Xinjiang new rural cooperative medical policy

Xinjiang Uygur Autonomous Region New Rural and Animal Husbandry Cooperative Medical Care Compensation Measures

I. Basic Principles

Adhere to the principle of determining expenditures on the basis of revenues, balancing expenditures with revenues, and guaranteeing an appropriate level of protection; scientifically allocating the proportion of the fund to take account of the dual benefits of inpatient and outpatient services; classifying the implementation of the scheme, making every effort to ensure that it works in accordance with standardized operation; correctly guiding the flow of patients, making full use of the grass-roots level of health resources, and embodying the basic principle of mutual assistance ****ji and the overall coordination of major diseases. The basic principle of the system is based on the coordination of major illnesses.

Second, the definition of the scope of participants

Family-based, all Xinjiang household registration or Xinjiang rural household registration, in the rural areas of the territory for more than five years of residence, engaged in agriculture, forestry, animal husbandry and fishery production activities or agriculture, forestry, animal husbandry and fishery production as a means of livelihood and has not yet been included in the scope of the basic social health care coverage of the people and their children can participate in the New Rural Cooperative.

Rural migrant workers are encouraged to participate in the basic medical insurance for urban workers, and if they have difficulties, they may voluntarily choose to participate in the basic medical insurance for urban residents or in the New Farmers' Cooperative Scheme in the place of their household registration.

Third, the operating year and funding time

The new rural cooperative operating year is from January 1 to December 31 each year.

New rural co-operation individual financing time in principle for each year in July to start collecting the next year's individual participation fees, the end of December 20 each year, before December 25 of that year, the next year, farmers and herdsmen to participate in individual contributions, civil affairs and social organizations, such as on behalf of the farmers and herdsmen to participate in the full amount of all the individual participation fees into the co-ordination of the new rural co-operation fund in all areas of the financial account. In special circumstances, the individual participation contributions of farmers and herdsmen can be delayed until the end of February of the following year at the latest. The new rural co-ordination area financial departments, health departments, new rural co-ordination agencies no later than March 5 of the next year **** with the completion of the farmers and herdsmen to participate in the statistical summary work.

All regions (states, cities), counties (cities, districts) arranged in accordance with the provisions of the new rural cooperative subsidies should be fully transferred to the co-ordinating region before the end of March each year in the new rural cooperative fund financial account.

Central financial subsidies in accordance with the "beginning of the year, the end of the settlement" in the way in the end of May each year to complete the year before the new rural cooperative subsidies for the advance allocation of funds, before the end of October each year to complete the year before the settlement of funds for the new rural cooperative subsidies. According to the number of participants reported by the end of February, the autonomous region's financial subsidies in the end of March each year before the end of a one-time payment in place.

New rural cooperative fund final accounts for December 31 each year.

Four, financing standards

Gradually increase the local financial subsidy standards at all levels and farmers and herdsmen individual financing levels, and actively explore the establishment of a stable, reliable and reasonable growth of the financing mechanism, and to enhance the risk-resistant capacity of the New Farmers' Cooperative Fund. From 2010 onwards, the annual financing standard for the New Rural Cooperative Fund will be no less than 150 yuan per person, and as the financing standard for the New Rural Cooperative Fund continues to rise in the future, the specific allocation ratio of the fund will be adjusted accordingly.

Fifth, the use of funds

New rural cooperative fund can only be used for participating farmers and herdsmen compensation for medical expenses and the autonomous region to deepen the reform of the medical and health system, the scope of compensation, shall not be used for the government to provide special funds for the compensation of basic public **** health services (such as immunization, preventive health care, health education, etc.), the work of the agencies and the "autonomous region, a new type of rural and pastoral areas," the basic drug list (2010), the new rural and herdsman cooperative medical care, and the new rural and pastoral areas. Cooperative Medical Care Basic Drug Catalog (2010 Edition)", "Autonomous Region New Rural and Pastoral Areas Cooperative Medical Care Service Facilities and Diagnostic and Treatment Items Catalog (2010 Edition)" (hereinafter referred to as the "New Rural Cooperative Medical Care Catalog") other than the medical expenses.

