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合作医疗作为计划经济时代的产物,进入社会主义市场经济后,其制度本身的缺陷越来越显露出来。为此,我市于1997年起,对现有合作医疗制度逐步进行了改革的尝试,收到了一定效果。1 建立了市镇两级大病风险合作医疗制度 市政府于1997年6月印发了《张家港市农村大病风险合作医疗管理试行办法》。规定镇级大病风险基金标准为农村人口每人每年10元,企业职工每人每年15元。大病风险基金在合作医疗总基金中单列科目,单独核算。用于住院药品费、手术费在2001元以上的大病患者补偿;每人每年最高补偿限额为3400元。市级大病风险基金由各镇按辖区人口每
As a product of the planned economy era, cooperative medical care has entered the socialist market economy, and the defects of its own system have become increasingly apparent. Therefore, since 1997, the city has gradually tried to reform the existing cooperative medical system and received certain results. 1 Established a two-tiered disease risk cooperative medical system in cities and towns. In June 1997, the municipal government issued the “Trial Measures for the Management of Rural Critical Illness Risk Cooperative Medical Care in Zhangjiagang City.” The standard for town-level critical illness funds is set at 10 yuan per person per year for the rural population and 15 yuan per person per year for enterprise employees. The major illness risk fund is separately accounted for in the total fund of cooperative medical care and is calculated separately. It is used to compensate patients with major illnesses whose hospitalization fees and surgical expenses are above 2001 yuan; the maximum compensation limit for each person is 3,400 yuan per year. City-level major disease risk fund is determined by each town