Saturday, October 27, 2012

Jiujiang shuts the pool of clinic newly and agriculturally in an all-round way from this year

Jiujiang shuts the pool of clinic newly and agriculturally in an all-round way from this year
3,520,000 joins and shuts peasants and benefits Jiujiang the intersection of news and network report ' Reporter Zhong Jie and Zou YaSi) The reporter learns from Municipal Health Bureau, cure early in order to lead peasants to be sick, our province has issued " instruction on launching clinic pool of the new rural cooperative medical service " (hereafter referred to as " opinion ") ,Stipulate on the basis of launching the pool of clinic in 2011, from 2012, the intersection of the whole province and all the intersection of implementation and new agricultural county that shuts (municipal or district, includes and conduct the development zone independently) All implementing the pool of clinic, our city 3,520,000 joins and shuts to peasants and benefits. Implement from the this year compensate the mode from the past jointly while being agricultural while being new " It compensate clinic family account it + not expenses offer in hospital it compensate in proportion + clinic serious disease ( Chronic disease) Compensate " Carry out the transition to " Clinic pool + can offer by expenses and compensate in proportion + clinic serious disease ( Chronic disease) Compensate " Mode. On the basis of conducting the clinic in 2011, 2012 year, the intersection of the whole province and all the intersection of implementation and new agricultural county that shut system (municipal or district, includes and conduct the development zone independently) Implement clinic pool villages and towns' counting no less than 50%; In 2013, the townships, villages of the whole province implement the pool of clinic, no longer set up family's account. The pool fund ensures implementing in an all-round way newly and agriculturally after shutting the pool of clinic, there is guarantee in order to guarantee the clinic pool fund, " opinion " is required, the finance at all levels, to joining and shutting peasants' subsidy fund and peasant to join and shut and all charge paying the expenses to the pool fund. Standard that the clinic pool fund budget of per person of arranging in year is not lower than the individual of peasant that year and pay the fees, the pool fund total value of the clinic is not higher than new agricultural 30% which shut the total funds raised that year. The clinic pool fund can only be used for joining and shutting peasant's compensation of ordinary clinic hospitalization cost, the fund balance can't be used for defraying a ginseng of peasant paid the fees jointly next one, can't to join, equal to peasant, return the cash either. Implemented the area of family's account of the clinic in prior year, the fund stilled have balance in the account, can carry down in next year and use together by kinsfolks, defray the clinic individual and pay the expenses for itself. Family's account has already been transferred to the area of the pool of clinic, family's account vacancies to be filled needs to all use within certain time limit. If there is balance in year in the clinic pool fund, need and conduct funds to adjust and use in hospital. When the clinic pool fund is overdrawed, are shared and overdraw the fund by every clinic fixed medical organization, sharing ways specifically is confirmed by every pool area. Can pay the person, time for the expenses, compensate the amount of money according to every organization annual clinic while sharing the proportion, and the factor of spotting check, supervising and grading at ordinary times etc. is made, join and shut to peasants and does not undertake funds to overdraw the risk, can't stop joining and shutting the clinic expenses of peasants to compensate and cash with any reason. 4 kinds of situations are not compensated Join, shut peasant, need according to equal to the card while being agricultural while being new only ' Card) With the ID card ' Or household register) Can go to a doctor when getting to the fixed medical organization, the fixed medical organization meets and verifies the patient's certificate while examining, verify whether patients are qualified to join shutting. New agricultural compensation range of shutting pool of clinic that " opinion " has been further defined. Join and shut peasants and go to a doctor to the clinic, can obtain compensation of expenses such as clinic checking, treatment, medicines,etc.. Rural medical organization implementing national basic medicine system, province Price Bureau, department of public health, the General Office of Finance,etc. will join and shut the clinic registration fee of peasants, examine and check the fee, inject the fee (including the fee of intravenous infusion according to the national regulation, do not include the fee of medicines) After and the medicine thing service cost merges the fee into generally making a diagnosis and makes the expenses standard, adopt the way in which the total value of clinic prepays, include in and shut the pool of clinic to compensate the range newly and agriculturally. Among them, there are 4 kinds of situations, the pool of clinic refuses to compensate: National basic medicine and shut, use medicine the intersection of medicines and expense outside the catalogue basically while being agricultural while being new; Project of making a diagnosis refusing to be paid according to the fixed pool fund; Checking and fee, medicines fee, treat the fee and are investigated independent of disease is nuclear to really defraud of the fund behavioral hospitalization cost etc.. It is reported, counties such as Yongxiu, Wuning, Dean of our city,etc. have already begun pilot work in front of " opinion " platform at present, repairing water county and launching the characteristic clinic of Chinese medicine and conducting the pilot project. Every district of pool county pilot work of the whole city has been already fully under way.

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