"Consolidate the national security level of two major diseases, comprehensively push forward six major diseases, and start the 12 disease medical security pilot, which will be piloted in 3 1 1 county hospitals in one third of the new rural cooperative medical system." Yao, deputy director of the Department of Medical Affairs of the Ministry of Health, said.
Yao said that the six diseases that will be fully promoted include: end-stage renal disease, female breast cancer, cervical cancer, severe psychosis, opportunistic infection of AIDS, and multidrug-resistant tuberculosis; 12 The diseases to be tested include: lung cancer, esophageal cancer, gastric cancer, colon cancer, rectal cancer, chronic myeloid leukemia, acute myocardial infarction, cerebral infarction, hemophilia, type I diabetes, hyperthyroidism and cleft lip and palate.
By the end of 20 1 1, more than 230,000 children with leukemia, congenital heart disease and end-stage renal disease had been treated in China. In the first three quarters of this year, more than 650,000 patients were included in the scope of medical insurance for major diseases of the new rural cooperative medical system and received corresponding compensation. The actual compensation rates for congenital heart disease and leukemia in children reached 77% and 74% respectively, the actual compensation rates for six diseases such as end-stage renal disease reached 67%, and the actual compensation rates for new pilot diseases such as lung cancer 12 reached about 59%.
"To do a good job in the protection of serious illness, we must first have money. At present, the financing level of the new rural cooperative medical system has reached 300 yuan per capita. At the same time, it is necessary to make three connections, which are connected with the medical reform policy and the serious illness insurance for urban and rural residents. Reach the serious illness insurance for urban and rural residents, and be reimbursed by the new rural cooperative medical system. In addition, it must be linked to civil assistance. For example, for two diseases, the new rural cooperative medical system reimburses 70% and helps 20%. Personal commitment is only 10%. " Yao explained.
Zhu Hongming, director of the Cooperative Medical Service Department of the Department of Agriculture and Health of the Ministry of Health, said that the current national fund-raising level of the new rural cooperative medical system is 300 yuan per capita, and the national fund is only 250 billion yuan, so the new rural cooperative medical system has insufficient money. "Two serious illnesses plus six serious illnesses are very stressful for the new rural cooperative medical fund."
"The condition of choosing a disease is that it has great social influence; The curative effect is exact and the prognosis is good; The cost is controllable; The funds of the new rural cooperative medical system are affordable. " Zhu Hongming said.
The Ministry of Health's Opinions on Accelerating Medical Security for Major Diseases of Rural Residents pointed out that the actual compensation ratio for diseases related to the new rural cooperative medical system should reach about 70% of the limited expenses of the province (autonomous regions and municipalities) in principle.
At present, six serious diseases (congenital heart disease in children, leukemia, cataract, cleft lip and palate, uremia and severe mental illness) have been treated free of charge in Jiangxi Province, and another 15 diseases have been fully promoted. The reimbursement rate of secondary medical institutions is 75%, the reimbursement rate of tertiary medical institutions is 70%, and the rest is assisted by civil affairs.
Shandong 20 13 per capita serious illness insurance fund 15 yuan, the province raised 978 million yuan to buy serious illness insurance, and the insurance company decided through bidding.