20 provinces clear the urban and rural medical insurance on the same track what can the peopl-quickchm

20 provinces clear urban and rural health care and people can enjoy the benefits of what? – Jiangxi Channel – the original title of the people’s network: 20 provinces clear urban and rural health care and people can enjoy the benefits? The day before, the Henan provincial government issued "views on the" General Office of Henan Provincial People’s Government on the integration of urban and rural residents basic medical insurance system, the overall plan for deployment in the province to establish a unified basic medical insurance system for urban and rural residents. According to the data of the social department, there are at least 20 provinces in the country to clear urban and rural medical insurance. After the implementation of the merger system, many areas of the original NCMS drug list expanded significantly, the proportion of medical insurance reimbursement of urban and rural residents will also increase, and the public will benefit a lot. The 20 provinces clearly defined the merger of urban and rural health insurance departments. Currently, the basic medical insurance in China is mainly divided into three categories: employee health insurance, urban residents medical insurance and new rural cooperative medical system. In this, the medical insurance of urban residents is paid by the financial and urban residents, and is managed by the human society department; the new rural cooperative system is paid by the finance and farmers, and is managed by the health and planning departments. Although the urban residents and the new rural cooperative medical insurance for individual contributions and government subsidies are combined, but due to different management departments, medical reimbursement, the directory is different, according to the Ministry of human resources 8 introduction, as of now, the health insurance system for the establishment of a unified urban and rural residents in 20 provinces including Beijing, Tianjin, the Hebei, Inner Mongolia, Shanghai Jiangxi, Shandong, Zhejiang, Henan, Hubei, Hunan, Guangdong, Guangxi, Chongqing, Yunnan, Shaanxi, Qinghai, Ningxia, Xinjiang, and the Corps, the overall planning of the deployment or has the full realization of the integration. Tianjin, Shanghai, Zhejiang, Shandong, Guangdong, Chongqing, Ningxia, Qinghai and the corps have fully realized the integration of the system. Hebei, Hubei, Inner Mongolia, Guangxi, Yunnan and other provinces clearly will be implemented from 2017, and Beijing clearly realized "two in one" in January 2018. In addition, the Xinhua News Network (WeChat public number: cns2012) reporter found that most provinces in 20 provinces, including Tianjin, Shanghai, Zhejiang, Shandong, Guangdong and so on, clearly defined the unified urban and rural residents’ basic medical insurance system after integration into the management of the human society department. However, in the pilot program for the comprehensive reform of medical and health system in Shaanxi, Shaanxi put forward that the medical and health insurance for urban and rural residents should be managed uniformly by the health and family planning department, and the medical insurance for urban workers is still managed by the human resources and social security department. The expansion of the medical insurance drug catalogue of the new rural cooperative medical system has doubled the range of drug use in the area. According to the data provided by the local people’s Department, after the merger of urban and rural health insurance, the medical insurance institutions designated everywhere, the