A Study On The Methods Of Immediate Settlement And Claims Of Ncms Offsite Treatment Expenses

March 2009 published "CPC Central Committee and State Council on Deepening the views of medical and health system" proposed " to establish and improve the basic health system of urban and rural residents, to provide people with safe, effective, convenient and affordable medical and health services" overall objectives. Meanwhile, the "opinions" pointed out that "offsite medical treatment billing service" is the focus of making great efforts in the future. April 2009 published " recent key implementation plan on Reform of Medical and Health System (2009-2011), also proposed " to establish an offsite medical treatment mechanism, explore the methods of local hospital, local settlement on relocation of retirees.With the increasingly improved market mechanism, the scale of labor, and other types of population movements increase, more and more people are in offsite medical treatment. According to statistics, there are 450 million people living across the area in the country, accounting for 3% of the total number of medical insurance; because of the long-term or temporary residence to go out in the field suffering from acute hospitalization and referral to the overall number of people outside the hospital about 5% of the total number of hospitalization.The new rural cooperative medical system (hereinafter referred to NCMS) is the core of rural health protection system. In recent years, China's new rural cooperative medical cooperative medical policy, the insured person is managed locally. Because of part of the urban and rural need to work in different places, as well as some farmers switch to overseas medical treatment or business trip, visiting relatives and other reasons, inevitably occur in different places. Therefore, establishing fast, convenient offsite summary report new rural cooperative method is quite important. The management of remote medical treatment, as the overall regional medical insurance difficult and further strengthen become the management of the bottleneck.Gangu Country, in Gansu Province, the county population, migrant population, the number of remote medical treatment in patients with very large, but due to system constraints, these migrant farmers medical treatment is not only inconvenient, but a small proportion of the compensation received for reimbursement, reimbursement is complicated, it affects not only the enthusiasm of farmers participating together, but the sustainable development of the new rural cooperative. For this purpose, the investigations on Gangu Country, the urban and rural remote medical treatment orientation, understanding of medical institutions in different places in time summary report on the attitudes and knowledge and understand the various medical institutions inpatient medical costs and compensation payments, establishing fast, efficient Gangu Country IICA the urban and rural residents in immediate settlement and claims is very important.Since June 2010, the study lasted nearly 3 months, selecting three townships Gangu Country 9 270 administrative villages were surveyed, grasped the main flow of migrant farmers, the sick status, medical orientation and compensation costs, as well as participate in the new rural cooperative residents on cognition and expectations in Gangu country; at the same time, we conduct a careful analysis about joint control of new types of rural cooperative data in Gangu country, grasped the urban and rural hospital medical expenses and compensation status in Gangu country; in the research, also selecting one of Lanzhou university hospital, Affiliated Hospital of Gansu College of Gansu Provincial People's Hospital, Tianshui City Hospital, Gangu People's Hospital and other related medical institutions conducted a survey and interviews.This paper on the urban and rural residents of Gangu country initial grasp of offsite medical treatment orientation, learning of medical institutions in different places in time summary report on the attitudes and knowledge and understand the various medical institutions inpatient medical costs and compensation payments situation. Built on this basis, the paper attempts to explore the establishment of the urban and rural offsite rural cooperative medical treatment methods in Gangu country.