Effect of a typical systemic hospital reform on inpatient expenditure for rural population: the Sanming model in China

Table 1 NCMS^a reimbursement policies and per capita OOP^b expenditures

	Year	Official reimbursement rate ^c(%)			Ceiling of annual compensation per patient (10⁴¥)	OOP^b expenditure as a share of total expenditure (%)	OOP^b expenditure as a share of annual net income (%)
	Year	Primary hospital	Secondary hospital	Tertiary hospital	Ceiling of annual compensation per patient (10⁴¥)	OOP^b expenditure as a share of total expenditure (%)	OOP^b expenditure as a share of annual net income (%)
Before the reform	2007	65	45	35	2	67.98	30.29
	2008	75	50	35	2	59.25	25.46
	2009	80	60	40	4	58.11	25.93
	2010	80	60	40	6	57.20	25.28
	2011	85	65	45	7	53.97	22.66
	2012	60–90	80	50	8	47.60	17.54
After the reform	2013	60–95	85	50–70	10	42.37	13.33
	2014	60–95	75–85	50–80	10	47.34	13.95
	2015	60–95	75–85	50–80	10	45.10	12.68
	2016	90	85	85	10	41.05	10.58

^aNCMS: New Cooperative Medical Scheme
^bOOP: Out-of-pocket
^cThis is the official reimbursement rate by NCMS for inpatient care, which is not the same as the actual reimbursement ratio, because many services provided in the hospitals are not covered by NCMS, and therefore, patients have to pay 100%

ISSN: 1472-6963