Sixth, compensation mode

From 2010, the autonomous region's New Rural Cooperative Medical Care compensation mode is determined to be "inpatient co-ordination + outpatient co-ordination" compensation mode, where the implementation of the "inpatient co-ordination + family account" compensation mode of the counties (municipalities, districts) All counties (cities and districts) practicing the "inpatient co-ordination + family account" compensation model must complete the adjustment of the compensation model before 2011. By 2011, the region will have fully universalized the "inpatient coordination + outpatient coordination" compensation model.

VII. Fund classification

The fund is divided into three categories: inpatient coordinating fund, outpatient coordinating fund, risk fund.

Participating farmers and herdsmen's personal contributions, the central and local financial subsidies for participating farmers and herdsmen at all levels, as well as other social contributions are all included in the integrated fund.

(1) The hospitalization fund. It is mainly used to compensate participating farmers and herdsmen for hospitalization expenses up to the standard of the starting line, compensation for major outpatient illnesses (major chronic diseases), and fixed compensation for hospital deliveries. In principle, the hospitalization coordinating fund accounts for about 70% of the coordinating fund after the withdrawal of the risk fund, and is managed centrally by each coordinating region.

(2) Outpatient Coordination Fund. Mainly used to compensate for participating farmers and herdsmen general outpatient and general chronic diseases can be reported medical expenses compensation, in principle, the outpatient co-ordination fund accounted for about 30% of the co-ordination fund after the withdrawal of the risk fund, the co-ordination of the unified management of the region.

(3) risk fund. Mainly used to make up for the fund abnormal overexpenditure caused by the fund temporary turnover difficulties, in principle, the risk fund should be maintained in the year the total amount of the integrated fund of 10%, by the co-ordination area of the local (state, city) level financial departments, health departments **** with the management.

VIII. Compensation Settings

(A) Routine Hospitalization Compensation

1. Starting Line

No more than 80 yuan for township-level designated medical institutions, no more than 200 yuan for county-level designated medical institutions, 500 yuan for non-designated medical institutions at the county level, 350 yuan for designated medical institutions at the prefecture (state, city) level, 500 yuan for designated medical institutions at the autonomous region level, and 500 yuan for designated medical institutions at the prefecture (state, city) level and at the autonomous region level. 800 yuan for non-designated medical institutions at the prefecture (state and city) level and autonomous region level. The starting line for designated medical institutions outside the region as determined by the local health administrative department is consistent with the starting line for designated medical institutions of the same level within the region, and no reimbursement will be made by non-designated medical institutions outside the region. The starting line shall not be canceled arbitrarily.

Below the starting line is the individual's out-of-pocket payment. If a participating farmer or herdsman is hospitalized several times in the same year in designated or non-designated medical institutions at all levels, the starting line shall be double-counted (except for the participating patients with malignant tumors undergoing radiotherapy); if he is transferred to a hospital for treatment of the same disease consecutively, the starting line shall not be deducted repeatedly, but the amount of the difference between the starting lines of the medical institutions at all levels shall be deducted in full.

Five-guarantee households, low-income households, and key beneficiaries with valid certificates from the local civil affairs departments are not subject to a starting line for hospitalization at designated medical institutions at the county level and below.

The fixed-point medical institutions outside the region are based on the list approved and published by the local health administration department.

2. Compensation ratio

No less than 75% for township-level fixed-point medical institutions, 60% for county-level fixed-point medical institutions, 50% for prefectural (state and municipal) level fixed-point medical institutions, and 40% for autonomous region-level fixed-point medical institutions. Each coordinating region may, on this basis, correspondingly reduce the compensation ratio for non-designated medical institutions at the same level by 15 percentage points. Out-of-region fixed-point medical institutions at the same level shall refer to the autonomous region's compensation regulations for fixed-point medical institutions at all levels. The proportion of compensation for farmers and herdsmen who do not follow the prescribed procedures for referrals will be reduced by 20 percentage points accordingly.

