Design consideration and implementation outcomes of the long-term medical care insurance
10.3760/cma.j.issn.1000-6672.2014.07.012
- VernacularTitle:青岛市长期医疗护理保险的设计思路和实施效果
- Author:
Jingzhu QIN
;
Huibo LI
;
Junlei YIN
;
Guanjun WANG
;
Qiang MIN
;
Guoan WANG
- Publication Type:Journal Article
- Keywords:
Long-term medical care insurance;
System design;
Implementation outcomes
- From:
Chinese Journal of Hospital Administration
2014;30(7):517-519
- CountryChina
- Language:Chinese
-
Abstract:
Based on the urban residents' basic medical insurance system in Qingdao,with hospitals,community aging care institutions and families as the carriers,Qingdao city explored and implemented the long-term medical care insurance system(LTMCI),and established mechanisms for fundraising,payment,handling,service and supervision.The city also designed a scientific application and reimbursement process.Three service modes are designed and put into practice as follows:Long-term care in designated nursing homes or pension institutions; Medical care at designated hospitals; and home health care.These services are charged by quota-lump per bed per day,with the reimbursement ratio of 96％,90％ and 96％ respectively.A practice over a year proved the LTMCI as effectively alleviating disease burden of patients,and guiding long-term care to serve communities.This way a new type of medical care system comes into being,with medicine-care-recovery-endowment for disabled population.
