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THEO ?NH SU?TCn c? Lu?t b?o hi? m y t? s? 25/2008/QH12 ng?y 14 th?ng 11 nm 2008 ? ??c s?a ?i, b? sung theo Lu?t s? 46/2014/QH13 ng?y 13 th?ng 6 nm 2014;Cn c? Ngh? ?nh s? 146/2018/N-CP ng?y 17 th?ng 10 nm 2018 c?a Ch?nh ph? quy ?nh chi ti?t v? h??ng d?n bi?n ph?p thi h?nh m?t s? i?u c?a Lu?t b?o hi? m y t?;Cn c? Ngh? ?nh s? 75/2017/N-CP ng?y 20 th?ng 6 nm 2017 c?a Ch?nh ph? quy ?nh ch?c nng, nhi?m v?, quy?n h?n v? c? c?u t? ch?c c?a B? Y t?;Theo ? ngh? c?a V? tr??ng V? K? ho?ch - T?i ch?nh,B? tr??ng B? Y t? ban h?nh Th?ng t? h??ng d?n thanh to?n chi phi kham b?nh, ch?a b?nh b?o hi? m y t? theo ?nh su?t.Ch??ng INH?NG QUY ?NH CHUNGi?u 1. Ph?m vi i?u ch?nh v? ph?m vi ?p d?ng1. Th?ng t? n?y quy ?nh v?:a) X?c ?nh qu? ?nh su?t;b) Giao, t?m ?ng, quy?t to?n qu? ?nh su?t;c) Ch? s? gi?m s?t th?c hi?n ?nh su?t.2. Th?ng t? n?y kh?ng ?p d?ng ?i v?i c? s? kh?m b?nh, ch?a b?nh (sau ?y vi?t t?t l? c? s?) m?i k? h?p ?ng kh?m b?nh, ch?a b?nh b?o hi?m y t? trong nm tr??c li?n k?.i?u 2. Gi?i th?ch t? ng?1. Qu? ?nh su?t l? s? ti?n ??c x?c ?nh tr??c, giao cho c? s? kh?m b?nh, ch?a b?nh b?o hi?m y t? ?  kh?m b?nh, ch?a b?nh ngo?i tr? cho ng??i b?nh c? th? b?o hi?m y t? trong ph?m vi ?nh su?t, trong kho?ng th?i gian nh?t ?nh.2. Nh?m tu? i c?c ?i t??ng tham gia b?o hi?m y t? quy ?nh t?i Th?ng t? n?y ??c chia th?nh 6 nh?m t?nh theo nm sinh nh? sau:a) Nh?m 1: t? 0 tu?i ?n 6 tu?i;b) Nh?m 2: t? 7 tu?i ?n 18 tu?i;c) Nh?m 3: t? 19 tu?i ?n 24 tu?i;d) Nh?m 4: t? 25 tu?i ?n 49 tu?i;) Nh?m 5: t? 50 tu?i ?n 59 tu?i;e) Nh?m 6: t? 60 tu?i tr? l?n.3. Th? quy ? i l? th? b?o hi?m y t? ng k? kh?m b?nh, ch?a b?nh ban ?u ??c quy ? i ? th?i gian giao qu? v? theo chi ph? c?a t?ng nh?m tu?i trong ph?m vi ?nh su?t quy ?nh t?i kho?n 2 i?u n?y.4. Th? t??ng ??ng l? th? b?o hi?m y t? c? nhu c?u s? d?ng ngu?n l?c nh? nhau cho m?t l?n kh?m b?nh, ch?a b?nh trong ph?m vi ?nh su?t, s? th? t??ng ??ng c?a m?t c? s? l? t?ng s? l??t kh?m b?nh, ch?a b?nh ngo?i tr? trong ph?m vi ?nh su?t c?a ng??i b?nh tham gia b?o hi?m y t? ?n kh?m b?nh, ch?a b?nh ban ?u v? a tuy?n ?n t?i c? s? ? ??c i?u ch?nh chi ph? theo nh?m tu? i v? s? th? quy ? i c?a c? s?.5. Su?t ph? c? b?n l? kho?n kinh ph? d?ng ? thanh to?n cho m?t th? t??ng ??ng, ??c ?p d?ng tr?n ph?m vi to?n qu?c ho?c to?n t?nh, th?nh ph? tr?c thu?c trung ??ng (sau ?y vi?t t?t l? t?nh).6. H? s? giao qu? l? h? s? d?ng ?  