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农村医保重点今年向大病转移 有望终结因病返贫--亲稳网络舆情监控室
2013-02-11

  据中国之声《新闻晚高峰》报道,去年,“大病医保”成为社会热词,从北京下岗男子廖丹违法“刻章救妻”,到南通人胡颂文自制“钢肾”维持生命13年,诸多的社会热点都把矛头指向大病,那么,目前我国的大病保险进展到了哪一步?重病患者何时才能真正减轻负担,少些无奈?

According to the sound of China[News late peak]reports,Last year,"Serious illness medical insurance"Become social hot word,From Beijing laid-off man LiaoDan illegal"Seals to save his wife",To nantong people HuSongWen homemade"Steel renal"Maintain life 13 years,Many of the social hot spots are targeted a serious illness,so,At present our country's serious illness insurance progress to which step?Patients with serious illness when can really reduce the burden,Less but?

  目前我国的大病医保主要分为两部分,一个是由卫生部牵头的新农合大病保障,另一个是由国务院医改办牵头负责的的城乡居民大病保障

At present our country's serious illness medical insurance is mainly divided into two parts,One is led by the ministry of public health of the new farmers joint guarantee of a serious illness,The other one is the cure of the state council to lead the urban and rural residents of a serious illness security.

  卫生部针对农村居民的重大疾病医疗保障开始较早,从2010年6月开始,儿童先心病和急性白血病首先加入大病保障试点,经过两年多的“小步快跑”,到2013年,新农合的大病保障病种扩大到20种,肺癌、胃癌等20种新农合大病患者有了保障。

According to the ministry of health of the rural medical security major disease started earlier,From began in June 2010,Children's congenital heart disease and acute leukemia first join a serious illness security pilot,After more than two years of"Step run",By 2013,New farmers, a serious illness security diseases expand to twenty kinds of,Lung cancer/Gastric cancer and new farming together with the security of a serious illness.

  卫生部副部长刘谦表示,今年的报销比例还将进一步提升,困难群众的报销比例最高可达90%。

Health vice minister liu qian said,This year's reimbursement ratio will further enhance,The difficulty of the highest reimbursement ratio can reach 90%.

  刘谦:新农合在限定费用的基础上,将重大疾病的实际报销比例提高到70%。对于符合条件的救助对象,就是贫困的人群,跟民政部合作,由民政部对救助对象再给予补偿20%,二者相加可以到90%。

Liu qian:New farming combined on the basis of limited cost,The major disease of the actual reimbursement ratio increased from 70% to.To meet the conditions of the rescue object,Is the poor people,Cooperation with the ministry of civil affairs,By the ministry of civil affairs to rescue object to compensate 20%,The additive can to 90%.

  目前选择的这20种大病临床路径相对清晰,费用可控,但是对于患有其他重病的农村居民来说,还缺乏公平性。卫生部也表示,新农合对农民大病的保障能力还会进一步提高,大病病种的范围也会进一步扩大。

At present the choice of a serious illness and clinical pathway relatively clear,Cost controlled,But to have other serious illness of the rural dwellers,Still lack of fairness.The ministry of health said,New farmers close to the security of a serious illness farmers will further improve the ability,The scope of a serious illness disease will also further.

  但是对于城镇居民和患有大病,却不在新农合大病保障范围内的农村居民来说,大病依然是道迈不过去的门槛。

But to town and had a serious illness,But not the new agriculture close a serious illness security within the scope of the rural dwellers,A serious illness is still way Wallace not past the threshold.

  为了解决这一问题,去年8月,国务院医改办等6部门出台文件,专门针对城镇居民保险和新农合居民,推行按照费用额度实施的大病保障制度,国务院医改办医改二处处长李瑶光。

In order to solve this problem,Last August,Cure of the state council office, etc and department issued documents,Specifically for the urban residents insurance and new farming together residents,According to the cost of the implementation of the implementation of the amount of serious illness security system,Cure of the state council reform do two marshal LiYao light.

  李瑶光:大病保险就是当老百姓在基本医保报销以后,如果他个人负担的医疗费用达到了城乡居民年均可支配收入的水平,就可以进入大病保险的报销范围了,得了大病的老百姓他在基本医疗保险报销完了以后,个人需要负担那部分医疗费用大病保险会再给他报销50%以上,比如说他到了最高限的时候,可能就给他报到8、90%,这样使得他个人的负担极大的减轻。

LiYao light:A serious illness insurance is when people in the basic medical insurance reimbursement later,If he individual responsibility medical costs to achieve the annual disposable income of urban and rural residents level,To get into the serious illness insurance reimbursement of the range,Got a serious illness people he in the basic medical insurance after reimbursement,People need to pay the cost of partial medical treatment of a serious illness insurance reimbursement will give him more than 50%,For instance he reached the highest limit time,May give him the report/90%,This makes his personal burden greatly reduce.

  根据介绍,各地有关大病保险的具体政策细则,正在制定当中,公众希望政策出台的脚步能够更快一些,因为大病保险工作的启动,意味着参保人员,在不幸遭遇大病时能够有钱治病。

According to the introduction,The serious illness insurance all specific policy rules,Are worked out,The public hope policies steps can be quicker,Because of a serious illness insurance work start,Means that ginseng protect personnel,In a serious illness of misfortune to rich cure.

  而且,随着人口流动性的增加,患病人群在异地就医和报销方面还存在很多不便,卫生部农村卫生司司长杨青表示,将努力建设新农合信息化系统,打造国家级信息平台,方便农民工跨省就医、报销。

and,With the increase of population mobility,People with the disease in different medical and submit an expense account, there are a lot of inconvenience,The ministry of health of rural health department priests YangQing said,Will strive to build a new agriculture information system together,Build national information platform,Convenient across the province medical workers/reimbursement.

  杨青:国家级平台和省级平台进行互联互通,将来的理想是,农民工到任何一个跨省的医疗机构就医,他的信息是互联互通的,这对他下一步的报销提供了方便。(记者李欣)

YangQing:National platform and provincial platform of interconnection and interflow,The ideal is in the future,Migrant workers to any a cross province medical establishment go to a doctor,His information is of interconnection and interflow,For him the next to submit an expense account to provide a convenient.(Reporter li xin)


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