New agricultural and medical services to increase speed: Next year's per capita funding level will reach 150 yuan

Sun Shubo in perfecting the medical security system and expanding domestic demand to cope with the financial crisis, the decision-making level has shown unprecedented determination and strength to perfect the new rural Cooperative Medical Service (hereinafter referred to as "the new agricultural Combination").　　Yesterday, in the Ministry of Health's routine press conference, the Ministry of Health, deputy Director of rural health Management Niechunre said that 2010 China's new Rural finance level, from 2009 per capita 100 yuan each year to increase to 150 yuan.　　And the long-term existence in the new rural cooperative system in the reimbursement ratio and scope, but also in the Ministry of Health, Ministry of Civil Affairs, Ministry of Finance and other five ministries issued by the joint "on the consolidation and development of new rural CMS system," (hereinafter referred to as "opinion") to be further resolved. Funding level reached 150 yuan since the establishment of the 2003, involving 900 million of the basic medical security of farmers in China's new agricultural system, is at an unprecedented pace of development.　　The level of funding for 2007 is $50 per person per annum, 2009 new agricultural combination to achieve the annual standard of 100 yuan per person; The 2010 funding level will be further increased to a new standard of 150 yuan per person per year. According to the "opinion", the central government's subsidy standard for farmers in the Midwest was raised from 40 yuan last year to 60 yuan in 2010, which subsidized the eastern rich provinces according to a certain proportion in the Midwest region.　　In addition, the local financial subsidy standards also increased to 60 yuan, the individual contribution of farmers from the past each year 20 yuan per person increased to 30 yuan.　　However, for difficult places and individuals, the policy allows for a two-year implementation of funding. "In the last week's executive meeting of the State Council to implement the health reform work, proposed the new agricultural and rural finance level raised to 150 yuan per person per year." In recent years, the investment and the intensity of the new farming system have really changed a lot.　　"China Pharmaceutical Enterprise Management Association president Yu said.　　Taking the 2010-year funding level change as an example, excluding the adjustment of the proportion of the country's input to the eastern region, the central and local people each year a total increase of 40 yuan of the standard calculation, for the current 830 million have been involved in the subsidy cost of farmers increased by 33.2 billion yuan. "To improve the level of health care for our farmers is to release the long-term pent-up medical consumption." On the other hand, in the process of the gradual maturation of the farmer's medical security system, it is also releasing the vast rural consumer market.　　"Yu said.　　Expand the cost and scope of compensation according to the opinion, starting from the second half of 2009, the new agricultural combined compensation capping line reached more than 6 times times the local farmers ' net income, 50% of the area of new agricultural and rural and hospital compensation to increase 5%.　　Not only that, because the current new farming system is mainly based on the compensation for hospitalization expenses, ignoring the outpatient costs, especially the treatment of chronic diseases reimbursement problems, but also to limit the enthusiasm of farmers to become one of the reasons. Since last year, the departments concerned have begun to increase reimbursement for outpatient expenses. In the opinion, it is suggested that conditional areas should be gradually converted into inpatient co-ordination and outpatient co-ordination mode. To expand the large amount of special diseases such as chronic diseasesOutpatient medical expenses to be included in the co-ordination fund to compensate for the range of diseases. "We have to focus on the major diseases and gradually extend to outpatient clinics, and this year's objective is to co-ordinate out-patient activities in One-third of the districts."　　"Niechunre said.　　According to Du Lexiong, a professor of the School of Public Health at Harbin Medical University, the changes in funding levels, that is, the increase in the total cost of financing, are the basic conditions for the increase in the proportion of new agricultural expenses.　　In fact, in addition to the increase in the overall cost of funding, controlling the balance of the new IFAD fund and reducing the cost of medical services are equally important for increasing the proportion, scope and overall cost control that the participating farmers receive.　　According to the request of the Ministry of Health and the Ministry of Finance, the fund utilization rate must reach 85%, the balance cannot exceed 15%, and the cumulative balance cannot exceed 25% of the year. "Now that the new farmers are fully covered, we will face a more arduous task in the control of medical expenses and the supervision of medical institutions." Therefore, the "opinion" to explore the reform of payment methods, outpatient planning to explore the total outpatient service prepaid, hospitalization to explore a single disease, such as fixed payment. It is hoped that through the reform of payment method, the medical expenses will be better controlled.　　"Niechunre said. It is understood that the Ministry of Health is currently studying the establishment of targeted medical institutions to access and exit mechanisms, to strengthen the supervision of fixed-point medical institutions will introduce some policies.