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What is the failure of cooperative medical payment?
Cooperative medical care, the full name of the new rural cooperative medical insurance, is a kind of welfare medical system based on voluntary mutual assistance of the masses and relying on the collective economy to prevent and treat diseases.
Indicators of cooperative medical care:
1, the number of people participating in the cooperative medical care refers to the number of people who have actually paid the individual cooperative medical care fund and enjoyed the cooperative medical insurance by a certain time;
2. The proportion of the number of people compensated for the benefit rate of the new rural cooperative medical system to the total number of people participating in the cooperative medical system;
3. The population of five-guarantee households shall be subject to the data reported by the Civil Affairs Bureau;
4. Poverty refers to the agricultural population whose per capita annual income is lower than the national low-income poverty standard;
5. For the agricultural population with absolute poverty standard in the country, the poverty standard shall be based on the figures published by the country regularly;
6. Total outpatient expenses The actual outpatient expenses incurred by farmers participating in cooperative medical care in designated medical institutions;
7, outpatient compensation fees to participate in the cooperative medical care of farmers actually get compensation fees;
8. Total hospitalization expenses The actual hospitalization expenses incurred by farmers participating in cooperative medical care in designated medical institutions;
9, hospitalization expenses for farmers to participate in the cooperative medical system hospitalization expenses compensation amount;
10, the total amount of funds raised by the cooperative medical care fund in the current year, including funds carried forward by the central and local governments, individual contributions, other funds, the cooperative medical care fund in the previous year and risk funds;
1 1, and the balance of the cooperative medical fund from the previous year is carried forward to the next year;
12. Total fund expenditure The total use of the cooperative medical fund includes hospitalization compensation expenses, outpatient compensation expenses, physical examination, risk funds and other expenses.
legal ground
People's Republic of China (PRC) social insurance law
Article 24 The state establishes and improves the new rural cooperative medical system.
Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council. Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
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