directory of medical insurance medicines has been significantly expanded. Especially for a lot of new rural cooperative people, the scope of medical insurance has doubled after integration. For example, the Tianjin Municipal Bureau of human resources and social security has revealed that the number of Medicare drugs has increased from 2000 to 7300 over 2 times after the integration of urban and rural health insurance. In addition, the number of rural residents in the designated hospital from the original 30, to the current more than 1400. The list of new NCMS in Inner Mongolia increased from 1988 to 2600, with an increase of more than 30%, and the actual reimbursement ratio of NCMS will gradually move closer to urban residents. There are about 1000 kinds of drug catalogue of new rural cooperative medical system in Hebei province. There are about 2400 kinds of basic medical insurance drug list of urban residents. After integration, the basic medical insurance directory of urban and rural residents can reach 2900 kinds. Again, Shandong, Guangdong, Ningxia urban and rural medical insurance, urban and rural residents unified use basic medical insurance drug list, farmers may be reimbursed separately from the 1100 types of drugs, 1083, 918 expanded to 2400 species and 2450 species, 2100 species, the scope of medical insurance increases more than 1 times. (Qiu Ye, commissioning editor Mao Siyuan) original title: 20 provinces to clear people can enjoy the merger of urban and rural health care what concessions? In new network reporter Zhang Ni photo reimbursement not on the high low people to see a doctor of economic burden Medicare and rural residents after the integration will follow the "treatment not on the high low principle, especially the insured rural residents Medicare reimbursement increased significantly. Ningxia has established an early unified basic medical insurance system for urban and rural residents in China. Before the urban and rural co-ordination, the proportion of reimbursement in the policy range of urban residents was about 57%, and the reimbursement ratio within the policy range of rural residents was 53.59%. In 2014, the proportion of reimbursement for urban and rural residents in the medical insurance policy was 66%. In Beijing, according to the current outpatient reimbursement policy, the top down line of outpatient reimbursement for urban residents is 2000 yuan, while the new rural cooperative medical scheme is 3000 yuan. According to the principle of medical insurance treatment, the proportion of outpatient reimbursement for urban residents is expected to increase after the merger of policies. From the perspective of hospitalization treatment, the lowest proportion of medical insurance payment for urban residents is 60% (below 60 years old), and the lowest level of NCMS is 50%, while the integration rate is 70% after Shanghai integration. In addition, the cost of inpatient reimbursement for rural residents in Shanghai is no longer "limited". If the rural residents who participated in the NCMS were hospitalized, the cost would be more than 120 thousand yuan, and more than some of them could not be paid by medical insurance. After the integration, the 120 thousand yuan capping line is cancelled, even if it is exceeded, it can also be settled in accordance with the specified proportion. Guangdong has also greatly increased the ceiling limit. The proportion of hospitalization payments has increased to 76% in the range of urban and rural residents’ health insurance policy, and the ceiling line has increased from 50 thousand yuan to 440 thousand yuan now. Much of the country to carry out the pilot and