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近几年,河北省鸡泽县公费医疗开支逐年增加,而且上升幅度较大。为了解决这个问题,从1987年下半年开始,该县把公费医疗费作为保险金入保,与医疗单位签订保险合同,实行医疗保险。通过试行,效果较好。他们的具体做法:一是确定投保金额。从1987年7月1日起,凡享受公费医疗的在职干部和职工每人全年80元,离退休人员每人全年200元交医院,作为医疗保险金。县中医院在“超支不补,结余留用,任务承包,优质服务”的原则下,具体负责被保险人员的治疗检查,单位不再支付被保人的一切医疗费用。二是签订入保合同。各入保单位都与县中医院签订承包合同。内容包括:医院医疗保险门诊和
In recent years, public expenditure on public health in Ji Ze County, Hebei Province has increased year by year, and the increase has been large. In order to solve this problem, starting in the second half of 1987, the county will cover publicly-funded medical expenses as insurance money, sign insurance contracts with medical units, and implement medical insurance. Through trials, the effect is better. Their specific approach: First, determine the amount of insurance. From July 1, 1987 onwards, every serving cadre and employee enjoying publicly funded medical treatment will be 80 yuan for the whole year, and each retirees will be paid 200 yuan for the entire year to the hospital as a medical insurance premium. County Chinese Hospital under the principle of “overcharging does not make up, balance remaining, task contracting, quality service ”, specifically responsible for the treatment of the insured personnel inspection, the unit will no longer pay the insured person’s medical expenses. The second is the signing of the insurance contract. Each insurance unit has signed a contract with the county hospital. Contents include: Hospital medical insurance clinics and