3. Capping line

From 2010 onwards, the annual compensation capping line should be no less than six times the average per capita net income of farmers and herdsmen in the whole region in the previous year, including regular hospitalization compensation, childbirth compensation, chronic disease compensation, newborn compensation, secondary compensation, etc., and is calculated on the basis of the cumulative total of the actual amount of compensation received by each participant farmer and herdsman during the year.

4. Other

(1) Guaranteed compensation. If the medical expenses incurred by a participating farmer or herdsman after hospitalization in a designated medical institution at the township level are less than 50 yuan according to the stipulated requirements and compensation ratios, a guaranteed compensation of at least 50 yuan will be implemented.

(2) Compensation for Traditional Chinese Medicine and Ethnic Medicine. Participating farmers and herdsmen at all levels of designated medical institutions to use the new rural cooperative directory of traditional Chinese medicine, traditional Chinese medicine, ethnomedicine, appropriate technology services costs, can be increased by 10 percentage points on the basis of the same compensation to enter the scope of compensation accounting.

(3) Basic drug compensation. Participating farmers and herdsmen hospitalized in township-level and county-level designated medical institutions to use the new rural cooperative directory of national essential drugs (grass-roots level) costs, can be increased by 5 percentage points on the basis of the same compensation into the scope of compensation accounting; in the local (state, city) and autonomous region-level designated medical institutions to use the new rural cooperative directory of national essential drugs (grass-roots level) costs, can be increased by 10 percentage points on the basis of the same compensation into the scope of compensation accounting. 10 percentage points into the compensation accounting.

Chinese medicine and ethnic medicine belonging to the national basic drugs (grass-roots level), in accordance with the provisions of Chinese medicine and ethnic medicine compensation.

(4) Compensation for the elderly and family planning families. Elderly people aged 65 and above and couples receiving "two certificates" for family planning in the rural and pastoral areas are entitled to an increase of 5 percentage points on the basis of the same compensation ratio in the same level of fixed-point medical institutions for the compensation of hospitalization expenses incurred after their participation in the scheme, and this preferential policy of increasing the compensation ratio cannot be enjoyed at the same time.

Five-guarantee households, low-income households, the elderly aged 65 and above in farming and herding areas who are key beneficiaries and couples receiving the "two certificates" for family planning are also entitled to the preferential policies of zero starting point and an increase of 5 percentage points in the compensation ratio for designated medical institutions in counties (cities, districts) and the following counties (cities, districts).

(5) Others. Participating farmers and herdsmen hospitalized during the out-of-hospital inspection and treatment costs incurred in accordance with the level of the medical institution in which they reside fee reimbursement. The inter-year hospitalization compensation rate is based on the date of discharge from the hospital.

(6) Medical expenses incurred by participating farmers and herdsmen who are hospitalized due to illness while they are away from home for work, visiting relatives or going to school shall be compensated in accordance with the compensation ratio of the medical institutions of the same level, provided that they provide accurate proof of work, visit to relatives or going to school, and other relevant formalities.

(2) Compensation for Hospitalized Delivery

Hospitalized delivery compensation is based on a fixed amount.

1. Normal delivery. In line with the provisions of the family planning regulations of the participating pregnant women normal delivery (normal delivery, normal cesarean section, vaginal assisted delivery) first implementation of the rural maternal hospital delivery subsidy policy, and then the implementation of the New Rural Cooperative Fund delivery of a fixed amount of compensation of 300 yuan. In principle, the sum of the normal delivery program's flat-rate subsidy and the New Rural Cooperative Fund's flat-rate compensation funds shall not exceed the total medical costs of her normal delivery.

2. Pathological childbirth. In accordance with the provisions of the family planning regulations of participating pregnant women pathological delivery (such as prenatal, delivery, postpartum complications, etc.) incurred hospitalization medical expenses, first in accordance with the policy of rural maternity hospital delivery subsidy subsidies, the remaining portion of the cost of the reportable expenses in accordance with the hospitalization compensation standards for diseases of the same level of fixed-point medical institutions, such as reference to the hospitalization medical expenses compensation standards for compensation of less than 300 yuan, according to the 300 yuan to be the guaranteed compensation.

