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Table 1 NCMSa reimbursement policies and per capita OOPb expenditures

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

  Year Official reimbursement rate c(%) Ceiling of annual compensation per patient (104¥) OOPb expenditure as a share of total expenditure (%) OOPb expenditure as a share of annual net income (%)
Primary hospital Secondary hospital Tertiary hospital
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
  1. aNCMS: New Cooperative Medical Scheme
  2. bOOP: Out-of-pocket
  3. 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%