Over time,MedicareThe issue of payment is becoming more and more complicated, which not only brings tremendous pressure to grassroots cadres, but also triggers a series of problems in society. As a policy to benefit the people,MedicareThe original intention was to allow people to receive timely medical treatment when they were sick and reduce their financial burden. However, nowadaysMedicarePayment has become a common resistance of the people, what is the problem?About this, I thinkMedicareDepartments should take care of themselves and make changes accordingly.
Over time,MedicareCosts are rising. Since the implementation of cooperative medical care in 2006MedicareThe cost has increased from 10 yuan per person at the beginning to 380 yuan per person per year in 2023, an increase of as much as 18 times. However, compared to the growth in revenueMedicareFees are growing just too fast. FarmersThey have said that it is already very difficult for them to continue to pay such high fees. In the course of 18 years,FarmersWe enjoyedMedicareAre services experiencing the same growth?It is very difficult for low-income families to pay such a lump sum for a year.
How can this be mitigated?My suggestion is that you could consider adjustingMedicareThe rate of increase in fees, according to different regions and income levels to develop reasonable payment standards, so that:MedicareThe cost is more realistic. In addition, it can be increased by increasing the number ofRuralMedicareThe investment in services to improve the service level of primary medical institutions, letFarmersWe can get real benefits.
The reimbursement policy is one of the most concerned issues for the people, however, today's reimbursement policy has made many people feel dissatisfied. As a long-term implementation of the policy of benefiting the people, residents of the countryMedicarePolicies have been understood and adapted, and no amount of interpretation and publicity can replace actual experience. Since it is a policy to benefit the people, the people should actively take the initiative to pay, but today's problems show that the reimbursement policy is far from the benefits that the people expect.
On the one hand,MedicinesLimitations became a prominent issue. Implemented by the stateMedicinesAfter centralized procurement, someMedicinesIt is true that there has been a decline, but the people have not clearly felt it. On the contrary, many used in the pastMedicinesIt's hard to find in hospitals, and even if there is, it's not thereMedicareReimbursement policies are not available within the catalog. Now on the hospital pharmacyMedicinesThere are very few shelves, and both doctors and patients feel the inconvenience. This makes medical medication like a "buffet", where only existing ones can be usedMedicines, it is not possible to choose the right one according to the needsMedicines, the effect may also be greatly reduced.
On the other hand, the cumbersomeness of reimbursement policies is also confusing. In the past, reimbursement was relatively simple and calculated according to the reimbursement ratio, but now the reimbursement policy has become complex and confusing, doctors can't understand it, and patients are confused. There are a number of terms and restrictions involved in the policy, such as bridge tolls, thresholds, caps, and different categoriesMedicinesand so on. These complex policies make it impossible for most people to understand and accurately calculate their reimbursement amounts. Policies should be more and more straightforward, not more cumbersome.
PresentMedicareThe policy requires hospitalization** for most reimbursements, which makes the rate of outpatient reimbursement very low. In the past, people only had to buy some at the outpatient clinicMedicines, you can enjoy the reimbursement policy, which is alsoMedicareOne of the reasons why the policy is welcome. However, today's outpatient reimbursement rate is low, and there is a cap limit, so that only a small amount of expenses can be reimbursed each year. Therefore, most people choose to forgo outpatient reimbursement, and only hospitalization** can really enjoy itMedicaretreatment.
This situation not only leads to a waste of medical resources, but also increases the pressure on primary medical institutions. For some township health centers, they have limited access to inpatient services, forcing patients to travel to larger hospitals in the city, resulting in higher costs and longer waiting times. And for grassroots workers, this situation also increases their workload.
CurrentMedicareThe policy is to pay annually if not used within a yearMedicare, then the fee paid for the following year will be cleared. This makes many people feel unfair, especially for people who haven't been sick for a long time. Like I mentioned beforeFarmersThey used to only have to pay a few dozen yuan, and they didn't care about such a small amount of income. However, the current oneMedicareFees have become a large number, and the fees paid cannot be cumulative. In contrast, the urban workers'MedicareIndividual contributions are cumulative, which adds to people's discontent.
In the face of these problems, **andMedicareDepartments should listen to the voices of the people with an open mind, actively look for problems and make corresponding corrections. To letMedicarePolicies are closer to the needs of the people, so that they can be truly recognized. Policies should be simple and straightforward, and no longer confusing. At the same time, consideration should also be given to formulating a reasonable oneMedicareContribution standards to reduce the financial burden of low-income families. Only in this way can it be achievedMedicareThe original intention of the policy is to let the people really benefit from it.