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2012년 하반기7개 질환 포괄수가제 이렇게 달라진다.

보도국 .      2012.07.01 09:04    0

7개 질환 포괄수가제 시행, 노인틀니 건강보험 적용, 안전상비약 약국외 판매

7월부터 백내장 등 7개 질병군에 일종의 ‘입원비 정찰제’인 포괄수가제가 당연적용된다. 이와함께 다태아 임산부에게는 임신출산진료비가 20만원 추가 지원되며, 만 75세 이상 노인의 완전틀니에 건강보험이 적용되어 의료비 부담이 줄어들게 된다.

8월 이후에는 입양기관을 통한 입양 시 양부모 자격조건이 강화되고 법원의 입양허가를 받아야 하는 등 입양절차가 크게 변화된다. 또한 11월부터는 해열제․감기약․소화제 등을 편의점에서도 살 수 있게 된다.

7월1일부터 모든 병․의원에서 7개 질병군 입원환자를 대상으로 포괄수가제가 당연적용된다.

또한 보험적용이 안되던 비급여비용의 일부도 보험에 포함되어 환자부담은 평균 21% 줄어드는 반면, 의료기관이 받는 총 진료비(환자부담금+건강보험공단부담금)는 평균 2.7% 인상된다.
복지부는 의료의 질 저하 우려에 대해서는 18개 평가지표를 개발하여, 7월 당연적용과 함께 질 관리 모니터링체계를 가동할 계획이다.

7월 1일 이후 임신․출산 진료비 지원(고운맘 카드)을 신청하는 다태아를 임신한 산모는 20만원을 추가로 지원받게 되며, 75세 이상 노인의 경우 완전틀니를 할 때 건강보험 지원을 받게 되어 비용의 50%만 본인이 부담하면 틀니 시술을 받을 수 있게 된다.

현재까지는 다태아 산모라 할지라도 태아 수와 관계없이 50만원을 동일하게 지원받았으나 앞으로는 20만원을 더 받게 된다. 7월 이전 신청한 경우라도 다태아를 임신중인 사실을 증명하면 추가 지원을 받을 수 있다.

또한 그동안 건강보험이 적용되지 않았던 노인 완전틀니에도 건강보험이 적용되어 비용의 50%인 48만7천원만 부담하면 되고, 완전틀니 제작 기간동안 필요한 임시틀니 역시 비용의 50%인 11만원만 내면 된다. 또한 틀니 장착 후 3개월까지는 6회까지 무상 유지관리가 제공된다.

7월부터 노인장기요양보험의 지원 대상 범위가 확대되고, 전동침대․욕창방지매트 등 복지용구 제품 대여료가 품목별로 평균 20% 인하된다.

이번에 지원 대상 인정점수 하한이 55점에서 53점으로 완화되어 기존에 보험 적용이 되기 어려웠던 경증 치매․중풍 노인 2만 4천여명이 신규로 장기요양서비스를 받을 자격을 얻게 될 것으로 기대된다.

이와함께 「복지용구 품목별 제품목록 및 급여비용 등에 관한 고시」 개정을 통해 66개 제품을 복지용구 급여제품으로 신규로 등재하고 기존 제품 중 공급업체의 자진 취소 등의 사유로 34개 제품을 등재 취소하는 한편, 수급자의 대여료 부담을 완화하기 위하여 기존 6개 대여품목 222개 제품의 대여료를 품목별로 평균 20% 인하한다.

고소득 직장가입자의 종합소득에 보험료가 부과되는 등 건강보험료 부과체계도 개선된다.

9월부터는 근로소득을 제외한 연간 종합소득이 7,200만원을 초과하면 직장가입자라도 종합소득에 보험료가 부과된다. 종합소득 보험료율은 소득의 2.9%로 가입자가 전액을 부담한다.

또한 직장가입자의 피부양자 중 사업․금융소득 외 종합소득이 4천만원을 넘는 사람은 지역가입자로 전환되어 보험료가 부과된다. 이로써 소득 종류에 관계 없이 모든 소득을 고려하여 부담능력 있는 사람은 보험료를 내게 된다.

11월 15일부터는 해열제, 감기약, 소화제 등 일부 상비약을 24시간 운영하는 편의점에서 구입할 수 있게 된다.

구매 가능한 안전상비의약품은 성분, 부작용, 인지도 등을 고려한 20개 이내의 품목이며, 오남용을 막기 위해 한 번에 구매할 수 있는 양과 구매할 수 있는 연령도 제한된다. 8월부터는 학대아동 및 입양아동에 대한 보호조치가 강화된다.

아동학대 신고의무자 범위가 확대되고, 미신고시 100만원 이하의 과태료가 부과된다. 또한 친권상실 청구 요청권자 범위에 가정위탁지원센터․아동복지시설․학교의 장이 추가된다.

입양기관을 통한 입양의 경우 아동의 원가정 보호를 위해 친부모가 출산 후 7일이 지나야만 입양에 동의를 할 수 있도록 ‘입양숙려제’가 도입된다.

또한 양부모 자격조건이 강화되고 신고만으로 가능했던 입양의 성립에 가정법원의 허가가 필요하게 되었으며, 입양아동에게 ‘민법’상 친양자와 동일한 법적 지위가 부여되어 아동의 법적 지위가 강화된다.

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0 1 6411 secs MARNEWFIRST
▅☄✯▇▇♚✯ 120 Beats Per Minute MOVIE【VIMEO】 120 Beats Per Minute https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159 Release Date: August 23, 2017. Production Country: France 120 Beats Per Minute https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159. Duration : 120 Beats Per Minute https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159 : 135 minutes (2' 15"). 120 Beats Per Minute https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159" rel="nofollow" target="_blank">https://vimeo.com/channels/1276159

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이스탄불-경주엑스포 후속사업 ‘착착’ 6일 터키서 실무추진단·축하공연단 대거 방한ⓒ 붐뉴스  지난 9월 유럽의 문화수도 터키 이스탄불을 ‘문화한류’로 물들였던 ‘이스탄불-경주세계문화엑스포2013’의 후속사업이 속도감 있게 진행되고 있다. 이스탄불-경주세계문화엑스포2013’의 성공 개최를 축하하고, ‘포스트 이스탄불-경주엑스포’를 추진하기 위해 터키 이스탄불시에서 대규모 실무추진단과 공연단이 6일 내한했다. 이번 방문단은 이스탄불-경주엑스포의 터키측 실무책임자였던 압둘라만 ... 전체뉴스
포항바다열차 관광객 포항운하 첫 방문 ⓒ 붐뉴스  6일 바다열차 관광객 24명이 포항운하에 첫 방문했다. 지난 2일 포항운하 통수 이후 처음으로 도심재생 관광레저 운하인 포항운하 관광지의 수로길을 따라 둘러보고 포항운하 홍보관을 방문하는 바다열차 관광 코스의 일환이다. 올해 2월부터 대구에서 포항까지 운행 중인 ‘바다열차’는 매주 수요일 한 차례 ... 전체뉴스
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