The proportion of reimbursement for the treatment of serious diseases among the poor in Guangdong can reach 80%.

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 The proportion of reimbursement for the treatment of serious diseases among the poor in Guangdong can reach 80%.


In April 24th, the Guangdong provincial government held a press conference. The provincial health and family planning committee, the Civil Affairs Department, the human society hall, the Poverty Alleviation Office, the Chinese medicine bureau and other responsible people read the highly concerned special treatment implementation plan for the rural poor peoples diseases in Guangdong province. According to the report, this year, hundreds of thousands of poor people in the province will be screened, diagnosed and treated with special treatment, and the insurance of major diseases is inclined to them, such as reducing the standard of starting and paying for the major diseases insurance, raising the proportion of reimbursement, without the annual maximum payment limit, and guaranteeing the reimbursement ratio of more than 70%~80% to the poor patients. An example shows that a patient in the digestive tract bleeding is 320 thousand yuan in hospital treatment. Under the comprehensive guarantee of medical insurance, serious illness insurance and civil affairs assistance, the patient only needs to pay less than 10 thousand yuan. At present, 4 cities, such as Shantou, Shaoguan, Meizhou and Zhaoqing, have introduced specific implementation plans in the East and the west of eastern Guangdong, and the rest of the country have basically completed the first draft of the program or solicited comments. The first implementation of the Zhaoqing, as of April 20th, a total of 2703 rural poor patients suffering from great diseases, 293 cases of the treatment of patients, the average rate of only 19.71%, greatly alleviated the burden of rural poverty. Case: 320 thousand yuan or less than 10 thousand yuan The implementation plan of the special treatment for the large diseases of the rural poor in Guangdong (hereinafter referred to as the program), how will the poor patients be benefited from the poor and reduce the poverty and return to the poor? Zhang Yanchun, deputy director of the medical insurance Department of the Provincial Department of human resources and social security, cited examples. There is a poor patient in Huizhou, who is hospitalized for bleeding in the upper digestive tract. The total medical cost is 326608.06 yuan, the basic medical insurance reimbursement is 264423.39 yuan. The medical insurance can be reimbursed by 35209.8 yuan, and the civil affairs department saves 11853.15 yuan. In addition, the new policy in Huizhou this year is not reported. The cost of the sale is more than 5000 yuan, and more than 50% of the relief is given. If the case occurred in Huizhou this year, it spent a total of 326608.06 yuan, and the individual would have to pay no more than 10 thousand yuan. Zhang Yanchun said. She also pointed out that medical insurance and medical assistance in the province have passed through the information system and the fixed-point treatment of the hospital, the basic reimbursement of the major diseases, the reimbursement of the major diseases insurance and the medical assistance, and the direct settlement of the information system with the medical institutions, and the individual need not to pay, only the one-stop settlement and payment of personal payment in the discharge of the hospital. Just use it. Explanation 1 How to define the poor people with great disease? Help the poor to build or apply for assistance Liu Guanxian, deputy director of the provincial health planning committee, pointed out that the object of the project was the target of the Guangdong poverty alleviation big data platform, and the poor people in the rural special difficulties and the low insurance targets in the Guangdong province assistance application for the family economic verification system. These people were screened for serious diseases, diagnosed and classified for special treatment. It is understood that these data are dynamic, initially estimated that there are about one hundred thousand people in the province, more concentrated in the north-east of Guangdong Province and the edge of the Pearl River Delta. Conditional cities can expand the population of the poverty-stricken population with special treatment combined with the level of demand and medical security. Explanation 2 Not limited to seven major diseases in Guangdong It is understood that in the states notification of special treatment for the poor population of rural poor, seven major diseases, such as congenital heart disease, childhood leukemia, esophageal cancer, gastric cancer, colon cancer, colon cancer, rectal cancer and end-stage kidney disease, have been identified as the first special diseases for the special treatment of poor people. The establishment of Guangdong is based on the screening of the poor patients in the early province of the province. The diagnosis and classification of the patients have been organized. Secondly, the basic medical insurance, major diseases insurance, medical assistance and other policies are applicable to all the poor people who are building a file card. The major disease insurance is mainly to avoid urban and rural residents. The target of family disastrous treatment expenditure is that the