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“十二五”期间新农合政府补助标准将达360元--亲稳网络舆情监测室
2012-09-23
中新网9月23日电 中国卫生部农卫司司长杨青23日在接受媒体访谈时表示,我们在“十二五”期间要将新农合政府筹资补助标准每年增加,到“十二五”末政府补助将达到360元。
Beijing on September 23, the ministry of public health of China agriculture health department priests YangQing 23 in accept the media interview said,We are"1025"During the new agriculture will close the government financing subsidy standard increase every year,to"1025"The government subsidies end will reach 360 yuan.
杨青表示,新农合到2012年筹资水平也才到人均300块钱左右,在保障水平这么低的情况下,主要要采取以下几个措施:
YangQing said,New farmers close to the 2012 funding level also to 300 yuan per capita,In such a low security level of the cases,Mainly take the following measures:
一是进一步提高新农合的筹资标准。 One is to further improve the new agriculture, financing standard.
杨青说,中国新农合十年前的时候人均筹资只有30块钱,到2012年人均筹资达到300块钱左右,也是在随着国力的增加逐渐上涨的。在这个筹资当中政府的筹资是大头,今年补助达到人均240块钱,农民个人只出50-60元。我们在“十二五”期间要将政府筹资补助标准每年增加,到“十二五”末政府补助将达到360元。
YangQing said,China's new farming folded years ago when the per capita funding only 30 dollars,By 2012 the per capita funding reach 300 yuan,Is in with the increase of the national strength rising.In the financing of government financing is a big head,This year to 240 yuan per capita subsidies,Individual farmers produce only 50-60 yuan.We are"1025"Will the government during the financing subsidy standard increase every year,to"1025"The government subsidies end will reach 360 yuan.
二是努力提高新农合报销水平 The second is to improve the new agriculture close to submit an expense account level。
.
“筹资水平报销提高之后,报销水平也要有所提高。”杨青表示,2012年政策范围内住院报销比例要达到75%左右,最高支付限额不低于全国农民人均纯收入的8倍,且不低于6万块钱。门诊统筹全面开展,也就是说在门诊看病可以报销。所以随着筹资水平的不断提高,门诊和住院的报销水平都在逐步提高。
"Funding level to submit an expense account after improving,To submit an expense account level will increase."YangQing said,In 2012, within the scope of policy in proportion to submit an expense account to reach 75%,Highest pay limitation is not lower than the national per capita net income of farmers eight times,And not less than 60000 yuan.Outpatient service as a whole in an all-round way,That is a doctor in outpatient service can submit an expense account.So with the unceasing improvement of the level of financing,Clinic and hospital to submit an expense account level are gradually improve.
三是做好重大疾病保障的试点工作。 Three is to do a good job in major disease security pilot work.
杨青指出,在大病问题上,许多农民个人支付的能力不足,在这种情况下我们就选了一些大病,比如儿童先天性心脏病、儿童白血病、尿毒症(中末期肾病),这个尿毒症可以通过肾透析有所缓解,这是需要终身透析的,而一次透析最便宜也要三百块钱,我们把这种都纳入大病,从儿童先天性心脏病和白血病入手,2010年进行试点,2011年加了6个病,这就8个病了,今年又加了12个病。比如说肺癌、胃癌、食道癌、结肠癌、直肠癌,这些肿瘤我们都把它纳入大病了,包括脑卒中、冠心病的心梗。
YangQing pointed out that,In a serious illness on the problem,Many farmers personal payment ability is insufficient,In this case, we choose some serious illness,For example of congenital heart disease in children/Childhood leukemia/uremia(ZhongMoQi nephropathy),The uremia can through the kidney dialysis to ease,This is the need of the lifelong dialysis,And a dialysis the cheapest also want three hundred dollars,We put this into a serious illness,From the congenital heart disease in children and of leukemia,A pilot project in 2010,In 2011 added six disease,It is eight is ill,This added 12 disease.Such as lung cancer/Gastric cancer/Esophagus cancer/Colon cancer/Colorectal cancer,These tumors we all put it into a serious illness,Including stroke/Coronary heart disease of acute myocardial infarction.
杨青说,我们从新农合的经费里面切出一块儿钱来,让农民的住院报销也就是我们所说的普惠制做到75%,不管任何病种都要做到政策范围内的75%,但是政策范围内有门槛费的,像乡镇要住院起伏线就是50-75元,县医院就是200-300元,而我们的大病是按70%的实际报销比例,花一万块钱就给你报七千块钱,如果是贫困家庭医疗救助再报销20%,这样他自己个人(家庭)就只出10%,这对于一个贫困家庭来说就是比较合理的了。
YangQing said,Our anew agriculture close funds inside money to cut out together,Let the farmer's hospitalization expense that is what we do 75% of GSP,No matter any diseases are to do policy within the scope of the 75%,But policy worldwide threshold fee,Villages and towns like want be in hospital fluctuation line is 50-75 yuan,County hospital is 200-300 yuan,And our serious illness is to press 70% of actual reimbursement ratio,Spend ten thousand dollars will give you seven thousand dollars,If it is poor family medical assistance to submit an expense account 20%,So his own personal(family)Just out of 10%,This to a poor families is the more reasonable.
四是贯彻落实前一阵六部委发的《关于开展城乡居民大病保险工作的指导意见》,探索利用商业保险机构。 Four is the implementation of the six ministries and commissions before a hair[About urban and rural residents to carry out a serious illness insurance work guiding opinions],Quest for using commercial insurance institutions.
杨青表示,新农合基金买商业大病保险,这就是一个补充。比如农民看病住院,剩下的个人自付的这块,他如果觉得费用还是太高了,那我就给他买商业大病保险,通过商业大病保险再给他进行补助,把个人自付高的这块再报销一块,从而提高保障水平。
YangQing said,New farmers joint fund to buy commercial serious illness insurance,This is a supplement.Such as farmers in hospital to see a doctor,The rest of the individual pays the,If he think cost or is too high,Then I will buy him a serious illness insurance business,Through the business a serious illness insurance again to his aid,The individual pays high this to submit an expense account a block,So as to improve the level of security.
五是加强资金监管。 Five is to strengthen capital supervision.
杨青称,新农合资金的筹资水平确实在增加,但是我们一定要把这个资金让老百姓使用到最大化,也就是说要控制不合理费用,我们通过支付方式改革规范医疗行为,控制医疗费用不合理的上涨。
YangQing says,New farmers joint capital funding level really on the increase,But we must take this money so that people use to maximize,That is to control unreasonable expenses,We through the payment reform regulating medical behavior,Control medical cost unreasonable rise.
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