论医疗救助与新型农村合作医疗制度衔接的四个层次

Study on Four Levels of Link-up between Medical Assistance and New Rural Cooperative Medical Scheme on Program Design

为了实现医疗救助与合作医疗制度的有效衔接,两种制度在方案设计层面需要在四个层次实现衔接(以住院补偿设计为例)——衔接层次一,医疗救助资助救助对象参合合作医疗;衔接层次二,降低或取消救助对象的新农合起付线;衔接层次三,合作医疗补偿后医疗救助进行二次救助;衔接层次四,合作医疗封顶线以上非救助对象困难群众的临时救助。

In the program design, link - up between New Rural Cooperative Medical Scheme （NCMS） and Medical Assistance （MA） could be realized at 4 levels. At the first level, the target groups supported by MA could be enrolled in NCMS. At the second level, MA should lower or eliminate the target groups＇ deductible coverage for NCMS. At the third level, MA should be the secondary aid after people receiving NCMS reimbursement. At the fourth level, MA should provide temporary aid for those non - MA groups whose medical expenditure exceeds the NCMS ceiling line and whose minimum living has been influenced by illness.