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山东无棣推行参合居民乡镇住院全报销--亲稳舆论引导监测室
2012-08-03

  

无棣首创参合居民乡镇住院报销 Residents in the branches of villages and towns all ginseng add up to submit an expense account

  

只需缴纳起付线费用200元 Need pay pay cost 200 yuan on line

  

年可为患者减负1350多万元 For patients and burden more than 1350 yuan

  8月1日是(山东)无棣县信阳乡田家村患者王明兰的预计出院日期。7月31日下午,王明兰让车王镇中心卫生院的医护人员帮忙统计住院费用,得知明天只需交200元钱,她惊喜不已。医生告诉王明兰,她治疗子宫肌瘤住院7天共产生各项医疗费用4000多元,新农合报销后,个人仍需承担1300多元。但由于县里明天起实行新的报销制度,所以明天只需缴纳起付线费用200元即可出院。

August 1 is a(shandong)Wudi TianGuCun patients of xinyang township WangMingLan discharge is expected to date。On 31 July afternoon,Like other nominees WangMingLan let the town center the hospital medical staff to help statistical charge of be in hospital,Learned that tomorrow hand in 200 yuan only,Her surprise。The doctor told WangMingLan,Her treatment in hospital uterine fibroids 7 days the medical treatment charge produced a total of 4000 yuan,New farming after close to submit an expense account,People still need to take responsibility for up to 1300 yuan。But because the county tomorrow on a new expense reimbursement system,So tomorrow need pay pay cost 200 yuan on line can be released。

  这项新制度,就是无棣从8月1日起试点推行的参合(保)城乡居民乡镇卫生院(含街道社区卫生服务中心)住院全报销制度。记者在无棣几家乡镇卫生院和社区卫生服务中心看到,新的住院费用报销信息系统已经在试运行,全报销工作准备就绪。据估算,全报销工作每年可减轻全县城乡群众医疗负担1350多万元。据悉,这一做法在全省尚属首创。

The new system,Branches is from August 1,, the pilot implementation ginseng adds up to(the)The new urban and rural residents(Including the community health service center)All expense reimbursement system in hospital。The reporter a few branches in the rural hospitals and community health service center to see,The new hospital to submit an expense account information system has been in the trial operation,All work is ready to submit an expense account。According to estimation,All the work to submit an expense account every year can reduce the burden of the urban and rural masses medical treatment is more than 1350 yuan。It is reported,This practice in the province is still in the initiative。

  根据无棣制定的实施方案,全县所有参加新农合和居民医保的居民均为乡镇卫生院住院全报销对象,县内实施国家基本药物制度的9处乡镇卫生院和2处街道社区卫生服务中心,是实施参合(保)城乡居民乡镇卫生院住院全报销工作的医疗机构。参加新农合的农民在乡镇卫生院住院全报销范围为:国家和省公布的基本药物目录和山东省新农合基本药物目录,无棣县新农合诊疗项目目录。参加居民医保的居民在乡镇卫生院住院全报销范围执行山东省基本医疗保险药品目录、诊疗项目目录、医疗服务设施规范标准。

According to the implementation of the scheme formulated branches,The county to all new farming and the medical insurance and residents are the new residents in hospital to submit an expense account all objects,Implement the national basic drugs in the county of the system of rural hospitals and 2 in September in the community health service center,Is implementing ginseng add up to(the)The new urban and rural residents in hospital to submit an expense account of the medical institutions all work。The new agriculture and farmers in rural hospitals in hospital to submit an expense account for all the range:Country and province of basic drugs announced catalogue and new farm in shandong province and basic drugs directory,Wudi new farming and diagnosis and treatment projects directory。Residents in the medical insurance in the new residents in hospital to submit an expense account executive in shandong province, the scope of insurance of primary medical treatment drug directory、Diagnosis and treatment project list、Facilities of medical treatment service standards。

  无棣县委书记李恩波告诉记者,参合参保城乡居民在乡镇街道卫生院住院,缴纳200元的起付线后,住院治疗产生的国家和省规定的基本药物费、一般检查费、治疗费、手术费、普通床位费等基本医疗费用,均可全部报销。

LiEnBo branches county wei secretary, told reporters,Ginseng add up to urban and rural residents in town street ginseng hospital be in hospital,Pay 200 yuan to start to pay after the line,Hospitalization produce national and provincial provisions of the basic drugs fee、General inspection fee、treatment、operation、Common basic medical treatment charge bed,All can submit an expense account entirely。

  无棣将参加新农合的农民在乡镇卫生院住院起付线、报销比例由原来的150元、80%分别调整为200元、100%,参加居民医保的居民在乡镇卫生院住院起付线、报销比例由原来的500元、70%分别调整为200元、100%,城镇居民住院费用报销按照滨州市城镇居民基本医疗保险报销政策结算完毕后,由县财政参照全报销政策进行补差。

Branches will take part in the new agriculture and farmers in the new pay line up in hospital、Reimbursement ratio from originally of 150 yuan、80% is adjusted respectively for 200 yuan、100%,Residents of the medical insurance in people in rural hospitals in hospital line up to pay、Reimbursement ratio from originally of 500 yuan、70% is adjusted respectively for 200 yuan、100%,Be in hospital submits an expense account according to the urban residents in binzhou city urban resident basic medical insurance reimbursement policy after the completion of the settlement,By the county finance reimbursement policy with reference to the conveyance。

  除调整起付线,无棣还将采取措施控制乡镇卫生院次均费用和总体费用,将县医院、中心医院为主的县内其他医疗机构的次均费用下调不低于10%,控制医药费用不合理增长。为确保改革顺利实施,将基本公共卫生服务专项经费作为保障金。(记 者 张国栋 王福录 通讯员 王秀丽)

In addition to adjust the fu biao since the line,Branches will also take measures to control the new second all expenses and overall costs,Will county hospital、Central hospital of other medical institutions as the county's second all cut costs no less than 10%,Control medical expenses not reasonable growth。In order to ensure the smooth implementation of the reform,Will the basic public health service as a special funds for infrastructure。(Remember ZhangGuoDong WangFuLu the WangXiuLi correspondent)


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