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QINGDAO TODAY
在线翻译:
szdaily -> Shenzhen -> 
Medical insurance reform expanded
    2018-10-22  08:53    Shenzhen Daily

EIGHT grass-roots medical groups recently signed on with the city’s social security fund administration to pilot a reform of medical insurance that has been pioneered by Luohu Hospital Group.

The medical groups include Yantian People’s Hospital Group, Bao’an People’s Hospital Group, Longgang Central Hospital Group, Guangming Medical Group, Longhua People’s Hospital Group and Dapeng Medical Health Group.

In August 2015, Luohu District officially launched its medical reform by integrating five public hospitals and 23 community health centers in the district into Luohu Hospital Group.

The reform soon became a national model and was approved by the national health authorities to be promoted across the country in September 2017.

On Oct. 14, the Guangdong Provincial Government proposed that every prefecture-level city in the province should choose at least one district or county to put Luohu Hospital Group’s model into practice.

The centerpiece of the Luohu reform lies in incentives that allow the Luohu Hospital Group to retain medical funds if there is a surplus from a fund capped by the social security fund administration.

According to the reform, the cost expenditure of the medical group will lessen once the residents who have signed up with the group start getting sick less frequently. Therefore, the surplus of the medical insurance fund will increase, which will in turn benefit the medical group and its medical staff in the form of rewards.

Motivated by the incentives, the medical staff will do their utmost to ensure that residents with less serious diseases are able to have their illnesses treated in community health centers, while at the same time stepping up preventive efforts to keep residents from getting sick.

According to statistics, the total number of outpatient visits to Luohu Hospital Group’s community health centers in 2017 was 217 percent higher than in 2014, while the number of visits to hospitals remained stable. The average cost per hospitalization in the group in 2017 dropped by 422 yuan (US$60) to a lower level than the city’s medical insurance settlement standard of 1,404 yuan.  (Zhang Yu)

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