中新网9月17日电 国务院新闻办公室今日举行新闻发布会，卫生部部长陈竺、副部长刘谦介绍卫生事业改革发展进展情况，并答记者提问。陈竺指出，中国新农合筹资水平的地区差异将逐步缩小。

Beijing, sept. 17 - the state council information office held a press conference today,The ministry of health minister Outlines/Vice minister liu qian introduced reform and development of health programs progress,And answer questions.Outlines points out that,China's new farmers joint financing level of regional difference will be gradually reduce.

　　有记者提问，中国现在医疗制度的报销政策和比例是地区之间有差异的，跟高考一样，那么可能导致一些不公。卫生部有没有一些对异地就医的实质性的推动和考虑？

A reporter's question,China is now the medical system to submit an expense account policies and proportion is the area there are differences between the,With the university entrance exam,So may cause some injustice.The ministry of health to have some different treatment substantial promote and consideration?

　　陈竺回答上述提问时表示，卫生部负责的新型农村合作医疗制度，是以县为单位进行统筹的，但是在国家层面都有一个要求。比如说，今年各级政府对新农合的补助水平达到了按人头算240元，加上农民自缴部分，应该是300元了，所以在国家层面，我们就要求住院的报销率，在政策范围内的这些药品、医疗服务、耗材等等，报销率要达到75%。另外是报销的最高限额，一般说的封顶线不低于6万，这是全国的基本要求。

Outlines answer the above questions, said,The ministry of health is responsible for the new type of rural cooperative medical system,Based on the county as a single unit of as a whole,But at the national level there is a requirement.For example,This year the government at all levels to the new agriculture close subsidies level reached on a per head is 240 yuan,And since farmers pay part,Should be 300 yuan,So at the national level,We require the hospital to submit an expense account rate,In the policy within the scope of these drugs/Medical service/Consumables and so on,To submit an expense account rate to reach 75%.In addition to submit an expense account is the highest limit,The general said a top line of not less than 60000,This is the national basic requirements.

　　陈竺举例指出，河南现在做到了报销的限额15万。一是因为河南的农民人口大，所谓大数法则，当这个池子很大的时候，它的抗风险能力就很强了。二是因为异地报销的问题，在河南省已经实现了所有跨市县的异地报销，所以河南外出的农民工在郑州市或者其他城市都能够很方便的进行异地报销结算。所以河南才有可能把封顶线提到这么高。其实，很多省现在的做法都是这样的，尽可能地让我们有限的基本医保的资源能够更多惠及人民群众。

Outlines points out, for example,Henan now done to submit an expense account limit of 150000.A because of henan farmers large population,The so-called law of large number,When the pool a lot of time,It is a very strong ability to resist risks.Because the problem of two different to submit an expense account,In henan province has achieved all the cities and counties across different to submit an expense account,Therefore henan migrant workers out in zhengzhou city or other cities can be very convenient for different ground to submit an expense account settlement.Therefore henan is possible to the top line so high.In fact,Many provinces are doing right now is such,As far as possible, let our limited basic health care resources can be more benefit people.

　　陈竺称，最近六部委出台大病保险政策，可以说它是顺着人民群众的愿望和制度安排的必然趋势，因为新农合的筹资水平还在不断提升，刚才讲到2015年政府的投入要到达到360元以上，加上群众自缴的90元，因为政府的投入和个人的缴纳是80%和20%的关系，那时总的投资水平就会达到450元。那时候中央层面还会有一个规定，更高的报销率，更高的支付限额。包括通过大病救助的可能还会进一步优惠，超出限额以外部分的，进一步调整报销比例等等。

Outlines says,Six ministries and commissions recently issued a serious illness insurance policy,Can say it is along the wishes of the masses and the inevitable trend of the system arrangement,Because the new agriculture, financing level is rising,Just about 2015 government investment to achieve 360 yuan of above,Add the masses from capture 90 yuan,Because the government's input and individual pay is 80% and 20% of the relationship,Then the investment level will reach 450 yuan.At that time the central level will have a regulation,Higher reimbursement rate,Higher pay limitation.Including through a serious illness aid may be further discount,Beyond the limit of the outside part,Further adjustment expense proportion and so on.

　　陈竺指出，现在在医保方面，国家已经有一个普惠制，而且应该是均等化的普惠制。当然，上海的新农合筹资水平是全国最高的，超过1000元，所以地区差异也是一个客观的情况。应该说统筹层级越高的，共济性就越高，从医保的角度公平性也会好，但是这需要一个过程。新农合现在大部分地区是以县为单位进行统筹，鼓励它到市，然后到省，这样它的公平性就会更好。现在有一些贫困的地区，虽然总的要求是一样的，有的地方做得很好，但是有的贫困的地方是通过中央财政转移支付，给他补贴，以尽量缩小差距。这是一个趋势。我们这次出台的大病的保险已经要到省、市级统筹了，鼓励到省级统筹，但这不是绝对要求。

Outlines points out that,Now in health care,Countries already have a form,And should be the equal of GSP.Of course,Shanghai new farmers joint funding level is the highest,More than 1000 yuan,So the regional difference is also an objective condition.It should be said as a whole level of the higher,In all aid sex is higher,From the point of view of medical fairness will also good,But this requires a process.New farmers close now most of the region is a county as a single unit as a whole,Encourage it to the city,And then to the province,So it's fairness will be better.Now there are some poor areas,Although the overall requirements are the same,In some places do very well,But some poor place is through the central fiscal transfer payment,Gave him subsidies,To try to bridge the gap.Silver wave colo.We introduced the illness insurance have to save/Municipal plan as a whole the,Encourage provincial as a whole,But this is not absolute requirements.

　　陈竺还称，新农合也在探索按市级统筹，比如内蒙古的鄂尔多斯等等，都已经实现地市级的统筹了，这都是为了让人民群众更多受惠所采取的探索。中国的医保制度还在不断发展当中，国际上有一些模式，但是也是世界难题，还没有一个能够称得上是完美的模式。

Outlines also said,New farmers joint is also exploring the city as a whole according to,Such as Inner Mongolia erdos and so on,Has realized the municipal plan as a whole,This is in order to make people more to benefit the exploration.China's health care system is still in development of,International some model,But it's also the world problem,Haven't a can be called is perfect mode.

　　刘谦补充指出，异地报销依赖于信息系统的建立，很多省已经在建省里的平台，部里面也在建国家级的平台，有几个省已经试着联通，这样异地看病就可以进行报销，而且尽量做到即时结报，他只是交付自己承担的费用，其他费用由医疗机构和新农合机构去结算，这样就方便了，就不像他以前交全额的费用，回去再审核和报销，这样就方便多了。(据中国网文字直播整理)

Liu qian added,Different to submit an expense account depends on the establishment of information system,Many provinces have construction in province platform,Department is also construction in national platform,There are several provinces have try unicom,Such different the doctor can undertake to submit an expense account,And try to do it immediately and report,He is just the share of the cost borne their delivery,Other expenses by medical institutions and new farming joint mechanism to settlement,So convenient,You don't look like he used to pay the full cost,Go back to review and submit an expense account,It'll be a lot more convenient.(According to China text live finishing)