Shut 65 groups of serious disease to pay newly and agriculturally according to number in Anhui
From July 1, shut and pay 65 groups of great diseases according to number newly and agriculturally in Anhui Province, promote and submit an expense account the proportion greatly on the premise of limiting the expenses, can reduce masses' medical expense burden effectively, guarantee to shut the fund security newly and agriculturally. Recently, the department of public health of Anhui Province released this news to the society.
At present, join and shut the number of people and is up to 49 million in Anhui Province, shut the total amount of funds to reach 11,300 million yuan newly and agriculturally this year. This province has already made the clinical route according to Ministry of Public Health, national medicine correct recommendation, case more, expenses ripe, curative effect precise individual difference little principle than high, therapeutic method, has confirmed 65 groups of great diseases, according to accepting ability for medical treatment of complexity and medical organization of disease, confirm 20 groups among them are in provincial hospital pilot project, 25 groups are in hospital pilot project at city level, 20 groups are in hospital pilot project at county level. On the premise of considering the patient, hospital and handling organization's tripartite interests synthetically, check and ratify the quota standard of every number. Shut fund according to 70% about the intersection of compensation and hospital of quota while being agricultural while being new, patient 30% of volume pay individual expense according to take place actually, form the newspaper immediately. It is reported this piece wipe out proportion, much higher than present reality, wipe out proportion.
In order to encourage the patient to shunt to the basic unit, the special regulation this time of Anhui Province, the subordinate hospital is on the premise of possessing ability, the pilot number that can choose the hospital of higher level, but the pilot number that the hospital of higher level can't choose the subordinate hospital; The same kind of disease compensates the proportion in different treatments of grade hospital differently, for instance, breast cancer radically treats the skill, in 12,000 yuan of therapeutic quota of the hospital of the first, second and third of market, compensate 60%; In treatment of first hospital of market two, quota is 10,000 yuan, compensate 65%; In the hospital treatment at county level, quota is 8,500 yuan, compensate 70%.
It's time, save, stipulate each provincial pilot fixed hospital of number, city, at county level the intersection of number and fixed hospital shut administrative department, check and ratify while being agricultural while being new by locality clearly still.
The department of public health of Anhui Province proposes, the improvement of the standard according to raising funds newly and agriculturally jointly, improve every number payment standard correspondingly, further reduce patients and pay the proportion for itself; According to the reasonable upward situation of the expenses of medical organization, adjust the quota of the pilot number expenses; Decompose in hospital in appearing, the fixed hospital rejecting the situation of violating disciplines of patients,etc., will cancel its fixed qualification.
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