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3. Others. Participating pregnant women who work or visit friends or relatives can be hospitalized in the local confirmed New Farmers' Cooperative designated medical institutions for delivery, should hold a copy of the New Farmers' Cooperative Card of the participating mothers in delivery, a copy of the hukou booklet (or ID card), a copy of the Birth Certificate (Certificate of Birth), a copy of the Birth Certificate or the Infant's Death Certificate, a unified invoice for hospitalization, and a declaration form to the New Farmers' Cooperative agencies where the participants are located to apply for review and approval, and according to the hospitalized delivery compensation related policies.

(3) Non-hospitalization Compensation

1. Outpatient Expense Compensation

Participating farmers and herdsmen are required to hold a New Rural Cooperative Card for outpatient consultation at village and township designated medical institutions. Participants with chronic diseases shall hold valid documents such as the New Rural Cooperative Card and the Chronic Disease Consultation Card (uniformly formulated and issued by the co-ordination area) and consult the designated New Rural Cooperative Medical Institutions designated by the co-ordination area agencies.

(1) Compensation for general outpatient medical expenses

①Compensation scope: routine treatment fees for intramuscular injections, intravenous injections, enemas, medication changes, minor debridement and suturing, acupuncture and fire-cupping; routine examination fees for ultrasound, electrocardiograms, radiology, and laboratory tests; and fees for medicines within the "Basic Medicines Catalogue of the New Type of Agricultural and Pastoral Cooperative Medical Care of the Autonomous Region (2010 Edition)" (at village and township levels).

②compensation ratio: township-level designated medical institutions for a single outpatient compensation ratio of 30%, the village-level designated medical institutions for a single outpatient compensation ratio of 40%; township-level designated medical institutions for a single outpatient compensation capped at 11 yuan, the village-level designated medical institutions for a single outpatient compensation capped at 6 yuan, and the implementation of a single prescription for a limited number of (i.e., every three days to enjoy the compensation), the participating There is no limit to the number of outpatient visits made by farmers and herdsmen during the year, and the annual outpatient compensation ceiling for each person at village-level designated medical institutions is 300 yuan, while the annual outpatient compensation ceiling for each person at township-level designated medical institutions is 500 yuan.

Participating farmers and herdsmen who use national basic medicines (grassroots level) within the New Rural Cooperative Catalog for outpatient consultation at township-level designated medical institutions can be accounted for by increasing the compensation by 5 percentage points on the basis of the same compensation.

3) Compensation: outpatient coordination costs in accordance with the "total budget, fixed lump sum, payment in installments, overspending not to make up for the performance assessment" approach to pay outpatient coordination costs to the countryside at both levels of the designated medical institutions. The total budget for outpatient outpatient coordination costs is set for one year for townships and villages, and after the quota is set, payment is made in installments. Before payment is made, inspections and evaluations are made of the medication and fees, service standards and quality of care at the village-level fixed-point medical institutions.

④ The family account compensation model is implemented according to the current policy.

(2) Compensation of outpatient medical fees for chronic diseases

①Types of compensated diseases: diabetes mellitus (type II), hypertension (stage 2 and above), cerebral hemorrhage and recovery from cerebral infarction, pulmonary heart disease, rheumatic heart disease, coronary heart disease, malignant neoplasm, renal failure, mental illness, cretinism, tuberculosis, encapsulated disease, brucellosis.

②Scope of compensation: apply to the treatment of chronic diseases required for medical expenses and "autonomous regions of the new rural cooperative medicine basic drug catalog (2010 version)" (township, county) within the scope of the drug fee.

③Confirmation of diagnosis procedure: the patient applies to the coordinating regional office and provides a valid diagnostic certificate of the disease and relevant examination report issued by a medical institution of the second grade A or above in the prefecture, state or city, and is issued a Chronic Disease Attendance Certificate after the coordinating regional office examines and registers the case and reports it to the health department of the same level for approval.

