Saturday, April 13, 2013

Hainan will join and shut peasants and will be in hospital " Settle account in forced quotation "

Hainan will join and shut peasants and will be in hospital " Settle account in forced quotation "
It is reported ' Reporter Liu ZeLin) " shut the fixed medical organization in the whole province all two, third grade newly and agriculturally and join and shut to peasants the way in which the medical expenses close according to the forced quotation of number in hospital " . Announce on January 4>,As to this has made the clear regulation.
Hainan Province stipulates, all cities and counties sign the service agreement of settlement way with fixed hospital, expenses close leave hospital first diagnosis according to disease, the first diagnosis is the number range of the forced quotation, calculate according to the forced quotation standard. Second fixed medical organization consults the standard of the whole province, confirm its forced quotation standard of number, fill, let higher than the whole province, calculate standard, shut patient, in hospital forced quotation standard in institute this while being agricultural as the whole province. The tertiary fixed medical organization carries out the number forced quotation standard that the department of public health of the province determines. Shut real patient expenses lower than the intersection of forced quotation and standard time in hospital, join, shut patient, close in order to medical expense that take place actually joining, shut the tube to do and still calculate according to the actual compensation standard according to forced quotation standard and hospital; Number expense go beyond the forced quotation standard, bear by the hospital in hospital.
Hainan Province still stipulates, with the cities and counties (district) to the high expense case It is the unit, control annual total value to every hospital, namely every the intersection of hospital and forced quotation 5% case that total case count count and high the intersection of expense and case their second-class expenses this hospital annual the intersection of forced quotation and the intersection of number and the intersection of control and total value. Going beyond the annual total value expense part is undertaken by the hospital, annual total value balance part, handled the organization to reward newly and agriculturally according to 30% of the annual total value balance part jointly.
Deserve ' scheme> require control, join, shut the intersection of patient and at one's own expense proportion strictly, principle at a higher level fixed medical organization does not higher than 5%, second fixed medical organization is not higher than 10%, the fixed medical organization of the third grade is not higher than 15%. Meanwhile, carry out and in hospital according to number forced quotation standard and corresponding clinical route strictly, join and shut patients during in hospitalling, there is emergence of clinic expenses.
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