The Research Of New Rural Cooperation Medical System Compensation Issue

New Rural Cooperative Medical System, referred to as "NRCMS", as a solution to the broad masses of farmers a system of Chinese from disease.The purpose of NRCMS is to use personal collective and government multilateral financing to compensate farmers in serious medical spending,so as to achieve the purpose of help each other in all aid.The essence of which with the urban employees’ medical insurance system and medical insurance for urban residents is the same kind of medical insurance system, is simply the rescue object to farmers, so, in the situation of the three medical insurance system merged, study NRCMS is necessary, but also for merging provide theoretical basis for relevant policy.Since 2003,the pilot of NRCMS has gone through more than ten years,NRCMS has made great progress.In 2013,the participants reached 802 million, accounting rate of 99%.Real per person financing standard of 370 yuan, accounting for farmers policy within the scope of hospitalization expense ratio of 75% or more, township hospital actual compensation ratio reached nearly 80%, county hospital actual compensation more than 60%, outpatient actual compensation ratio higher than 50%, benefit 1.94 billion person-time, constantly promote major disease security system at the same time, improve the service safeguard farmers serious illness, lighten the burden on farmers.Compensation is the key of NRCMS protection effect, through the compensation and benefit farmers fully, make medical institutions to provide quality and convenient medical service, therefore, perfect the compensation mechanism is to improve the service efficiency of funds,and the problem to constantly solve in the process of NRCMS.Compensation mechanism of NRCMS can not only discussed from farmer’s actual compensation ratio,but also from both the medical buyer and the medical supplier.Through the analysis of the influence factors of compensation mechanism for the buyer and the supplier, to explore the rationality of the compensation mechanism of NRCMS, to perfect the NRCMS and urban residents medical insurance and medical insurance system for urban employees, to provide theoretical reference, objective basis and decision-making reference,eventually to promote the healthy and sustainable development of medical insurance system.This article first introduces the research background and significance, review of relevant research at home land and abroad, introduce the research methods of the article, put forward the connotation,establish principles and evaluation standard articles of compensation mechanism of NRCMS, simple to understand the status and problems of compensation of NRCMS,.Articles discussed from the angle of buyer and the supplier of the indicators of Jinan compensation and influence factors are analyzed in detail, specific to the buyer involved in outpatient compensation situation and situation of hospital compensation, serious illness insurance implementation, Instant knot to quote to the situation and so on, the supplier mainly relates to payment and induced demand,.It is concluded that outpatient hospital as a whole model is more reasonable to perfect compensation mechanism.In terms of the buyer,it’s necessary to determine reasonable compensation level,control the moral risk control,simplify the reimbursement process,introduced a serious illness insurance system.In terms of the supplier, select a reasonable amount of the supplier payment in advance, strengthen supervision, establish a system linked to the doctor service quality performance, reasonable medical costs control, at the same time, improving the capacity of grassroots medical services, to guide the patient flow more reasonable. In addition, the proportion of ascension can be compensated drug,funding level speeding the legislation,increasing the combination of the well with other health care legislation also play an important role.