4. Compensation ratio for general chronic diseases: there is no starting line, instant settlement by the designated chronic disease medical institutions, and compensation is made at 40% of the reportable medical expenses, with an annual cumulative ceiling of 2,000 yuan, which is calculated separately from the expenses of general outpatient visits, and the funds are expended from the Outpatient Coordination Fund. The compensation for general chronic diseases shall not be duplicated and accumulated with the compensation for general outpatient services.

⑤ Compensation ratio for major chronic diseases: the total medical expenses for outpatient radiotherapy for malignant tumor patients, outpatient dialysis for uremia patients and diet therapy for phenylketonuria patients are carried out in accordance with the provisions for inpatient compensation of designated medical institutions at the same level, and are settled every half a year, and the funds are expended from the inpatient co-ordination fund.

6 Cretinism and tuberculosis are first paid out of the program subsidy funds, and then the remaining portion is paid out of the New Rural Cooperative Compensation Fund in accordance with the regulations.

7 Chronic patients' outpatient and inpatient compensation for the whole year shall not exceed the locally stipulated hospitalization ceiling.

2. Health checkups

(1) Objects of health checkups

Objects of health checkups for the New Rural Cooperative (NRC) (the examinees) are those participating households that did not receive any inpatient or outpatient compensation in the previous NRC operating year, and one person is recommended to participate in the health checkups for each household as a household, or a specific group of people can be identified among participating farmers and herdsmen, taking into consideration the actual situation of the locality.

(2) Time and manner of health checkup

Health checkups are conducted in principle in the year following the year of enrollment. A combination of perennial health checkups and centralized health checkups can be adopted. Year-round health checkups mean that the examinee independently chooses the time to receive a health checkup at a designated medical institution during the health checkup year; centralized health checkups mean that the examinee receives a health checkup at a designated medical institution within a specified period of time, or a home checkup service can be provided by a designated medical institution.

(3) Use of Funds for Health Checkups

In principle, funds for health checkups are utilized from family accounts or the balance of the year's funds from outpatient coordination, and the government can also be actively sought to provide special funds for health checkups. Medical institutions undertaking health check-ups should offer certain fee reductions and concessions to the examinees.

(4) health checkup items

Rationally determine the health checkup items, on the basis of general physical examination and the three major routine checks and other basic items of examination, the examinee can also be checked from the blood glucose, liver function, chest X-ray or chest X-ray, electrocardiogram, ultrasound (liver, gallbladder, spleen, or kidneys, bladder, prostate, or uterine adnexa), gynecological routine examination, blood biochemistry test, infectious disease detection (Hepatitis B, Hepatitis C, AIDS, syphilis) and other items of their own choosing at least four or more checkups, health checkup items in principle should be checked at once.

Medical institutions should establish health records for the examinees. The establishment of the file is strictly in accordance with the Ministry of Health's "urban and rural residents health record management norms (2009 version)".

(5) Allocation of Funds for Health Checkups

According to the determined fees for health checkups under the New Rural Cooperative Medical Examination Program, and in conjunction with the preferential conditions offered by medical institutions, the payment standards of the New Rural Cooperative Medical Examination Fund are reasonably determined, and the fees should, in principle, be acceptable to the supply side of the checkup service, the demand side, and the payer side.

After the completion of the medical examination, the New Rural Cooperative Fund agency shall carefully verify the medical institutions' conduct of the New Rural Cooperative Health Examination and shall make public the medical examination institutions, the list of examinees, the medical examination items, and the cost of the examination, etc., and shall allocate the funds for the health examination to the medical institutions only if there are no objections or reports during the period of public announcement. It is prohibited to transfer funds for health checkups directly to the medical institutions for checkups by means of budgetary arrangement of funds from the New Agricultural Cooperative Fund or by means of advance allocation.

