The New Rural Cooperative Medical Single Disease Quota Payment System Participants Benefit Analysis

NCMS carried out since2003by expanding the pilot, institutional innovation, improve operational mechanism and other related measures, making the NCMS system can be realized at the grassroots level to promote health system, the new rural cooperative medical system to achieve full coverage in rural areas. However, with the success of the new rural cooperative medical system, along with this problem have emerged, including medical expenses and unreasonable growth problem because the lives of farmers and concern. So by medical agencies develop policies to suppress the growth of farmers unreasonable medical expenses plays a vital role.For over-the problem of rising medical costs, and expenses related to payment reform effect is most prominent. Payment reform is combined treatment agencies through the payment of the medical fund flow and flow control, and ultimately the reasonable control of the medical expenses. Which is a representative single disease Shan xi County town of implementing fixed payment system.Town, County, Shan xi pioneered payment reforms implemented since2003single disease fixed payment system, the quality of medical services has been significantly improved, health care costs are effectively suppressed for deepening health system, improve the new rural cooperative medical care system, to achieve participation principal balance of interests to provide an effective solution. Through the implementation of a single fixed payment system diseases, ensuring farmers interests, and strive to achieve reasonable control health care costs and improve the efficiency of medical institutions win-win situation, a clear participation of farmers, designated health care institutions and government tripartite actors handling responsibilities, and its incentives and constraints, to ensure institutional continuity, health and effectiveness.In this paper, the idea of five parts. Firstly the research background, research background and significance, research methods and ideas to sort out, the study of disease at home and abroad for a single fixed payment system to sort out; second part introduces the basic concepts needed to do this study, respectively balance of interests theory, principal-agent theory, a single fixed payment system disease, prepaid and post-paid system system introduced. The third part of the use of a part of the research methods and basic concepts, namely the interests of the three parties under the new rural cooperative medical system analysis, the next interest payment under various tripartite analysis and single disease tripartite system of fixed pay-benefit analysis of these three aspects of research, and ultimately draw benefits under the tripartite single disease most easily fixed payment system to reach equilibrium.The fourth part of Shan xi County town of sample counties implemented a fixed premium single disease cases, by analyzing the effect of system implementation, evaluation, in practice, to seek support for the theory, combined with the actual look for system deficiencies, and constantly improve the system, seeking tripartite participation in the main equilibrium point of interest, to further promote payment reform. The fifth part is for the above study, propose recommendations to improve single disease requires a fixed payment system.