Medical network - March 1 at the beginning of 2017, the national development and reform commission, planning commission, the people club department jointly issued the notice about push press disease charging work, deployed around the all-round press disease fee reform work, mark the press disease to plant cash cost mandatory pushed away across the country.
And recently, the fujian province health department, who in fujian province development planning commission jointly issued "the fujian provincial public hospitals according to diseases fee and payment related issues notice", launched in the province the first group of 100 diseases adopt press disease to collect fees, and clear the connotation, scope of implementation is paid by the disease, disease rate and payment policies.
The first disease rate table
Clear "notice", according to the disease rate include the diagnosis and treatment of the patients during hospitalization and all expenses, which patients admitted to hospital, according to the disease diagnosis and final treatment management process specification hospital clinical curative effect of standard, what is happening in the whole process of diagnosis, treatment, nursing, beds, medicine, surgery, anesthesia and medical consumables and other expenses. Hospital according to the standard rate, health care and patient proportion paid according to regulations.
Except in accordance with the provisions listed in the "content" of consumables, as well as the patients voluntarily choose single rooms, double rooms and the special wards, their beds beyond ordinary ward standard parts can be charge alone, the two parts is not included in the disease rate. In addition, the hospital may not charge other fees.
But the first time according to the disease to charge A differential charge policy, points A, B two files to determine the charge standard, in order to promote grading diagnosis and treatment. Among them: A file including provincial hospital hospital (including south courtyard), union hospital, A hospital attached, fuzhou general hospital, the provincial tumor hospital, the province maternity and child care, province people's hospital and the second people's hospital; Other provincial hospital for party B.
And about health insurance payment policy, "notice" clear:
1. Ginseng protect personnel listed in the press disease in the medical establishment that decide a dot the diseases were charging management fees, health care according to the disease types of fees and settlement, do not set up to pay line, by individuals and as a whole fund share in proportion.
2. According to the regulations for the disease to charge can further charge cost of medical consumables, health insurance directory into the medical insurance to pay limits, health care and settlement pay line, do not set up within the setting of the highest pay limitation, Shared by individuals and as a whole fund scale.
(3) for patients with voluntary choice single rooms, double rooms and the special wards, their beds beyond ordinary ward standard parts, not included in the disease rate, shall be paid by patients.
4. Included in the press disease to plant the diseases were charging management fees and can further charges medical consumables for health care expenses (highest pay limitation), into the health care costs in full range. Conform to the worker large medical expenses supplementary insurance, serious illness insurance payment policy, urban and rural residents and medical costs, in line with medical treatment subsidy policy to continue according to the relevant provisions.
5. Each plan as a whole area in accordance with the provisions, the ginseng of referral to the provincial public hospital patients, the health insurance settlement standard shall be separately formulated by the region as a whole, synchronous implementation.
Exit a mechanism about diseases, "notice", because of the complications, complications or special reasons such as the heavier patients, constitution, lead to actual medical costs significantly deviate from the disease rate of cases, the hospital routine exits press disease to collect fees, according to regulations still according to the original way to charge settlement, dropout rates were strictly controlled within 15% of the diseases. Consider province geriatric hospital, the hospital authority at the provincial level and bronchial pneumonia disease patients age structure is more special, the two hospitals, and dropout rates allow bronchopneumonia diseases control within 20%.
Press disease to charge "notice", said the implementation of the reform, the hospital is to reform the current fees and health insurance payment system, effective control of medical expenses, to alleviate the cost of an important measure of the masses, the provinces belong to the hospital to fully understand the disease to charge the significance of the reform, attaches great importance to and strengthen policy propaganda guidance, earnest, patient response to patients' concerns, make the patient and family to understand and cooperate with and support, ensure the smooth implementation of pay per disease work.
The notice since April 1, 2017.
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