Table 3 NRCMS reimbursement policies in the survey areas in 2012
County | Songzi | Dangyang | Jingshan | Danjiangkou | Meixian |
|---|---|---|---|---|---|
Payment | Global budget; | Global budget; | Global budget; | Global budget; | Global budget; |
Fee for service; | Payment for single disease; | Fee for service; | Fee for service; | Payment per day; | |
Limited payment for single disease | Payment per day | Payment for single disease; | Payment for single disease | Clinical pathway | |
Payment by performance | |||||
Hospitalization reimbursement | Deductible of 100 RMB and reimbursement ratio of 90% for township hospitals | Deductible of 100 RMB and a reimbursement ratio of 100% for township hospitals | Deductible of 100 RMB and a reimbursement ratio of 90% for township hospitals | Deductible of 100 RMB and a reimbursement ratio of 65% for township hospitals | Deductible of 150 RMB and a reimbursement ratio of 90% for township hospitals |
Deductible of 300 RMB and a reimbursement ratio of 80% for county hospitals | Deductible of 500 RMB and a reimbursement ratio of 70% for county hospitals | Deductible of 400 RMB and a reimbursement ratio of 75% for county hospitals | Deductible of 200 RMB and a reimbursement ratio of 75% for county hospitals | Deductible of 500 RMB and a reimbursement ratio of 75% for county hospitals | |
Outpatient service reimbursement | A reimbursement ratio of 40% for township health clinics and village clinics; payment limited to 10 RMB per day, and 300 RMB per year | A reimbursement ratio of 40% for township health clinics and village clinics; payment limited to 100 RMB per year | A reimbursement ratio of 25% for township health clinics and village clinics; payment limited to 6 RMB per day, and 200 RMB per year | A reimbursement ratio of 40% for township health clinics and village clinics; payment limited to 10 RMB per day, and 300 RMB per year | A reimbursement ratio of 65% for township health clinics and village clinics; no minimum is required, payment limited to 50 RMB per year per household x number of participants |