starting and payment standards should be equivalent to the net income per capita of local residents in the last year, and not higher than the annual disposable income of local urban residents. Guangdong has the ability to achieve the full coverage of the serious diseases of the poor. Explanation 3 As long as it is fixed point? Strict classification and treatment are required According to the plan, the patients with great poverty are in principle to see a doctor at a county level hospital in principle. If the county hospital does not solve the difficult or severe cases, it can be linked to the county hospital and transferred to a municipal designated hospital. It may also be designated from the provincial level by the methods of telemedicine, counterpart support, expert consultation and Medical Union cooperation. Hospitals can get technical assistance, and municipal hospitals can not solve them. Rest assured that hospitals at all levels will be referred in time according to their needs. Feng Hongxiang said. In fact, the 58 county hospitals in the province can collect and cure a lot of diseases, the average level of hospitals in the state and county is more than 1500, more than 80% in Guangdong, in 2017, more than 80% residents in Guangdong have stayed in the county. Explanation 4 How to specify specific special treatment reimbursement? More than seven or eight percent can be reimbursed The plan stipulates that for the poor patients, the medical treatment guarantee is a combination boxing, that is, the basic medical insurance, major illness insurance, medical assistance, health support for the poor commercial insurance and other systems, a link link. In the most concerned medical insurance, Zhang Yanchun pointed out that the main problem is that the major disease insurance is inclined to the poor patients, including the reduction of the standards for the onset and payment of their major diseases, the increase in the proportion of reimbursement, the maximum limit of the annual payment, and the maximum improvement of the treatment of the poor people. Among them, for the poor personnel and the minimum living security object, the starting and payment lines are not less than 70%, and the reimbursement ratio is higher than 70%; for the specially stricken support personnel, the starting and payment line is reduced not less than 80%, and the reimbursement ratio is more than 80%. Even if reimbursement has exceeded seven or eight, but still can not afford to pay, what should I do? Feng Sihua, deputy inspector of the provincial poverty Alleviation Office, pointed out that it could be helped by the temporary relief projects of the Civil Affairs Department, social forces or the social assistance of charities. The income of the poverty alleviation projects in the poverty alleviation and development will also be used to take care of these conditions. In addition, some public welfare posts such as cleaning staff, Rangers, or family processing projects can be established to give priority to them. Can all hospitals be treated for medical treatment? Set up reserve in the hospital and provincial hospital in the county hospital Not all hospitals can receive special treatment for serious diseases. Liu Guanxian said that the poor population suffering from serious illness needs to see a doctor at a designated hospital with serious illness to enjoy special treatment. First, in order to minimize the cost of patients traffic, designated hospitals are set up in county-level hospitals in principle; secondly, local hospitals are designated as medical treatment fixed-point hospitals for medical treatment according to the conditions of diagnosis and treatment. At the provincial level, 18 hospitals, such as Guangdong General Hospital, are designated as reserve hospitals at the provincial level. Whether it is a designated hospital or a designated hospital, the medical treatment and treatment work of the poor people with great diseases should be included in the important content of precision poverty alleviation, the medical service process is set up reasonably, the medical green channel is opened, the clinical experienced medical personnel are equipped with clinical experience, and the poverty-stricken patients are classified and treated. Source: Dayang net Guangzhou daily editor: Zhu Xiaodong _NBJS6126 Not all hospitals can receive special treatment for serious diseases. Liu Guanxian said that the poor population suffering from serious illness needs to see a doctor at a designated hospital with serious illness to enjoy special treatment. First, in order to minimize the cost of patients traffic, designated hospitals are set up in county-level hospitals in principle; secondly, local hospitals are designated as medical treatment fixed-point hospitals for medical treatment according to the conditions of diagnosis and treatment. At the provincial level, 18 hospitals, such as Guangdong General Hospital, are designated as reserve hospitals at the provincial level. Whether it is a designated hospital or a designated hospital, the medical treatment and treatment work of the poor people with great diseases should be included in the important content of precision poverty alleviation, the medical service process is set up reasonably, the medical green channel is opened, the clinical experienced medical personnel are equipped with clinical experience, and the poverty-stricken patients are classified and treated.