i?u ch?nh qu? ?nh su?t t?nh (sau ?y vi?t t?t l? kt?nh) ho?c qu? ?nh su?t c? s? (sau ?y vi?t t?t l? kc? s?).7. Ti?n k?t d? l? s? ti?n ch?nh l?ch l?n h?n gi?a qu? ?nh su?t ??c quy?t to?n so v?i t? ng s? chi kh?m b?nh, ch?a b?nh b?o hi?m y t? ngo?i tr? trong ph?m vi ?nh su?t ? th?c hi?n c?a c? s? khi k?t th?c th?i gian giao qu?.8. Chi ph? tng ho?c gi?m do c?c y?u t? ch?nh s?ch thay ? i l? s? ti?n ??c t?nh ri?ng cho t?ng c? s? khi th?c hi?n quy?t to?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? ngo?i tr? c?a nm giao qu? d?a tr?n c?c thay ?i c? t?c ?ng ?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? c?a c?c vn b?n quy ph?m ph?p lu?t.i?u 3. Ph?m vi i#nh su?t 1. Ph?m vi ?nh su?t ?i v?i c? s? t? tuy?n huy?n tr? xu?ng l? to?n b? chi ph? kh?m b?nh, ch?a b?nh ngo?i tr? trong ph?m vi ??c h??ng c?a ng??i tham gia b?o hi?m y t?, tr? tr??ng h?p quy ?nh t?i kho?n 3 i?u n?y.2. Ph?m vi ?nh su?t ?i v?i c? s? tuy?n t?nh, tuy?n trung ??ng: ?p d?ng ?i v?i t?t c? c? s? c? th? b?o hi?m y t? ng k? kh?m b?nh, ch?a b?nh ban ?u v? to?n b? chi ph? kh?m b?nh, ch?a b?nh ngo?i tr? trong ph?m vi ?nh su?t c?a ng??i b?nh ng k? kh?m b?nh, ch?a b?nh ban ?u ph?t sinh t?i c? s?, tr? tr??ng h?p quy ?nh t?i kho?n 3 i?u n?y.3. Ph?m vi ?nh su?t kh?ng bao g?m c?c chi ph? kh?m b?nh, ch?a b?nh c?a ?i t??ng, b?nh, nh?m b?nh sau ?y:a) Chi ph? c?a c?c ?i t??ng c? m? th? qu?n nh?n (QN), c? y?u (CY), c?ng an (CA);b) Chi ph? v?n chuy?n ng??i b?nh c? th? b?o hi?m y t?;c) To?n b? chi ph? c?a l?n kh?m b?nh, ch?a b?nh b?o hi?m y t? c? s? d?ng d?ch v? k? thu?t th?n nh?n t?o chu k? ho?c d?ch v? k? thu?t l?c m?ng b?ng ho?c d?ch l?c m?ng b?ng;d) To?n b? chi ph? c?a l?n kh?m b?nh, ch?a b?nh b?o hi?m y t? c? s? d?ng thu?c ch?ng ung th? ho?c d?ch v? can thi?p i?u tr? b?nh ung th? ?i v?i ng??i b?nh ??c ch? n o?n b?nh ung th? g?m c?c m? t? C00 ?n C97 v? c?c m? t? D00 ?n D09 thu?c b? m? Ph?n lo?i b?nh qu?c t? l?n th? X (sau ?y vi?t t?t l? ICD-10);) To?n b? chi ph? c?a l?n kh?m b?nh, ch?a b?nh b?o hi?m y t? c? s? d?ng thu?c i?u tr? Hemophilia ho?c m?u ho?c ch? ph?m c?a m?u ?i v?i ng??i b?nh ??c ch? n o?n b?nh Hemophilia g?m c?c m? D66, D67, D68 thu?c b? m? ICD-10;e) To?n b? chi ph? c?a l?n kh?m b?nh, ch?a b?nh b?o hi?m y t? c? s? d?ng thu?c ch?ng th?i gh?p ?i v?i ng??i b?nh gh?p t?ng;g) To?n b? chi ph? c?a l?n kh?m b?nh, ch?a b?nh b?o hi?m y t? c? s? d?ng thu?c i?u tr? vi?m gan C c?a ng??i b?nh b? b?nh vi?m gan C;h) To?n b? chi ph? c?a l?n kh?m b?nh, ch?a b?nh b?o hi?m y t? c? s? d?ng thu?c kh?ng HIV ho?c d?ch v? x?t nghi?m t?i