Most countries in the world today determine the poverty line according to people's income. The poverty line in China is mainly determined by whether people have enough to eat and wear warm clothes. The following is what I should do for the health poverty alleviation staff, hoping to help you.
First, the target of health poverty alleviation: that is, "three groups"
1. A batch of serious diseases.
(1)4 categories and 9 kinds of serious diseases. Among the rural poor people who have set up their cards and the rural poor people, low-income recipients and poor disabled people approved by the civil affairs department, patients with digestive tract tumors (limited to esophageal cancer, gastric cancer, colon cancer and rectal cancer), end-stage renal disease, childhood leukemia (limited to acute lymphoblastic leukemia and acute promyelocytic leukemia) and congenital heart disease (limited to atrial septal defect and ventricular septal defect). Such patients should establish a treatment account. Led by the Health Planning Commission, in conjunction with the local civil affairs departments and poverty alleviation departments, it will be done in accordance with the workflow of "rural thorough investigation, county-level examination and determination, and establishment of accounts in cities and counties", among which:
A. For the rural poor people suffering from nine kinds of serious diseases, fill in the health poverty alleviation assistance form according to the requirements of the national health poverty alleviation dynamic management system.
B. For rural destitute dependents, low-income recipients and poor disabled persons with nine kinds of serious diseases approved by the civil affairs department, accounts shall be established and reported according to the schedule in the implementation plan for special treatment of serious diseases for rural poor people issued by provinces and cities.
(2) Five special diseases. Namely, patients with severe mental illness, migrant workers' pneumoconiosis, tuberculosis, AIDS and schistosomiasis.
2. A batch of chronic diseases.
Mainly refers to hypertension, diabetes, coronary heart disease, spinal diseases and so on.
3. A batch of serious illnesses.
It mainly refers to serious diseases and high medical expenses in other diseases except 9 serious diseases and 5 special diseases.
The above three types of objects (including some non-filing personnel) should have a clear base at the city, county and township levels, implement treatment and dynamic management.
Second, the government's preferential policies.
Strengthen communication with various departments, make good use of it, make use of it and formulate policies;
"Three improvements": improve the level of basic medical security, and increase the hospitalization expenses of rural poor people and the proportion of medical insurance reimbursement for urban and rural residents10%; Improve the level of serious illness insurance, reduce the deductible line of serious illness insurance for rural poor people by 50%, and increase the reimbursement rate within the scope of serious illness hospitalization policy to over 90%; Improve the level of medical assistance, and all eligible rural poor people will be included in the scope of hospitalization assistance for serious diseases (referring to the above nine serious diseases). After the medical expenses are reimbursed by basic medical insurance, serious illness insurance, various supplementary medical insurance and commercial insurance, the' out-of-pocket expenses' and medical assistance within the policy scope will be subsidized by 70% and 50% respectively.
2. "Two subsidies": the rural poor participate in the individual contributions of urban and rural residents' medical insurance, with financial subsidies of more than 50%, full subsidies for the poor, and full coverage of insurance; The local government gives no more than 90% subsidy to the premiums paid by the rural poor to participate in the "poverty alleviation preferential insurance" family comprehensive security insurance.
3. "One reduction": After the actual medical expenses of the rural poor suffering from nine kinds of serious diseases are paid by basic medical insurance, medical assistance fund and other insurances, the designated hospitals will give 50% reduction to the part paid by individuals.
4. "All-inclusive": After comprehensive compensation such as basic medical insurance, serious illness insurance, medical assistance, commercial insurance payment, designated hospital assistance, etc., it is still difficult for the rural poor to pay the remaining medical expenses out of compliance, and the government provides all-inclusive protection to reduce or exempt their personal burdens. Provincial finance appropriately arranges award and subsidy funds to promote the city and county governments to implement the main responsibility of health poverty alleviation.