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Ministry of health and other four department issued the commercial insurance agencies involved in the new rural cooperative medical service orgnaization of the guiding opinion on

2012年05月02日

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Ministry of health and other four department issued the commercial insurance agencies involved in the new rural cooperative medical service orgnaization of the guiding opinion on

 

 

Health ministry of China

 

 

        Implementation of the CPC central committee of the state council on deepening the reform of medical care system in opinion "((2009) found no. 6) put forward in securing a fund under the premise of safety and effective supervision, and actively advocate the government buy medical treatment to ensure service mode, explore the entrust of qualified commercial insurance agency orgnaization of all kinds of medical security management service request, further medical health system reform, to speed up the construction of China's socialist market economy to adapt to the requirements of the basic medical insurance management mechanism. Recent health department, circ, the ministry of finance and the cure of the state council jointly issued by do "about commercial insurance institutions involved in the new rural cooperative medical service orgnaization of the guiding opinion on.

 

        Put forward the guiding opinion on commercial insurance institutions involved in new farming orgnaization of service should stick to the government and leadership, division and cooperation, standard operation and sustainable development, strengthen supervision, improve the service, and other basic principles. Requires all commercial insurance agencies access to strict conditions. The first is to stick to voluntary, local government and commercial insurance agencies have a willingness to work; 2 it is commercial insurance institutions shall have the health insurance business aptitude; Three is the commercial insurance agency network should sound, and has completed the task of entrusted agency general conditions; Four is the commercial insurance agency headquarters and agree to provide relevant support.

 

        The guiding opinions "participate in the management of orgnaization of put forward specific requirements. Request entrust cycles are usually not less than three years; Entrusted agency in the process, must be strictly implemented new farming and policies, and shall strictly fund supervision. The requirements in the process to further improve the orgnaization of orgnaization of service quality and efficiency, and paying attention to the use of commercial insurance organization the information management advantages, provide convenient service. To encourage the commercial insurance institutions in ginseng add up to personnel the voluntary foundation, to provide additional commercial health insurance. Requires all new farm to continue to strengthen the supervision and administration of close, and improve the regulatory agencies and personnel, strengthen to the commercial insurance agency orgnaization of service behavior of the constraint. Requires all to adhere to the "openness, fairness and justice" principle, according to the provisions of the government purchase public bidding sure commercial insurance institutions and entrusted agency cost.

 

        The guiding opinions "also requires all further perfect the running mechanism of orgnaization of entrusted, continue to uphold and improve the new farming and public and information system for transparency, encourage and guide people to participate in new farming ginseng add up to and management. At the same time, the files on the exit mechanism made www.georgeson.com.

 

        Commercial insurance agency orgnaization of service and participate in new farming, is insurance service medical health system reform and the construction of medical security system is an important way and ways, is introducing competition mechanism, reform the government's public service providing way, social enterprise management innovation of beneficial exploration. Entrust commercial insurance agency orgnaization of new farming close, to improve new farming and the orgnaization of service consciousness, improve service quality orgnaization, improve the service level. To commercial insurance institutions concerned, to improve the development of the basic medical insurance product ability, cater to rural residents differentiation medical security needs, help to promote the multi-level medical security system construction.

 

 

        Material links:

 

        A, the new rural cooperative medical (new farming $) system

 

        New farming and system is one of our basic medical insurance system, since 2003 pilot, particularly in 2009 since the cure of the deepening, funding level increased rapidly, support capacity has increased, management mechanism constantly improve, presents the sustainable and healthy development of good aspect. By the end of 2011, the national ginseng adds up to 832 million people. In 2012 the new agriculture and policy range in hospital medical expenses compensation ratio will not less than 75%, highest pay limitation is not lower than national eight times as per capita net income of farmers and not less than 60000 yuan.

 

        New farming system and the continuous, healthy and rapid development of new farming management mechanism and put forward higher request. At present, our country is in the rapid development of China's economy and society, the reform of promoting an important historical period in the basic medical insurance system on management, also must constantly innovation system mechanism, the shift of government functions, improve the management ability and efficiency. The CPC central committee of the state council on deepening the reform of medical care system in opinion "clearly put:" in safety and effective supervision to fund, under the premise of actively promotes the government buy medical treatment to ensure service mode, explore the entrust of qualified commercial insurance agency orgnaization of all kinds of medical security management service ". With the new farming system development perspective, the new parts of agriculture and pilot start entrust commercial insurance institutions in the orgnaization of new farming and management service of exploration, such as henan luoyang, jiangyin, jiangsu, fujian jinjiang, guangdong panyu, etc, especially in the city of zhengzhou city last year successful transformation of commercial insurance institutions entrusted by orgnaization of new agriculture and services, these are the accumulation of valuable experience. Meanwhile, in practice, we also found that is necessary for all kinds of different way now and regulative, to promote the commercial insurance company actively participate in new farming and the orderly and orgnaization of service.

 

        Second, the guiding opinions on drafting process

 

        According to the state council and the ministry of health leadership instruction requirement, in July 2010-10 months, jointly with the ministry of circ joint research group to henan luoyang, fujian quanzhou, guangdong guangzhou research business insurance institutions involved in new farming and orgnaization of system, summing up experience and practice of the entrusted agency. On December 23, 2010, in guangzhou held a joint project meeting, exchange commission commercial insurance institutions around orgnaization of new farming and business experience. And at the same time related experts commissioned research, boot file the draft work.

 

        In May 2011, health ministry held jointly with the circ SOP drafting seminar, and modify the perfect the first draft documents. September 2011-April 2012, documents and fully absorb draft asked for a wide range of health, the rules of politics and law department, the department of wealth brought do, all the bureau, insurance companies, the finance ministry, the ministry of commerce, cure of the state council and the relevant to the experts, in recently officially launched.