(6) Other

The implementation of health checkups shall depend on the balance of the outpatient co-ordination fund in each co-ordination area, but it shall be interlinked with the residents' health records and health checkups proposed in the equalization of basic public **** health services.

(IV) Other Compensation

1. Hospitalization Compensation for Special Major Diseases

During the operating year of the New Rural Cooperative, in addition to regular hospitalization compensation for participating farmers and herdsmen suffering from major diseases, they are also entitled to compensation for major diseases granted by the New Rural Cooperative Coordination Fund.

(1) Scope of compensation. In the new rural cooperative operation year, the participating farmers and herdsmen hospitalization in line with the new rural cooperative inpatient disease, its single hospitalization incurred medical costs more than 40,000 yuan (including 40,000 yuan), belongs to the scope of compensation for major diseases.

(2) compensation standards. Localities may, in accordance with the overall situation of local new rural cooperative fund mobilization and use, adopt a one-time compensation of 25% of the uncompensated inpatient medical expenses in the inpatient reimbursable medical expenses, which can only be enjoyed once per person per year, with the maximum compensation not exceeding the local regulations of inpatient compensation ceiling line, without offsetting the part of the regular inpatient compensation entitlement.

(3) Compensation. Participating farmers and herdsmen hospitalized in the end, with the "new rural cooperative card", hukou book (or ID card), hospitalization diagnosis, hospitalization uniform invoice, hospitalization medical expense list to the coordinating area of the new rural cooperative agencies for major medical compensation application procedures. Anyone who meets the conditions shall be subject to immediate compensation. The specific implementation methods shall be formulated by each coordinating region.

2. Compensation for newborns

Newborns not born at the time of the annual financing of the NAC should be included in the scope of compensation for the medical expenses incurred due to hospitalization for illnesses within 10 days (including 10 days) after delivery, and hospitalization expenses incurred due to illnesses after the birth of newborns within 10 days of birth will not be compensated within the year of the operation of the NAC, and mothers are encouraged to pay in advance the funds of the NAC for the upcoming child's enrollment.

3. Secondary compensation

In the New Rural Cooperative operation year, the New Rural Cooperative integrated fund balance rate (excluding the risk fund) is expected to be more than 20%, the New Rural Cooperative operation year has occurred in the hospitalization compensation of participating farmers and herdsmen in the implementation of secondary compensation.

(1) Scope of compensation. Where in the new rural cooperative operation year, the participating farmers and herdsmen hospitalization compensation but the cumulative hospitalization compensation costs have not yet reached the prescribed ceiling line of the participating farmers and herdsmen (except for major chronic diseases, hospitalization compensation for normal delivery), are the scope of the second compensation.

(2) Compensation standards. Participating farmers and herdsmen hospitalization compensable expenses in proportion to the second compensation. Specifically, the second compensation for participating farmers and herdsmen should be compensated for the second time = the first hospitalization of participating farmers and herdsmen should be compensated for the cost of x the projected total balance of the New Rural Cooperative Fund for the current year ÷ the projected total amount of compensation for the New Rural Cooperative Fund for the current year.

(3) Compensation regulations. Where in the new rural cooperative operation year, the second compensation costs and the original has been compensated for the sum of the costs shall not exceed the prescribed ceiling line; multiple hospitalization has been compensated for the participating farmers and herdsmen, the second compensation is only in accordance with the first hospitalization can be compensated for the cost of calculating; enjoy the guaranteed compensation, if the second compensation has been more than the original minimum standard of compensation, according to the amount of compensation for the second compensation, minus the amount of compensation has been issued by the minimum amount of compensation compensation compensation for compensation. The proportion of the second compensation depends on the fund balance.

(4) The second compensation is not a recurring compensation program, and whether it is carried out or not is determined by each coordinating region depending on the operation of the New Agricultural Cooperative Coordination Fund.

