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Table 1 Features of the NCMS

From: China’s new cooperative medical scheme and equity in access to health care: evidence from a longitudinal household survey

 

NCMS

Date started

2003 (Pilot scheme was initiated in four provinces)

Enrollment

Voluntary at household level

Coverage

94.3% in 2009

Guideline

General guidelines are issued by the central government, local governments retain considerable discretion over the details

Administration

County government sets the reimbursement rate, ceilings, medical saving account, etc.

Risk pooling

County level

Target population

Rural residents (840 million)

Financing mechanism

In the western and central China, the central government assisted the local government in providing financing for the scheme. In the more affluent eastern and coastal region, financing the premium was mainly through local government.

Designated health facilities

All levels of health facilities

Covered services

Inpatient series, catastrophic outpatient services, some prevention care services