursue the pool of clinic in urban residents in an all-round way in Shenyang this year. That just means resident's common disease can enjoy the clinic and submit an expense account. Municipal human resources and person in charge of social security office of Shenyang say: " If accidents don't happen, expenses such as some headache colds of resident, testing checking,etc., will enjoy pool funds in certain proportion this year and submit an expense account, the personal burden will be lightened. " But urban residents implementing pool of clinic to get up pairs of standard, pay proportion and ceiling medical insurance have, also need further fixing. At present, the clinic pool that university students implemented submits an expense account the proportion is not lower than 50%, the annual limit of submitting an expense account at most is not lower than 300 yuan. It is introduced, participate in before this urban residents medical insurance personnel can only submit an expense account when in hospital, it is smaller to enjoy and wipe out the crowd of the treatment. The little disease of clinic enters the medical insurance and expands beneficiaries. Will also stop some patients taking up the question of the sick bed in hospital for submitting an expense account at the same time, relieve some sick bed pressures of hospital effectively. This year " Charge according to number " Expected to increase at present, the lung excises the skill, stomach and excises about 19 pieces of great number such as the skill to include in single number settlement mostly, the kind of single number will be expected to continue increasing this year. What is the single number settlement? The municipal office of people's society relevant person in charge of Shenyang introduces, single number settlement, namely or treat the way to a certain disease, how much should be cost to estimate out according to investigating equally, to confirm a more objective average settlement standard, does not overspend and mend, the balance belongs to hospital. It is reported, single number settlement is between medical insurance centre and fixed hospital of Shenyang, in hospital to the medical insurance patient a of the medical fee to settle the way. Though has not got in touch with the patient directly, fix because due to illness for the number settlement standard that single, help to promote clinicians to construct and cure due to illness, reduce the unreasonable expenses. Because the medical fee is implemented in hospital to the fixed hospital at the same time" Overall control " ,Also help the hospital to accept some serious illness patients for medical treatment rationally. The basic medicines catalogue individual submits an expense account the proportion will be raised according to the new medical reform scheme in Shenyang, in 2009, the rate of joining insurance of the urban worker's medical insurance is up to 90%, the rate of joining insurance of the medical insurance of urban residents is up to 88%; Be up to 95% and 92% separately in 2011. Yang Shunchang tells reporters, have already overfulfilled the goal that the new medical reform has stipulated at present. In 2010, the medical insurance will continue expanding coverage rate. Through being expected, the goal of the rate of joining insurance of the urban worker's medical insurance will be up to 92% this year, urban residents will strive for and realize 90% in rate of joining insurance. Urban the intersection of worker and medical insurance with the intersection of urban residents and medicine keep the intersection of institute and expenses, wipe out proportion more than 75% respectively and 60% goal realize already too 2009. Meanwhile, it is paid the limit from improvement of 32,000 yuan to 105,000 yuan at most that medical insurance of urban residents is annual. Yang Shunchang introduces, the hygiene service organization at the basic level will use the basic medical insurance medicines catalogue individual to submit an expense account the proportion to raise too in 2010.

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