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基层医疗机构住院起付线外全报销,是指病人在基层公立医院住院诊治时,个人只需交纳规定的起付金额,其余部分全部由新农合基金支付。为有效提升基层医疗机构服务能力和服务数量,提高参合人员医疗保障受益水平,积极引导参合人员常见病、多发病在基层医疗机构得到较好诊治,高淳区经多方论证、科学测算,自2012年7月1日起在基层公立医疗机构推行了住院起付外全报销政策,实施以来取得了良好的社会效果,提高了新农合资金利用效率。
The basic reimbursement for out-of-hospital expenses of primary medical institutions means that the patients only have to pay the prescribed starting amount when the patients are hospitalized and treated in public hospitals at the grassroots level, and the rest are entirely paid by the NRCMS. In order to effectively improve the service capacity and service volume of grass-roots medical institutions, improve the level of benefit of medical staff for participating staff, actively guide the common diseases of participating staffs and get frequent diagnosis and treatment in primary medical institutions. The Gaochun area has been proved by many parties and scientifically estimated that since 2012 Since July 1, the grass-roots public medical institutions have implemented the policy of reimbursement for hospital reimbursement, which has achieved good social effects and raised the utilization efficiency of NCMS.