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近几年,由于新农合筹集资金和实际补偿资金产生矛盾,出现入不敷出的现象,因此,各地出台了医保资金定额测算、服务考核结算的实施方案,对新农合资金进行定额测算、杜绝了新农合资金的浪费。章丘市口腔医院结合工作实际,在充分调研的基础上,制定了“新农合报销费用限额,对新农合资金实行绩效管理”的实施细则,既保障了参合农民的利益,又使新农合资金利用达到最大化。在当前新农合参合人员并入城镇居民医疗保险的新形势下,此项制度依然适用,取得了良好的经济效益和社会效益,得到了群众的一致好评和社会的广泛赞誉。
In recent years, the new rural cooperative medical fund-raising and the actual compensation funds have contradictions, overdrawn phenomenon, therefore, the promulgation of a fixed measure of medical insurance funds, service evaluation and settlement of the implementation of the plan, the new rural cooperative fund for a fixed measure, put an end to New rural cooperative medical fund waste. Zhangqiu Stomatological Hospital combined with the actual work, on the basis of full investigation and study, formulated “the implementation of new rural cooperative medical insurance cost limits, the implementation of performance management of new rural cooperative funds,” the implementation details, both to protect the interests of participating farmers, and To maximize the use of new rural cooperative funds. Under the new situation that the new NCMS personnel are incorporated into the medical insurance for urban residents, this system is still applicable and has achieved good economic and social benefits. It has been well received by the masses and widely acclaimed by the society.