The five major contents of the new medical reform

The five major contents of the new medical reform: 1. Accelerate the construction of the basic medical security system, and increase the participation rate of basic medical insurance for urban workers and residents and the new rural cooperative medical insurance to more than 90% within three years.

2. Initially establish a national essential drug system, establish a scientific and reasonable management mechanism for the selection and adjustment of the list of essential drugs, and a first-class guarantee system. All essential drugs will be included in the reimbursement list of medical insurance drugs.

3. Improve the primary medical and health service system, focusing on strengthening the construction of county-level hospitals (including traditional Chinese medicine hospitals), township health centers, village clinics in remote areas, and urban community health service centers in difficult areas. Four:

Promote the gradual equalization of basic public health services Fifth, promote the reform of public hospitals, and promote the reform of the compensation mechanism of public hospitals. Accelerate the formation of a diversified medical pattern.

According to preliminary estimates, in order to ensure the above five reforms, it is estimated that 850 billion yuan will be invested at all levels within three years.

Legal basis. Article 5 of the Three-Year Summary Report on Deepening the Reform of the Medical and Health System After three years of reform, the medical insurance system with Chinese characteristics, with basic medical insurance for employees, basic medical insurance for urban residents, and new rural cooperative medical care as the main body, urban and rural medical assistance system as the backstop, and commercial health insurance and other forms of medical insurance as supplements, has been initially formed, providing institutional guarantee for urban and rural residents to "get medical treatment when they are sick". By the end of 2011, more than 1.3 billion urban and rural residents had participated in the three basic medical insurances, an increase of 100 million over the pre-reform period, and the coverage rate reached more than 95.

The subsidy standard for urban residents' medical insurance and NCMS** was raised from 80 yuan per person per year in 2008 to 200 yuan in 2011 (240 yuan in 2012). The maximum payment limit for the medical insurance for employees in all co-ordinated areas, the medical insurance for urban residents and the new rural cooperative cooperative system** has been increased to more than 6 times the average annual wage of local employees, the annual disposable income of local residents and the per capita net income of farmers nationwide, and not less than 50,000 yuan. The coverage of medical insurance for urban residents and the New Rural Cooperative Medical System has been extended from inpatient to outpatient, and 98 of the co-ordination areas have established outpatient co-ordination.

Legal analysis: First, further promote the experience of medical reform in Sanming City, and accelerate the reform of medical care, medical insurance, and pharmaceutical linkage. It mainly focuses on guiding all localities to learn and promote the experience of medical reform in Sanming City, promote the centralized procurement of drug consumables, deepen the reform of medical services, deepen the reform of the personnel and salary system, promote the reform of medical insurance payment methods and promote the high-quality development of public hospitals.

The second is to promote the balanced distribution of high-quality medical resources and improve the hierarchical diagnosis and treatment system. It mainly includes the launch of the national medical center and the second batch of regional medical center pilot construction projects, planning to promote the construction of clinical specialty capacity, strengthening the construction of medical consortiums and improving their supporting policies, promoting the implementation of functional positioning of various types of medical institutions at all levels such as provinces, cities, counties, townships and villages, carrying out high-quality and efficient integrated medical and health service system pilots, promoting the construction and development of community hospitals, improving the national medical insurance system, and promoting the revitalization and development of traditional Chinese medicine. The third is to adhere to the principle of prevention and strengthen the construction of the public health system.

It is clear that we will continue to strengthen the prevention and control of the new crown pneumonia epidemic, improve the capacity of major public health emergency response and prevention and control, establish and improve the treatment system for major epidemics, promote the Healthy China Initiative, and innovate the coordination mechanism for medical prevention. Fourth, we should coordinate and promote relevant key reforms and form a joint work force. It mainly involves promoting the construction of national health informatization, improving the service experience of the masses, strengthening the training and use of medical talents, enhancing the ability to guarantee drugs, and strictly supervising and managing them.

Fifth, promote the pilot reform of public hospitals.

Legal basis: Article 23 of the Social Insurance Law of the People's Republic of China Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with the provisions of the state.

Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.