Channels of medical service compensation

The State Council issued in the afternoon, "consolidate and improve the basic drug system and grass-roots operation of the new mechanism" document, put forward five channels to stabilize long-term compensation for primary medical institutions.

The new mechanism for the operation of primary health care institutions was initially established, but the process of operation of a number of new situations and new problems, in order to protect the normal operation of primary health care institutions, "the document" put forward five channels of long-term compensation mechanism:

First: the government-run primary health care institutions, capital and equipment purchases and other development and construction expenditures by the government according to the development and construction of the planning of the full amount of the arrangement. Personnel costs, the financial sector to rationalize the arrangement of subsidies.

Second: the provinces should implement the policy of financial subsidies for the operation of grass-roots institutions, grass-roots institutions into the financial budget for the difference between recurrent income and expenditure subsidies and timely and full implementation of in place, and increase the financial transfer to difficult areas. In terms of financial subsidies, localities are being guided to explore and innovate: localities are encouraged to explore the implementation of subsidies based on the number of services or a fixed amount of compensation for the population served. Areas with the necessary conditions can implement two lines of income and two lines of expenditure. Strengthen the performance evaluation and supervision and management of financial subsidies to improve the efficiency of the use of funds.

Third: to protect the basic public **** health services funding. Clearly the village health center and township health center of the basic public **** health service task division of labor and the proportion of funds allocated, in principle, about 40% of the basic public **** health service tasks to be undertaken by the village health center, after the assessment of the corresponding service funds, shall not be squeezed, retained and misappropriated. Financial resources at all levels should be allocated in full and in a timely manner to ensure that basic public **** health funds are earmarked for specific purposes. Basic public **** health service funds should be allocated in advance and then assessed and settled, and with economic and social development to raise the standard of protection accordingly. Grass-roots organizations to undertake the task of disposing of public **** health emergencies by the financial cost of services in accordance with the approved subsidies.

Fourth: the full implementation of general medical fees. Localities should be combined with the actual and reasonable to determine the general diagnosis and treatment fee standard, in principle, about 10 yuan. Of which 9 yuan paid by the medical insurance, 1 yuan borne by the individual.

Fifth: to play the role of compensation for medical insurance payments. Expand the scope of outpatient coordination, and rationally determine the scope and standard of medical insurance payment. Medical insurance payment ratio to the grass-roots organizations tilt, encourage the use of traditional Chinese medicine services. Promote the reform of payment methods and establish a payment system that emphasizes both incentives and constraints.