Recently, the 30th executive meeting of the Tongzhou district government studied and issued the "district 2011 annual new rural desktop medical care implementation views", a clear new rural cooperative annual work objectives and tasks and related policies. 2011, Tongzhou District, the new rural cooperative per capita funding of 200 yuan, an increase of 45 yuan over the 2010 145 yuan, of which the individual contribution of 55 yuan, the financial subsidies at all levels of 145 yuan.
New rural cooperative fund has always been the focus of audit work, the district government and relevant functional departments attach great importance to the audit of the new rural cooperative fund, and every year after the audit report will convene a meeting for thematic study, in order to further improve the management and use of the fund. According to the audit recommendations, the district government has made major adjustments and improvements to the compensation program in 2011 to ensure that the participants benefit to the greatest extent possible. First, adjusting the hospitalization compensation ratio. Hospitalization costs were adjusted to three segments, with the original 1001 to 5,000 yuan and 5,001 to 20,000 yuan segments merged into one segment, and the reimbursement rate unified at 60%. Since the number of people in the 1001 to 5,000 yuan section accounted for 60% of the number of hospitalization claims, an increase of 5 percentage points in the reimbursement rate will help more than 90% of participating patients to increase the actual level of reimbursement of hospitalization costs. The second is to expand the scope of the fund's compensation. Appropriately expanding the reimbursement scope of the basic drug catalog and diagnostic and treatment service items of the New Rural Cooperative Fund, and reasonably determining the reimbursement ratio of large equipment inspection items and special surgical consumables. The reimbursement rate for patients with serious illnesses and diseases that are difficult to treat in the region has been appropriately increased to further alleviate the financial burden of participants suffering from serious illnesses. After the implementation of the basic drug system, the reimbursement ratio of national basic drugs and provincial basic drugs will be increased according to regulations. Thirdly, the outpatient co-ordination policy has been improved; in 2011, an outpatient co-ordination fund was set up in accordance with the standard of 40 yuan per capita for the reimbursement of general outpatient medical expenses incurred by participants attending designated hospitals and eligible village health centers in the region. There is no starting line for outpatient coordinated reimbursement, and family members can help each other ****, and after reaching the ceiling amount, individuals will bear the cost of outpatient visits. The fourth is to explore the management of single-disease price limits. Proposed to select 10 kinds of diagnosis is clearer, the treatment method and medical cost is relatively certain of the common diseases, the implementation of single disease price limit management, reasonable determination of medical costs and fixed compensation standards, control the unreasonable growth of medical costs, so that the participants really benefit from the financing growth. Fifthly, it is convenient for the public to participate in the reimbursement. The original newly-born children from the date of payment of fees for two months before they can enjoy the new rural cooperative compensation treatment provisions, adjusted to the newly-born children in the year with their participating mothers to enjoy the new rural cooperative treatment, the combined calculation of an annual compensation ceiling line, the year the individual is no longer contributing. Accelerate the application of computer information technology in the village health clinic, as soon as possible to realize the district, town, village outpatient integrated network settlement.
With the increase in the level of financing of the new rural cooperative, the fund is getting bigger and bigger, and the supervision task is getting heavier and heavier. Tongzhou District Audit Bureau will further tighten the fund safety this string, seriously fulfill the audit supervision function, to ensure that the cooperative medical fund is safe, effective use in the participating farmers.
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