中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2014年
3期
56-58
,共3页
新增支付项目%新提高待遇标准%基金风险%建议
新增支付項目%新提高待遇標準%基金風險%建議
신증지부항목%신제고대우표준%기금풍험%건의
new payment projects%new improved treatment standard%fund risk%recommend
修订后的《工伤保险条例》实施以来,由于标准过高,诱导支付行为,劳动鉴定人数逐年增多,解除劳动关系的工伤职工增多。2013年1-10月各项工伤保险待遇支出较上年增幅44.9%,一次性工亡待遇增长3倍,伤残待遇增长193%,医疗待遇增长207%,基金收支比达到了121.4%,当期基金风险显现。建议调整一次性工伤医疗补助金支付办法。国家层面出台指导性意见,统一计算办法,统一待遇,适当增加限制性条款等。
脩訂後的《工傷保險條例》實施以來,由于標準過高,誘導支付行為,勞動鑒定人數逐年增多,解除勞動關繫的工傷職工增多。2013年1-10月各項工傷保險待遇支齣較上年增幅44.9%,一次性工亡待遇增長3倍,傷殘待遇增長193%,醫療待遇增長207%,基金收支比達到瞭121.4%,噹期基金風險顯現。建議調整一次性工傷醫療補助金支付辦法。國傢層麵齣檯指導性意見,統一計算辦法,統一待遇,適噹增加限製性條款等。
수정후적《공상보험조례》실시이래,유우표준과고,유도지부행위,노동감정인수축년증다,해제노동관계적공상직공증다。2013년1-10월각항공상보험대우지출교상년증폭44.9%,일차성공망대우증장3배,상잔대우증장193%,의료대우증장207%,기금수지비체도료121.4%,당기기금풍험현현。건의조정일차성공상의료보조금지부판법。국가층면출태지도성의견,통일계산판법,통일대우,괄당증가한제성조관등。
Since the revision of “The Regulations of Work-related Injury Insurance” was carried out, due to its high standard of payment, the number of labor appraisal and the cancellation of labor relationship have been increasing year by year. The total treatment expenditures of work-related injury insurance has increased by 44.9%compared to last year, the treatment of one-time work-related death has increased three times, the treatment of disability increased by 193%, medical treatment improved by 207%,fund balance ratio reached the number of 121.4%, therefore it is obvious that the fund risk is currently exhibited. It is suggested to adjust the method to pay the one-time medical compensation fee for work-related injury. At the national level, the related guidance must be issued to unify the method to calculate treatment amount, to unify the treatment or compensation, to set proper limitation for the treatment or compensation, etc.