The New Rural Cooperative Medical System On PPP Model

The new rural cooperative medical care (hereinafter referred to as NCMS) is an important item of reform of China’s medical and health services, which is organized by the government, guidance, support, farmers voluntary, individual, collective and multi-government financing to serious co-ordination mainly farmers medical mutual economic system. Since the 2003 implementation of the new rural cooperative in rural development has been rapid, to provide farmers with a basic medical service, to some extent alleviate the financial burden of farmers medical treatment to alleviate the farmers’medical treatment is difficult and expensive "problem, improved the health of farmers in general. But also a series of outstanding issues in the new rural cooperative development. Government NCMS run not only to develop a series of policies, but also to carry out supervision, handling services, etc., with the continuous development of the NCMS, the NCMS financing funds continue to grow, with the implementation of the clinic Manpower policy, the new rural cooperative medical institutions designated large increase, resulting in a heavy task of government administration, overwhelmed other issues. Furthermore, since the new rural cooperative management established by government departments do not have professional fund management experience, easily lead to a large number of shrinking funds, restricted the further development of NCMS. Insufficient demand and the new rural cooperative medical fund, contradictory NCMS management audit and payment services understaffed and more prominent, the development of new rural cooperative medical system encountered a bottleneck, the need to explore new ways to run the NCMS ensure NCMS sustainable development.PPP model, namely public-private partnerships, refers to a model in the public sector and the private sector (commercial profit organizations or institutions, non-profit organization) to establish partnerships, provide public goods or services. PPP model originated in Western countries, some of the recent years to the rapid development in our country, is widely power plants, roads, water treatment, applied in the field of rail transportation and other infrastructure facilities. The pattern is the government and the private sector can give full play to their respective advantages, the government social responsibility, vision, management efficiency and coordination with the private sector, quality of service effectively together to reduce the government has the burden of reasonable risk allocation eliminating excess expenditure and other advantages. The PPP model is introduced to the process of running the new rural cooperative medical system, participation in NCMS handling services through the introduction of commercial insurance companies, the commercial insurance companies to be responsible for the new rural cooperative audit work and pay, so detached from handling government business out, we are committed to develop policies and carry out fund supervision, improve the efficiency of government. At the same time, the insurance company has a professional team and a wealth of experience, more effectively carry out the new rural cooperative business managers work, and finally a win-win situation.This paper is divided into five parts, the first part of the introduction.It describes the background and significance of the paper as a whole, current research, and structural framework and innovative points of the paper defines the relevant concepts; the second part, the development status of the development process of rural cooperative medical care and new rural cooperative. Describing the history of the development of rural cooperative medical care, from the origin of the traditional rural cooperative medical care, prosperity, decline, the rise of the new rural cooperative system, we analyze the new rural cooperative medical scheme, the results achieved and problems. The third part, PPP mode in new rural cooperative areas of application feasibility and construction ideas. It discusses the feasibility of the PPP model in the new rural cooperative areas of application, drawing on the successful experience of foreign countries, analyze the specific mode of PPP in the field of use of the NCMS and compared.The fourth part, the case of PPP in the field of application of the new rural cooperative analysis. By Zhengzhou model to analyze the specific PPP mode and the value of the new rural cooperative brings its advantages and problems. The fifth part, PPP mode applications relevant recommendations in the field of NCMS. PPP model for new rural cooperative medical system in the operation of the existing problems, make relevant recommendations, hope that through these recommendations, enabling better operational PPP mode in new rural cooperative medical system, and for the majority of farmers to provide a more robust health care, solving the problem of farmers’ medical treatment is difficult and expensive.