actively develop the merger plan according to the State Council earlier issued the "opinions", the whole area to the introduction of specific implementation plan before the end of December 2016. In addition to the areas that have been deployed or fully integrated, a number of provinces are actively carrying out pilot projects to speed up the formulation of plans. For example, Jiangsu began to explore the integration of medical insurance between urban and rural residents 5 years ago. At present, four cities in 13 districts, including Suzhou, Changzhou, Taizhou and Nantong, have realized the integration of the new rural cooperative medical system and the urban residents’ medical insurance system. 40 regions in the more than 80 medical insurance co ordination areas of Jiangsu province have achieved two systems of integration. In Anhui Province, is currently exploring in the province of 25 has been achieved the basic medical insurance for urban residents and the new rural cooperative medical system in two areas to carry out the merger operation, commercial insurance agency orgnaization of service pilot, peel off the original urban and rural residents and the new rural cooperative medical insurance management functions, the establishment of urban and rural residents basic medical insurance management center, the establishment of the relevant system, and gradually realize the integrated management of urban and rural residents service target. And the province’s parallel program is also in the process of making. (commissioning editor Qiu Ye and Mao Siyuan) 20省份明确城乡医保并轨 民众能享受到啥优惠?–江西频道–人民网 原标题:20省份明确城乡医保并轨 民众能享受到啥优惠?   日前,河南省政府印发《河南省人民政府办公厅关于整合城乡居民基本医保制度的实施意见》,对该省建立统一的城乡居民基本医疗保险制度做出了总体规划部署。   根据人社部数据,全国已有至少20省份明确城乡医保并轨。而并轨制度落实后,不少地区原有的新农合药品目录大幅扩容,城乡居民的医保报销比例也将提高,民众受益颇多。   20省份明确城乡医保并轨 归口管理部门不同   目前,国内的基本医保主要分为三种,分别是职工医保、城镇居民医保、新农合。这其中,城镇居民医保由财政和城镇居民缴费,由人社部门管理;新农合由财政和农民缴费,由卫计部门管理。   虽然城镇居民医保和新农合都是个人缴费与政府补助相结合,但由于管理部门不同,就医报销、目录等各不相同,   据人社部8日介绍,截至目前,全国已有包括北京、天津、河北、内蒙古、上海、浙江、江西、山东、河南、湖北、湖南、广东、广西、重庆、云南、陕西、青海、宁夏、新疆、兵团在内的20省份对建立统一的城乡居民医保制度进行了总体规划部署或已全面实现整合。   天津、上海、浙江、山东、广东、重庆、宁夏、青海和兵团已全面实现制度整合。河北、湖北、内蒙古、广西、云南等省份明确将从2017年起执行,北京明确2018年1月实现“二合一”。   此外,中新网(微信公号:cns2012)记者发现,在20省份中,包括天津、上海、浙江、山东、广东等在内的大部分省份明确,将整合后统一的城乡居民基本医疗保险制度划归人社部门管理。   但陕西出台的《陕西省深化医药卫生体制综合改革试点方案》中则提出,由卫生计生部门统一管理城乡居民医保,城镇职工医保仍由人力资源社会保障部门管理。   新农合医保用药目录扩容 有地区用药范围成倍增长   根据地方人社部门提供的数据,城乡医保并轨后,各地医保定点的医疗机构、医保药品的目录,都明显扩大。尤其对不少新农合参保民众来说,整合后医保用药范围成倍增长。   例如,天津市人力社保局透露,城乡医保并轨后,农村居民医保药品的数量从原来的2000多种增加到7300多种,增加了2倍。此外,农村居民就医定点医院的数量也由原来的30家左右,扩大到目前的1400余家。   内蒙古的新农合药品目录由原来的1988种增加到2600多种,增幅达到三成以上,新农合实际报销比例将逐步向城镇居民靠拢。   河北省新农合用药目录有1000种左右,城镇居民基本医保用药目录约有2400种,整合后城乡居民基本医保用药目录能达到2900种左右。   再如,山东、广东、宁夏城乡医保并轨后,城乡居民统一使用基本医保药品目录,农民的可报销药品种类分别从1100种、1083种、918种扩大到2400种、2450种、2100种,医保用药的范围增加1倍多。 (责编:邱烨、毛思远) 原标题:20省份明确城乡医保并轨 民众能享受到啥优惠?   中新网记者 张尼 摄   医保报销比例就高不就低 民众看病经济负担减轻   城乡居民医保整合后将遵循“待遇就高不就低”原则,参保人员特别是农村居民的医保报销比例显著提高。   宁夏在全国较早地建立起统一的城乡居民基本医疗保险制度。城乡统筹前,城镇居民政策范围内报销比例约为57%,农村居民政策范围内报销比例为53.59%。统筹后的2014年,城乡居民在医保政策范围内报销比例达到66%。   北京方面,依照当前门诊报销政策,城镇居民一个年度门诊报销封顶线是2000元,而新农合是3000元,按照医保待遇不降低的原则,政策合并后,城镇居民的门诊报销比例有望提高。   上海方面,从住院待遇一项来看,整合前,城镇居民医保支付比例最低为60%(60岁以下),新农合最低只有50%,而整合后统一为70%。   另外,上海市农村居民住院报销费用也不再设“限”。原来参加新农合的农村居民在住院时,费用如果超过12万元,超过部分就不能由医保支付。整合后,12万元封顶线取消,哪怕超过了也能继续按照规定的比例结算。   广东也大幅提高封顶限额,城乡居民医保政策范围内住院支付比例提高到76%,封顶线从过去的5万元提高到现在的44万元。   全国多地开展试点 积极制定并轨方案   根据国务院早前印发的《意见》,各统筹地区要于2016年12月底前出台具体实施方案。除了已部署或已全面实现整合的地区外,不少省份也正在积极开展试点,加快制定方案。   例如,江苏早在5年前就开始探索城乡居民医保一体化。目前13个设区的市中,已有苏州、常州、泰州、南通四市实现了新农合和城镇居民医保制度的并轨,江苏全省80多个医保统筹地区中有40个地区实现了两项制度的并轨。   在安徽省,目前正探索在全省25个已经实现城镇居民基本医保和新农合两项制度并轨运行的地区,开展商业保险机构经办服务试点,剥离原城乡居民医保和新农合经办职能,设立城乡居民基本医疗保险管理中心,建立相关制度,逐步实现城乡居民一体化管理服务目标。而该省的并轨方案也正在制定中。 (责编:邱烨、毛思远)相关的主题文章: