Medical insurance bureau: the proportion of reimbursement for serious illness in basic medical insurance for urban and rural residents has increased to 60%

  Beijing, May 10 (Reporter Zhang Ni) Recently, the National Medical Insurance Bureau and the Ministry of Finance formulated and issued the Notice on Doing a Good Job in Basic Medical Security for Urban and Rural Residents in 2019. According to the Notice, the per capita financial subsidy standard for medical insurance for urban and rural residents in 2019 was added to 30 yuan, reaching a level not lower than that of 520 yuan per person per year.

  In addition, the Notice also requires reducing and unifying the deductible line of major illness insurance, and realizing the parallel operation of the basic medical insurance for urban residents and the new rural cooperative medical system by the end of 2019.

  The per capita financial subsidy for medical insurance for urban and rural residents reaches 520 yuan.

  The "Notice" proposes that in 2019, the per capita financial subsidy standard for medical insurance for urban and rural residents will be increased by 30 yuan, reaching no less than 520 yuan per person per year, and half of the new financial subsidies will be used to improve the ability to guarantee major illness insurance (15 yuan will be added to the per capita financing standard in 2018); 30 yuan will be added simultaneously for individual contributions, reaching 250 yuan per person per year.

  According to the introduction of the National Medical Insurance Bureau, the medical insurance for urban and rural residents is based on the combination of individual contributions and government subsidies, and the fixed financing method is implemented. In recent years, governments at all levels have continuously raised the per capita financial subsidy standard for residents’ medical insurance, from 40 yuan in 2007 to 490 yuan in 2018, which has played an important role in reducing the payment burden of insured people.

  However, with the natural increase of consumer price index and the wide application of new medicine and technology, medical expenses have increased rapidly year by year, and the financing standard of medical insurance for urban and rural residents needs to be adjusted reasonably to support the long-term and stable play of institutional functions.

  In order to ensure the people to share the fruits of reform and development and steadily improve the level of medical insurance benefits for urban and rural residents, the Notice implements the policy requirements of benefiting the people in the 2019 Government Work Report, and clarifies that the per capita financing standard for medical insurance for urban and rural residents will be improved in 60 yuan in 2019 as a whole, in which 30 yuan will be added to the financial subsidy standard, reaching no less than 520 yuan per person per year, and half of the new financial subsidies will be used to improve the ability to support major illness insurance, that is, 15 yuan will be added to the per capita financing standard in 2018; 30 yuan will be added simultaneously for individual contributions, reaching 250 yuan per person per year.

  The proportion of reimbursement for serious illness in basic medical insurance for urban and rural residents has increased to 60%

  According to the "Notice", all localities should make good use of the new funds raised by urban and rural residents in the annual medical insurance to ensure that the basic medical insurance benefits are in place. Consolidate and improve the reimbursement ratio of hospitalization expenses within the scope of the policy, establish and improve the overall planning and payment mechanism of medical insurance outpatient expenses for urban and rural residents, and focus on ensuring frequently-occurring diseases and chronic diseases with heavy burdens on the masses.

  The "Notice" proposes to include outpatient drugs such as hypertension and diabetes in medical insurance reimbursement, and the specific plan shall be formulated separately. The implementation of individual (family) accounts should be cancelled before the end of 2020, and a smooth transition should be made to the outpatient department; If the personal (family) account has been cancelled, it shall not be restored or set in disguise.

  In addition, the Notice also emphasizes the need to improve the protection function of major illness insurance. Reduce and unify the deductible line of serious illness insurance, which is determined in principle by 50% of the per capita disposable income of residents in the previous year. If it is lower than this ratio, no adjustment may be made; The reimbursement rate within the policy scope is increased from 50% to 60%; We will increase the tilt of the payment of serious illness insurance to the poor, reduce the deductible for the poor by 50%, increase the payment ratio by 5 percentage points, and completely cancel the capping line of serious illness insurance for the poor, further reducing the medical burden of seriously ill patients and people in need.

  Realize the parallel operation of urban and rural medical insurance by the end of 2019.

  The Notice issued this time also clarifies that in areas where the basic medical insurance for urban residents and the new rural cooperative medical system have not been fully integrated and unified, it is necessary to realize the transition from the parallel operation of the two systems to a unified medical insurance system for urban and rural residents before the end of 2019.

  In the process of system unification, it is necessary to consolidate the coverage of medical insurance for urban and rural residents, ensure that the participation rate is not lower than the existing level, and the participation rate is continuous and stable, so as to ensure all coverage; Improve the registration and payment methods for newborns, children, students and migrant workers, and avoid repeated insurance; There are other medical security system arrangements, which are not included in the coverage of medical insurance for urban and rural residents; Properly handle special issues and policies, do a good job of policy convergence before and after system unification, stabilize the expectation of treatment, and prevent the tendency of pan-welfare.

  The Notice requires that all localities should focus on the uncoordinated and inadequate development of medical insurance for urban and rural residents, combine the integration of medical insurance-related functions, and unify the handling of services and information systems on the basis of ensuring the "six unifications" of coverage, financing policies, security benefits, medical insurance catalogue, fixed-point management and fund management, further improve the quality and efficiency of operation, ensure the comprehensive establishment of a unified medical insurance system for urban and rural residents, and achieve a more perfect system, fairer security and more sustainable funds.

Internship, business trip, study tour, travel … Slow employment, how to "slow" out of the wonderful?

  Internship, business trip, study tour and travel … … In the busy employment season, there are such a group of "laid-back" graduates who are not in a hurry to "work after graduation" or "work first and then choose a job". Instead, when faced with a variety of career choices, they temporarily put themselves in a state of uncertainty and slowly consider their life path. This emerging phenomenon in recent years is called "slow employment".

  Unlike passive "unemployment", "slow employment" is often active. The survey shows that in recent years, the group of "slow employment" has gradually expanded. A big data report on the graduation destination of college graduates in 2016 shows that 4.8% of college graduates in 2016 chose "slow employment", and it is expected that this proportion will further increase in 2017.

  Why do these graduates choose "slow employment"? What should we think about "slow employment"? Let’s listen to their stories together.

  I would rather "get a job at the wrong peak" than "get into the wrong business"

  On the 29th day of the twelfth lunar month, the streets of Beijing are full of flavor, and the number of pedestrians on the streets is much less than usual. As usual, Lin Zhiwei came to his company early and started his day’s work "steadily".

  A year ago, when he graduated from college for more than half a year, he was still an "unemployed vagrant", working as an intern and investigating various possible entrepreneurial projects.

  In June 2015, after Lin Zhiwei graduated from cfau majoring in finance, he did not take the postgraduate entrance examination, take the civil service examination, submit his resume or find a job. "I yearn for a free lifestyle. But I hadn’t decided which job was more suitable for me at that time, so I’d rather be with someone else ‘ Peak employment ’ I don’t want to go into the wrong line and make myself very painful. " Lin Zhiwei said, "I’m a native of Beijing, and my family conditions are OK, so I can have a ‘ Inspection period ’ , choose your favorite job. "

  During the "inspection period", Lin Zhiwei gave himself the goal of recognizing himself and accumulating experience for free entrepreneurship in the future. This also means that everything should start from scratch and "cross the river by feeling the stones".

  "The so-called ‘ Slow employment ’ Seemingly relaxed, in fact, the pressure is not less than that of working classmates. " Lin Zhiwei said that the biggest pressure comes from parents. Some of his classmates were admitted to prestigious graduate schools, some to national civil servants, and some to Fortune 500 companies. Compared with others, his behavior can be regarded as "the sword is on the side." Parents see in the eye, anxious in my heart, many times to persuade Lin Zhiwei to find a formal job, live in peace.

  "My aim at that time was to find ways ‘ Drag ’ I have been mediating with my parents because I believe that I will have results soon. " Lin Zhiwei said. Today, watching Lin Zhiwei’s career improve, parents finally understand the significance of his exploration.

  During the "inspection period" of more than half a year, Lin Zhiwei worked in for-profit organizations, educational institutions and coffee shops. "I tried some interesting jobs, inspected the market conditions, accumulated some experience, and understood what I was suitable for. This time has not been in vain. " Lin Zhiwei said, "Entrepreneurship requires capital, talents, technology and management. Many of my current contacts and business thinking were formed at that time."

  In December 2015, after half a year’s investigation, Lin Zhiwei co-founded an educational technology company. In the following year, his company tried technology camp, drone professional training and online technology production program & HELIP; … "Although many projects have failed, our team has also gained experience. In any case, if you want to succeed in starting a business, you always need to keep trying and cross the threshold." Lin Zhiwei said.

  At present, companies in Lin Zhiwei are trying in the field of maker education, focusing on designing their own unmanned aerial vehicles and robot teaching products. "People should have self-knowledge, know what they are good at and what capital they have, and rely on their own advantages to make money." Lin Zhiwei said, "It’s almost two years since I graduated. If I go back in time, I will do it again. I believe my exploration has not been in vain."

  What’s the harm of slowing down before you start?

  Compared with Lin Zhiwei’s "calm", Kym began to try "slow employment" in anxiety, and her "inspection period" for her career was earlier. Before entering the graduation season of her senior year, she decided to take a year off from school temporarily, so that she could not face the employment choice so urgently.

  In April, 2015, when the students around us were preparing for the postgraduate entrance examination and employment, Kym, an English major of Chongqing University, who was about to enter the senior year, decided to "Gap year" and go to Disney World Theme Park in Orlando, USA for a one-year internship.

  Kym’s "Gap year" refers to the gap year and gap year, which was originally a popular cultural concept abroad, aiming at encouraging students to experience different lifestyles before going to work. Nowadays, this activity has become a "new fashion" among college students in China.

  "I was a little lazy when I was in college, and I didn’t have a clear employment plan. I was a little confused at the thought of finding a job soon." Kym said that he didn’t want to fall into the situation of "boiling frogs in warm water" again. The original intention of this internship abroad was to dig deep into his interests or what his future employment direction is.

  In Disney, the living environment is different from that of the school. Kym no longer faces teachers and classmates every day, and "has to deal with the boss and colleagues all the time", which also makes her understand in advance that the company and the school are very different. "When you are a student, your personal achievements are not ideal and will not affect others. However, if you don’t do your job well in the company, it will affect your supervisor and your colleagues. You need to pay for your mistakes."

  Looking back at this "Gap year", Kym feels that he has gained a lot. "I am a ‘ at home. Don’t touch the spring water with your fingers ’ My only daughter, no matter how tired she is after work every day abroad, has to take care of her life. More importantly, the internship experience has had an important impact on your career choice. " Kym said, "Many English majors choose education, but I find myself more interested in company operation. Maybe I am a ‘ Alternative ’ 。”

  "After staying abroad for a year, I really fell behind my former classmates in employment." Kym said, for example, after coming back, many students have found jobs, and they are slower than others in all aspects. "But what does it matter? Everyone’s path is their own, not compared with others, as long as they are practical and valuable. ‘ Slow ’ What’s wrong with some? "

  "Slow employment" does not mean "no employment", so we should choose "slow employment" rationally.

  In recent years, there are more and more "slow employment" phenomena like Lin Zhiwei and Kym. Studies show that, unlike the employment concept of "after graduation" and "before choosing a job" of the post-80s generation, the phenomenon of "slow employment" is more obvious among the new generation of employment groups of the post-90s generation, especially the post-90s generation, and many graduates are not in a hurry to find jobs.

  Why is the "slow employment" of college graduates gradually becoming a phenomenon? Some experts believe that, on the one hand, living conditions are better now, and many fresh graduates have no financial burden and are not in a hurry to find jobs; On the other hand, the news of starting a business is overwhelming nowadays. Some college students choose to start their own businesses, do e-commerce, or go out to travel or even be unemployed first, and slowly consider and plan their careers. With the development of the Internet, opening online stores, working in Wechat business and other employment methods can not only bring rich income, but also avoid working from nine to five. More diversified occupations give this group more space.

  Some experts also believe that "slow employment" is not so much an active choice as an objective trend brought by the current employment situation of college students. In the face of increasingly fierce job competition, some college students "find jobs at the wrong peak" to allow themselves more time to accumulate strength, or to walk around and see more about the job market, which is understandable in itself and should be a right of multiple choices. Some graduates who take the initiative to "slow down employment" may be more mature than expected in terms of employment concept. For example, they will pay more attention to whether the major is right or not and whether the salary is reasonable. If they can’t find a suitable job at the moment, they would rather wait and see. After all, the cost of "entering the wrong line" may be great. Compared with the employment mentality of "all vegetables are found in the basket", this is actually a mature and rational performance.

  Yan Tianhe, deputy director of the Employment Guidance Center of China Youth University for Politics, believes that the most important thing to look at the phenomenon of "slow employment" is to distinguish it from the phenomenon of "no employment".

  “‘ Slow employment ’ Not ‘ No employment ’ Its starting point and foothold is the individualized development of graduates, and it is a kind of employment mentality that does not follow the crowd and blindly follows. At present, there are indeed two serious misunderstandings in the employment of college graduates. First, they blindly follow the trend, follow the crowd, take postgraduate entrance examinations, go abroad or take the civil service examination; Second, fear of employment, lack of basic development planning, and escape employment by all feasible means. ‘ Slow employment ’ It has avoided the first misunderstanding well, but it cannot fall into the second misunderstanding. " Yan Tianhe said.

  "From the perspective of employment guidance in colleges and universities, I think we should strengthen individualized employment guidance and career planning education, and at the same time cultivate students’ self-cognition, self-planning and social cognition, so as to promote graduates to combine their interests and abilities with social needs more scientifically." Yan Tianhe said that it is only a matter of time before "quick employment" and "slow employment".

  (Gong Yanbo and Song Liangyuan participated in the writing)