中新网10月19日电 中国政府网19日公布《卫生事业发展“十二五”规划》，规划指出，加快建立和完善覆盖城乡居民的多层次医疗保障体系，坚持城乡统筹，逐步提高统筹层次，缩小城乡、地区间保障水平差距。

Beijing on October 19, the Chinese government announced and 19[Health development"1025"planning],Planning pointed out that,Speed up the construction and perfection of covering both urban and rural residents of multi-level medical security system,Adhere to the urban and rural,Gradually improve the overall level,In urban and rural areas and/Regional security level gap.

　　规划指出，加快建立和完善覆盖城乡居民的多层次医疗保障体系。逐步提高政府对新农合和城镇居民医保的补助标准，到2015年，达到每人每年360元以上，个人缴费水平相应提高。逐步提高基本医疗保险最高支付限额和费用支付比例。做好职工医保、城镇居民医保和新农合待遇水平的衔接，三项基本医保政策范围内住院费用支付比例均达到75%左右，明显缩小与实际支付比例的差距。普遍开展城镇居民医保、新农合门诊医疗费用统筹，支付比例提高到50%以上，稳步推进职工医保门诊统筹。坚持城乡统筹，逐步提高统筹层次，缩小城乡、地区间保障水平差距，落实医疗保险关系转移接续办法，有条件的地区探索建立城乡统筹的居民基本医保制度。

Planning pointed out that,Speed up the construction and perfection of covering both urban and rural residents of multi-level medical security system.Gradually improve the new agriculture to close and medical insurance for urban residents subsidies standards,By 2015,To achieve 360 yuan per person per year,Individual capture to expend levels corresponding to improve.Gradually improve the basic medical insurance highest pay limitation and cost payment proportion.Do worker health care/Medical insurance for urban residents and the new agriculture joint treatment level of cohesion,Three basic medical insurance policy range hospitalization expense payment ratio reached 75%,The decrease and the actual payment proportional difference.Common in medical insurance for urban residents/New farmers joint outpatient service medical treatment charge as a whole,Payment proportion increased to more than 50%,Steadily worker outpatient medical insurance as a whole.Adhere to the urban and rural,Gradually improve the overall level,In urban and rural areas and/Regional security level gap,Implement medical insurance relationship to transferring,Conditional area to explore to establish urban and rural residents of the basic medical insurance system.

　　规划称，继续巩固发展新农合制度，参合率保持在95%以上，建立长期稳定的筹资增长机制，不断提高新农合筹资水平，逐步缩小城乡医保筹资水平和保障水平的差距，为实现城乡统一的医疗保障制度奠定基础。逐步扩大保障范围，到2015年，实现普通门诊统筹全覆盖。扩大大额门诊慢性病、特殊病种补偿的病种范围。继续开展重大疾病保障工作，在全国全面推开提高儿童白血病和先天性心脏病、尿毒症等大病医疗保障水平工作，将肺癌等大病纳入保障和救助试点范围，并适当扩大病种，提高补偿水平。

Planning says,Continue to consolidate the development of new agriculture system together,Ginseng adds up to rate to stay above 95%,To establish long-term stable financing growth mechanism,Continuously improve the new agriculture joint funding level,Gradually reduce urban and rural health care financing level and the security level of gap,To realize the unity of urban and rural medical security system lay the foundation.Gradually expand the scope of protection,By 2015,Realization of average outpatient service as a whole all cover.Expand the large amount of chronic disease outpatient service/Special diseases compensation range of diseases.Continue to carry out major disease security work,In the national comprehensive push to improve children leukemia and congenital heart disease/Uremia, a serious illness such as medical security level work,Will, a serious illness such as lung cancer in security and salvage the scope,Appropriate to expand and diseases,Improve the compensation level.

　　规划要求，进一步完善职工医保和城镇居民医保制度，巩固扩大覆盖面，逐步提高保障水平。进一步完善城乡医疗救助制度，全面提高医疗救助水平，对救助对象参保及其难以负担的医疗费用提供补助，筑牢医疗保障底线。

Planning requirements,Further improve the system of workers' health and medical insurance system for urban residents,Consolidate extended coverage,Gradually improve the level of security.To further improve urban and rural medical assistance system,Improving the level of medical assistance,To salvage object ginseng protect and difficult to afford medical expenses subsidies,Build up health care the bottom line.

　　规划指出，探索建立重特大疾病保障机制，切实解决重特大疾病患者的因病致贫问题。积极开展城乡居民大病保险工作，利用基本医保基金向商业保险机构购买大病保险，减轻参保(合)人的高额医疗费用负担。发挥基本医保、大病保险、医疗救助、多种形式补充保险和公益慈善的协同互补作用，统筹协调基本医保、大病保险和商业健康保险政策，有效提高保障水平。

Planning pointed out that,Exploration and great disease to establish guarantee mechanism,Solve the great disease because of sickness poor problem.Actively carry out urban and rural residents a serious illness insurance work,Use of basic medical insurance fund to commercial insurance institutions to purchase a serious illness insurance,Reduce ginseng(close)The high medical expense burden.Play a basic medical insurance/Serious illness insurance/Medical assistance/Various forms of supplementary insurance and public welfare charity collaborative complementary action,Overall coordination of the basic medical insurance/A serious illness insurance and commercial health insurance policy,Effectively improve the security level.

　　规划称，加强基本医保基金监管，健全管理经办机构。规范基金管理，控制基金累计结余率，提高基金使用效果，确保基金安全。建立医疗费用全国异地协查机制，全面实现统筹区域内和省内医疗费用异地即时结算，初步实现跨省医疗费用异地即时结算。积极探索委托具有资质的商业保险机构经办各类医疗保障管理服务。

Planning says,To strengthen the basic medical insurance fund supervision,Improve the management agency orgnaization.Standard fund management,Control fund accumulated balance rate,Improve the fund use effect,To ensure the security of the funds.Establish the medical expenses national different investigation mechanism,Comprehensive realization plan as a whole area and guangdong province medical treatment charge different immediate settlement,Preliminary across the province to realize medical expenses different immediate settlement.Actively explore entrust with qualification of commercial insurance agency orgnaization of all kinds of medical insurance management service.

　　规划要求，全面推进支付方式改革，结合基金收支预算管理和疾病临床路径管理，在全国范围内积极推行按病种付费、按人头付费、总额预付等多种支付方式。鼓励优先使用基本医保药品目录内药品，建立医保对医疗费用增长的制约机制，控制医药费用不合理增长。

Planning requirements,Promote the overall reform of payment,Combined with the fund budget management and disease clinical pathway management,In the nationwide actively push press disease to pay/According to the head pay/The total advance payment, etc.Encourage priority use basic medical insurance in the catalog of medicines and drugs,Establish medical insurance of medical treatment charge growth restriction mechanism,Control medical cost is not reasonable growth.

　　规划指出，积极发展商业健康保险，完善补充医疗保险制度。完善商业健康保险产业政策，鼓励商业保险机构发展基本医保之外的健康保险产品，满足多样化的健康需求。鼓励企业、个人参加商业健康保险及多种形式的补充保险。

Planning pointed out that,Actively developing commercial health insurance,Perfect supplementary medical insurance system.Perfect the commercial health insurance industry policy,Encourage commercial insurance institution development basic medical insurance outside of the health insurance products,To meet the health need of diversification.Encourage enterprise/Individual persons to participate in commercial health insurance and various forms of supplementary insurance.