The introduction of a new type of rural cooperative medical care reflects the importance that the party and the state attach to the work of the countryside, to the majority of farmers, and to the rural population, and to the rural population of the countryside. The introduction of the new rural cooperative medical care, reflecting the party and the state's attention to rural work and care for the majority of farmers' lives. In order to promote the city's new rural cooperative medical work, it is recommended as follows:
1. Further increase the publicity of the new rural cooperative medical work, expanding the scope of publicity, so that the majority of farmers fully realize the superiority of the new rural cooperative medical care, and take the initiative to participate in the work of the new rural cooperative medical care.
2. According to the work experience in 2004, the appropriate adjustment of the new rural cooperative medical policy, without overdraft, downward adjustment of the starting line, appropriately increase the reimbursement rate, according to the townships and townships of different geographic location of the appropriate relaxation of the fixed-point medical institutions, so that the farmers in the new cooperative medical care to enjoy more benefits, and more convenient to seek medical treatment.
3. As soon as possible to fully implement the rural low-income people to participate in the cooperative medical care of the individual contribution part of the funds, can be funded by the district government or township government, so that the rural low-income people to share the benefits of the new rural cooperative medical care.
4. As soon as possible to introduce the township enterprise employees to participate in the new rural cooperative medical measures, the development of the corresponding reimbursement standards and reimbursement procedures. Can be first in the villages to the household as a unit and for the medical card, and then the individual collection of money transferred to the employee's township enterprise clearing station or township clearing center, by the township enterprise clearing station or township clearing center for reimbursement, and no longer for the township enterprise employees personal medical card. It is recommended that township enterprises set up an enterprise clearing station or in the township clearing center, and develop a unified reimbursement standard to reimburse the medical expenses of township enterprise participants.
5. For the process of rural urbanization of farmers to residents, it is recommended that should be in accordance with the Beijing Municipal documents, from the farmers of the land premium out of a portion, to make up for the payment of individual basic medical insurance premiums, to enjoy the Beijing Municipal residents of the basic medical insurance.
6. Strengthen the new rural cooperative medical management team. It is recommended that the relevant departments of the districts to coordinate the solution to determine the nature of the specialized staff establishment, at the same time, increase the new rural cooperative medical specialists policy training.
7. Strict fund management to ensure fund security. In order to ensure that the new rural cooperative medical fund earmarked, it is recommended that the district financial departments to take the lead, in conjunction with the relevant departments, and urgently study and formulate the district new rural cooperative medical fund management methods and fund accounting, auditing system; and gradually realize the fund's income and expenditure separation, management and use of the separation of the closed operation, to ensure that the fund's safety, and effectively strengthen the supervision of the new rural cooperative medical fund.
8. Simplify the way of reporting accounts, shorten the reimbursement cycle, and improve the level of information management.
9. Simultaneously promoting the new rural cooperative medical care pilot and rural health system reform. In promoting the pilot new rural cooperative medical system, to accelerate the improvement of the county, township, village three-level rural medical and health service network. The health administrative department should rationalize the identification of designated medical service institutions for the new type of rural cooperative medical care, formulate and improve diagnostic and treatment protocols, and strengthen the training of medical and nursing staff at designated hospitals. Standardize the two-way referral system, and effectively strengthen the supervision, and further reduce the cost of medicine, for the new rural cooperative medical care participants in the township health hospitals to establish farmers' health records, the implementation of health check-ups, health education and other costs should be appropriately included in the scope of the reimbursement, we should improve the health check-ups of the farmers, as an important element of the construction of the rural preventive health care network, the establishment of the farmers' health records management mechanism.
10. Medical assistance for rural special hardship cases. Recommended in accordance with the "Beijing Interim Measures for Medical Assistance for Persons in Special Hardship in Rural Areas" (see annex) in accordance with the actual situation in our region, as soon as possible to implement. ① rural low-income recipients of basic surgery, CT MRI **** vibration of large equipment inspection fees by 20%, 50% reduction in ordinary hospital beds. ② rural low-income recipients to participate in cooperative medical care individual contributions to be resolved by the district township government. ③Low-income recipients and other people in need can apply for temporary assistance after being reimbursed by rural cooperative medical care for acute and serious illnesses. ④ The funds required for the implementation of medical assistance can be resolved in various ways, such as government funding and social mobilization.
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