中新网杭州1月28日电 (记者 赵晔娇 实习生 王译萱)有媒体报道，少数医院出现拒收医保病人的情况，称不挣钱还要倒贴。在浙江省“两会”期间，部分来自医疗界的政协委员坦言，医保资金不够用要倒贴。而最好的解决方案，是深入实施支付方式改革，建立以总额预付为主体的按病种付费、按床日付费等复合支付方式制度。

Beijing hangzhou 1 month and report (Reporter ZhaoYe jiao interns WangYi xuan)Media reports,A few hospitals in medical insurance refused the patient's condition,Do not say to earn money to DaoTie.In zhejiang province"lianghui"period,Debate has been fueled in part from the political consultative conference (CPPCC) said,Medical insurance money isn't enough to DaoTie.And the best solutions,Is further implementation of payment reform,To establish the total advance as the main body of the press disease to pay/According to the bed, such as pay composite payment system.

　　此前媒体报道了一个例子，北京杨女士的丈夫被北京中医药大学第三附属医院以“床位紧张”为由拒收，原因是医院的“医保额度已用完”。

After media reported an example,Beijing Yang lady's husband is Beijing university of Chinese medicine in the third affiliated hospital"Beds nervous"For rejection,The reason is the hospital"Medical insurance limit has run out".

　　在浙江省“两会”上，关于医保资金的话题吸引了众多关注。

In zhejiang province"lianghui"on,About medical insurance fund topic attracted a lot attention.

　　部分浙江省政协委员向记者表态，不会拒收医保病人，但是每年倒贴的额度不小。

Part of the zhejiang province political consultative conference (CPPCC) said to reporters,Don't refuse to health care patients,But each year DaoTie small amount.

　　浙江省政协委员、上虞市第二人民医院院长赵之青说，上虞市现在医保报销较全省比例高，特别是新农合政策范围内住院费用报销比例提高到80%左右，基本药物普通门诊报销比例提高到30%。农民以往生病是能拖就拖，现在是大病小病都往医院跑。

Zhejiang province political consultative conference (CPPCC)/Shangyu the second people's hospital ZhaoZhiQing dean said,Shangyu now medical insurance reimbursement is the high proportion,Especially the new agricultural policy close range in hospital expense proportion increased to 80%,Basic drug reimbursement ratio of average outpatient service increased from 30% to.Farmers in the past illness is can drag will drag,It is a serious illness ailment went to the hospital to run.

　　“一年下来，整个上虞市的医院要‘倒贴’三、四千万。”赵之青表示。

"A year off,The whole shangyu city hospital to‘DaoTie’three/Forty million."ZhaoZhiQing said.

　　这个情况在民营非盈利性医院也存在。浙江省政协委员、金华眼科医院院长吴坚韧说，“倒贴”的金额是几万元，但他没有透露具体数字。

The situation in the private nonprofit hospitals also exist.Zhejiang province political consultative conference (CPPCC)/Jinhua eye hospital dean WuJianRen said,"DaoTie"The amount was in the tens of thousands yuan,But he did not disclose the specific Numbers.

　　医保资金不够用的同时，资金被浪费的情况也存在。

Medical insurance fund is not used at the same time,Money is wasted is true.

　　部分民众的心理是“医保的钱不用白不用”。对此，业内人士分析认为，当前的医保制度存在一些漏洞，不鼓励医保病人少看病，似乎谁不去开药谁吃亏，造成有限的医保资金被浪费。

Part of the people's psychological is"Medical insurance money don't white don't".this,The personage inside course of study thinks,The current medical insurance system there are some loopholes,Don't encourage health care less patient to see a doctor,No one seems not to prescribe who suffer,Cause the limited medical insurance money is wasted.

　　面对医保资金的尴尬局面，浙江省政协委员、省卫生厅副厅长王国敬认为：“下一步要做好支付方式改革，推行医保总额预付制度。”

In the face of the medical insurance fund of the embarrassing situation,Zhejiang province political consultative conference (CPPCC)/Provincial health department deputy director WangGuoJing think:"The next step to do payment reform,Implementation of the total medical insurance system in advance."

　　王国敬解释说，所谓的总额预付制度，指的是医保经办机构每年向定点医疗机构划拨一定的总额。在此基础上，医院有结余则留用，超支部分则与医保机构分担。

WangGuoJing explained,The total amount of the advance system,Refers to the medical insurance agency orgnaization to nod medical establishment every year to transfer a certain amount.On the basis of,The hospital has balance is retained,Overspend part and health care institutions to share.

　　王国敬认为，医保支付方式改革的总体趋势是从后付制转为预付制，但这一改革应是多种形式，应推行混合型的支付方式改革。

WangGuoJing think,The reform of medical insurance payment from the overall trend after pay system to advance system,But this reform should be a variety of forms,Should implement mixed payment reform.

　　以新农合为例，2012年底，浙江省统筹区域内新农合住院的报销比例平均为72.2%，门诊报销达到27.4%。

New farmers joint as an example,By the end of 2012,Zhejiang province as a whole new farming area combined hospital reimbursement ratio for an average of 72.2%,Outpatient service to submit an expense account up to 27.4%.

　　浙江省在2011年选择了31个县(区、市)进行省级新农合支付方式改革试点。2012年，该省85个新农合统筹县(市、区)全面启动支付方式改革，建立以总额预付为主体的按病种付费、按床日付费等复合支付方式制度。

Zhejiang in 2011 chose 31 counties(area/city)At the provincial level for new farm close payment reform pilot.In 2012,,In 85 a new farming together as a whole county(city/area)Comprehensive start payment reform,To establish the total advance as the main body of the press disease to pay/According to the bed, such as pay composite payment system.

　　王国敬总结认为，总额预付制度的好处是合理有序引导病人的就医，控制医疗总费用和次均费用；保障大病医疗；确保医保的精细化管理、保证政府实行宏观调控。(完)

WangGuoJing conclude,The total advance system benefit is a reasonable and orderly guide the patient's doctor,Control medical total cost and time are cost;Ensure medical treatment of a serious illness;To ensure the health of the fine management/Ensure that the government macroeconomic regulation and control.(finish)