The scope of the implementation of the reform of the new rural cooperative medical insurance payment system includes the 12 alliances and cities in the autonomous region, each of which has selected 2 to 3 flag counties as pilot sites, and at the same time encourages the conditional alliance to expand the scope of the pilot. The reforms mainly include the combination of total amount prepayment and fixed-rate payment, disease-based payment, per capita payment, etc. The integrated payment method reform pilot and the case-by-case payment reform pilot are two aspects.

In the implementation of the case-by-case payment pilot areas, choose the kind of disease that has been implemented with clinical pathway management, with no less than 10 pilot diseases, and the number of cases paid by disease category is not less than 30% of the total hospitalization of local participating staff, and hospitalization costs The actual compensation ratio is increased to more than 50%.

The ultimate goal of the New Rural Cooperative payment method reform in the autonomous region is: in the implementation of comprehensive payment method reform pilot areas and the implementation of the total amount of outpatient payment pilot areas, the cost of outpatient secondary prescriptions shall not be higher than the previous year, and the annual number of outpatient visits shall not be lower than In a year, zero hospitalization costs were achieved. Through the reform of payment methods, the efficiency of handling agencies will be improved, and self-restraint mechanisms and risk sharing mechanisms for medical institutions will be established.