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新型农村合作医疗(以下简称新农合)是我国继基本医疗保险之后实行的又一项重大医疗改革,是切实解决农民“看病难、看病贵”问题的关键所在。现行新农合制度下的医疗费用补偿模式已无法适应目前参合农民的住院报销需求。为方便农民报销,简化报销手续,各地积极探索便捷的报销程序,其中由定点医疗机构直接兑付住院补偿金被广泛采用。本文将通过对新农合患者在省级医疗机构就诊现状的研究,根据住院费用实行直补的要求及所必须具备的条件,探讨新农合患者在省级医疗机构住院医疗费用实行直接补偿即将遇到的问题和困难,并针对出现的原因进行分析,最后提出相应的对策及建议。
The new rural cooperative medical care (hereinafter referred to as the “new rural cooperative medical care”) is another major medical reform implemented in our country following the basic medical insurance and is the key to effectively solving the peasants’ problem of “seeing a doctor hard and seeing a doctor expensive.” The current mode of medical expenses compensation under the NCMS has not been able to meet the current needs of farmers participating in hospital reimbursement. In order to facilitate the reimbursement of farmers and simplify reimbursement procedures, various localities are actively exploring convenient reimbursement procedures, of which direct payment of inpatient compensation by designated medical institutions is widely adopted. This article will study the status quo of NCMS patients in provincial medical institutions, according to the requirements of direct subsidy for hospitalization expenses and the necessary conditions to explore the new rural cooperative medical patients in the provincial medical institutions to implement direct compensation for medical expenses will soon Encountered problems and difficulties, and analyzed the reasons for the emergence, and finally put forward the corresponding countermeasures and suggestions.