Nine, service norms

(1) the coordinating region should be in line with the principle of convenience and benefit to the people, the principle of proximity to the doctor, and respect the right of independent choice of the participating farmers and herdsmen to seek medical treatment. Participating farmers and herdsmen in the autonomous region within the scope of the New Rural Cooperative designated medical institutions, to do "free choice, independent choice of medical care, registration, immediate settlement". Participating farmers and herdsmen can be reimbursed in accordance with the same treatment given to the designated medical institutions for the New Rural Cooperative Medical Service within the coordinating region when they seek medical treatment at the designated medical institutions for the New Rural Cooperative Medical Service in other neighboring counties and townships, and the designated medical institutions for the New Rural Cooperative Medical Service in neighboring counties and townships should accept the supervision and inspection by the New Rural Cooperative Medical Service agencies of the coordinating region in which the participating farmers and herdsmen are located. Participating farmers and herdsmen who are referred to designated medical institutions at or above the county level should strictly follow the relevant policy provisions of the "Autonomous Region New Rural and Animal Husbandry Cooperative Medical Care Referral and Transfer Management Measures (for Trial Implementation)".

(2) the localities should strictly implement the new rural cooperative directory, the new rural cooperative directory of medicines, diagnostic and treatment items and service facilities into the scope of compensation, and shall not formulate their own new rural cooperative compensation directory.

Designated medical institutions at all levels should strictly control the use of self-paying drugs, self-paying checkups and the proportion of self-paying medical expenses to the total medical expenses. For designated medical institutions below the county (city) and county (city) level, the proportion of the total medical expenses accounted for by drugs and diagnostic and therapeutic fees outside the NNH directory shall not exceed 10%, and that for designated medical institutions above the county (city) level shall not exceed 15%; for designated medical institutions below the county (city) and county (city) level, the amount of the use of the drugs outside the NNH directory shall be controlled to be less than 10% of the total medical expenses of the institution; and for designated medical institutions above the county (city) level, the amount shall be controlled to be less than 25%. controlled within 25%. Any unreasonable costs incurred by a designated medical institution for over-scope or over-standard treatment, once verified, shall be borne by the designated medical institution itself. The designated medical institutions at all levels should formulate and implement various preferential policies and measures for participating farmers and herdsmen according to their own actual situation.

(3) actively carry out single disease fixed payment or limit payment and other payment method reform and innovation. The coordinated regional health administrative departments, new rural cooperative agencies in conjunction with the relevant departments can choose common diseases to carry out pilot projects, and gradually expand the types of diseases. The prices charged for disease types will be determined in accordance with medical costs, and the proportion of out-of-pocket payments by patients and payments by the fund will be reasonably determined. It is necessary to strengthen the examination and management of the confirmation of disease types and the criteria for admission to and discharge from hospitals. Medical institutions at all levels are prohibited from adopting methods such as "diagnostic upgrading" or "treating minor illnesses with major treatments" in order to inflate the costs of single-type cases. From 2010 onwards, the region-wide promotion of local (state and municipal) and above the New Rural Cooperative Medical Institutions designated for instant settlement of compensation costs service work, the use of two years to realize the participation of farmers and herdsmen in the autonomous region and local (state and municipal) level New Rural Cooperative Medical Institutions to achieve the goal of instant settlement of medical costs.

Ten, related notes

(a) This compensation scheme from the date of issuance. Localities should actively adjust the compensation provisions in their local implementation programs in conjunction with this compensation scheme, with a view to meeting the established requirements stipulated in this compensation scheme.

(2) In adjusting the various compensation provisions in the local implementation programs, each locality shall follow the principle of absolute and relative unification, i.e., the key indicators of compensation for the designated medical institutions at all levels above the county level shall be strictly implemented in accordance with the provisions of the present compensation scheme, and the key indicators of compensation for the designated medical institutions at all levels above and below the county (city) shall be allowed to make certain positive fluctuation.

(3) When the financing standards for all levels of finance and farmers and herdsmen are raised, the corresponding compensation provisions in this compensation scheme will be updated and adjusted in a timely manner.

(4) This compensation scheme shall be interpreted by the autonomous region's new rural and pastoral cooperative medical care management office.