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The New Rural Cooperative Medical System Of "Zhengzhou Pattern"

Posted on:2014-02-08Degree:MasterType:Thesis
Country:ChinaCandidate:M M XieFull Text:PDF
GTID:2249330398978260Subject:Insurance
Abstract/Summary:PDF Full Text Request
The new rural cooperative medical system is an important initiative for the development of medical and health services in rural areas of China. In2003, China began to implement the new rural cooperative medical system, now is still being perfected. Improving the operation mechanism decide whether it’s sustained and healthy development. Multiple areas continue to explore the mode of operation for the development of the region, Xinxiang, Luoyang, Henan Province, in2003and2007, implement the new rural cooperative medical system mechanism reform. They entrusted the payment audit business to the insurance company through buying service and formed the "Xinxiang pattern" and "Luoyang Pattern". In2011, Zhengzhou takes an implementation of the new rural cooperative medical insurance system reform, which formation of the "Zhengzhou pattern".The success of Zhengzhou proved that it is practicable for provincial capital to put the payment audit business to the insurance company. Summarize the "Zhengzhou pattern" is benefit to promote the development experience of the new rural cooperative medical system in Zhengzhou. Zhengzhou is one of China’s first areas implement the new rural cooperative medical system, which develop rapidly. Showing the characteristics of security levels rising, fund raising standards improve year by year and the proportion of compensation to optimization. In the new rural cooperative medical system development of Zhengzhou, In order to ensure a sustainable development, Zhengzhou implements new rural cooperative management mechanism reform. The measures include optimization service mechanism; establishment of a reasonable compensation mechanism; improve the regulatory mechanism and scientific control of fund operation. The innovations are reflected in four aspects:create a precedent for the capital city of the new rural cooperative reform; open tender to reduce labor costs; innovate employment mechanism; improve the commercial supplementary insurance. These innovations make "Zhengzhou pattern" simply, uniform standards, audit operation, effective supervision and guarantee high comprehensive advantages. Rely on innovation, The "Zhengzhou pattern" is more perfect and is worthy of promote to other regions. However, there are some problems of "Zhengzhou pattern":First, lacking of the necessary legal support; second, communication and coordination mechanism is not smooth; third, the compensation standard is not unified; fourth, guarantee amount is not high. According to these problems put forward the corresponding countermeasure:First, improve the relevant laws and regulations, second, enhance mutual communication between departments, third, optimizes the design of new rural cooperative care medical system, fourth, strengthen the supervision of medical institutions.This paper attempts to make innovations in the following aspects:First, summarizes the development process, characteristics and innovation of "Zhengzhou pattern", explores the popularization value; Second, founds that deficiencies of "Zhengzhou pattern", puts forward the policy recommendations to improve the new rural cooperative medical system of Zhengzhou.
Keywords/Search Tags:new rural Cooperative medical system, separation of management andsupervision, "Zhengzhou pattern"
PDF Full Text Request
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