据了解，居民医疗保险制度整合后，山东省实施了市级城市 - 城市投保人可以选择在全省范围内实现联网远程医疗记录整个区域内的医生，医疗费用可即时结算复诊解决了常规转诊难，个别之后提前报销等问题。 （完）
Jinan, November 26 (by Sun Tingting Zhang Xu-xu) open integration of urban and rural residents in Shandong's first medical insurance system of its kind, the urban and rural residents to enjoy equal health care system under the same kind of health care system. Residents illness insurance system after the implementation of a unified synchronous compensation ratio of not less than 50%, cap line raised to 300,000 yuan.
On the 26th Shandong Provincial People's Government news conference on residents' basic medical insurance system for the operation, the reporter learned that, beginning this year, the policy tilt to patient critical illness, serious illness insurance from only 20 original NCMS category illness compensation, according to the amount of compensation for the entire transition, no longer distinguish between disease. Accumulated over a certain amount of personal commitment part compensated by the residents serious illness insurance.
"in accordance with the standard 32 yuan per person allocated funds to purchase catastrophic insurance for commercial insurance agency, the province capital of 2.3 billion yuan to raise serious illness insurance." Shandong Province, Human Resources and Social Security Department deputy director Sunting Yu, this year, Shandong Province to re-tender the contractor determines the residents serious illness insurance commercial insurance institutions. "Residents undertake serious illness insurance profitability and cost no more than 2 percent year to raise total funds of serious illness insurance inhabitants, more than 2% of the portion of the return of the basic medical insurance fund losses borne by the commercial insurance agencies."
In addition to the serious illness insurance, reimbursement of medication can expand the scope of the residents, rural residents expanded from drug varieties integration to 2400 before 1100 kinds of species. The vast majority of the city in general out-patient co-ordinate the implementation of the system at the same time, expand the scope of outpatient chronic diseases, reimbursement ratio increased from 56% to 58% of pre-integrated. In addition, throughout the treatment does not reduce the overall principle, and further improve the proportion of hospital reimbursement.
"Resident Basic Medical Insurance to implement municipal co-ordination, unified revenue and expenditure in principle." Sunting Yu introduced, it will not have the market conditions can be established municipal adjustment fund system, solution adjustment funds on counties (cities, districts) ratio of not less than 20% of current fund revenues. By 2017, all municipalities to achieve the Fund unified revenue and expenditure.
It is understood that after the resident medical insurance system integration, Shandong Province implemented a municipal cities - urban insured can choose a doctor within the overall region in the province-wide implementation of networked remote medical record, medical expenses can be immediate settlement, referral to solve the conventional medical referral is difficult, after the individual to advance reimbursement and other issues. (End)