l??ng HIV c?a ng??i b?nh c? th? b?o hi?m y t? ??c ch? n o?n b?nh HIV.Ch??ng IIX?C ?NH QU? ?NH SU?Ti?u 4. Qu? ?nh su?t to?n qu?c1. Qu? ?nh su?t to?n qu?c (sau ?y vi?t t?t l? QUY_Stq) c?a nm giao qu? ??c t?nh theo c?ng th?c nh? sau:QUY_Stq=T?ng qu? ?nh su?t to?n qu?c nm tr??c li?n k? ??c quy?t to?n+S? ti?n ch?nh l?ch do tng ho?c gi?m th? quy ?i gi?a nm giao qu? v?i nm tr??c li?n k?+Chi ph? tng ho?c gi?m do c?c y?u t? ch?nh s?ch thay ?iTrong ?:a) T?ng qu? ?nh su?t to?n qu?c nm tr??c li?n k? ??c quy?t to?n l? t?ng s? ti?n thu?c ph?m vi qu? ?nh su?t nm tr??c li?n k? c?a t?ng c? s? ??c quy?t to?n theo quy ?nh c?a Th?ng t? n?y;b) S? ti?n ch?nh l?ch do tng ho?c gi?m th? quy ? i gi?a nm giao qu? v?i nm tr??c li?n k? ??c t?nh theo c?ng th?c nh? sau:S? ti?n ch?nh l?ch do tng ho?c gi?m th? quy ?i gi?a nm giao qu? v?i nm tr??c li?n k?=T_TTS to?n qu?c c?a nm tr??c li?n k?xCh?nh l?ch s? th? quy ?i nm giao qu? tng ho?c gia m so v?i nm tr??c li?n k?S? th? quy ?i gi?m so v?i nm tr??c li?n k?Trong ?:- T_TTS to?n qu?c = T? ng c?ng ti?n thanh quy?t to?n cho ?nh su?t (sau ?y vi?t t?t l? T_TTS) c?a to?n b? c?c t?nh trong to?n qu?c;- T_TTS t?nh = T?ng c?ng T_TTS c?a to?n b? c?c c? s? th?c hi?n kh?m b?nh, ch?a b?nh theo ?nh su?t c?a t?nh;- T_TTS c? s? = (Qu? ?nh su?t nm c?a c? s? ??c quy?t to?n theo quy ?nh t?i i?u 11 Th?ng t? n?y) + (S? ti?n tng ho?c gi?m do c?c y?u t? ch?nh s?ch thay ?i ??c quy ?nh t?i kho?n 8 i?u 2 Th?ng t? n?y).2. S? th? quy ?i to?n qu?c, h? s? quy ?i th? to?n qu?ca) S? th? quy ?i to?n qu?c b?ng t?ng s? th? quy ?i c?a c?c t?nh;b) S? th? quy ?i nm giao qu? c?a t?nh (sau ?y vi?t t?t l? The Qti nh) = T?ng c?ng [(S? th? ng k? kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u theo nh?m tu? i c?a t?nh c?a nm giao qu? ??c t?nh t? ng?y 01 th?ng 01 ?n ng?y 31 th?ng 12 c?a nm giao qu?) x (H? s? quy ?i th? to?n qu?c theo nh?m tu?i ? c?a nm giao qu?)].Trong ?:- i l? nh?m tu? i th? i, trong ? i c? gi? tr? t? 1 ?n 6 t??ng ?ng v?i 6 nh?m tu?i theo quy ?nh t?i kho?n 2 i?u 2 Th?ng t? n?y;- The KB nm giao qu?t?nhi l? th? ng k? kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u c?a nh?m tu?i th? i nm giao qu? ?nh su?t t?nh ? t?nh ? th?i gian m?t nm;- HSQTtqi l? h? s? quy ? i th? to?n qu?c theo nh?m tu? i th? i c?a nm giao qu? ??c t?nh theo c?ng th?c nh? sau:HSQTtqi=Chi ph? b?nh qu?n tr?n m?t th? b?o hi?m y t? to?n qu?c nh?m tu? i i c?a nm tr??c li?n k?Chi ph? b?nh qu?n tr?n m?t th? b?o hi?m y t? to?n qu?c c?a nm tr??c li?n k?Trong ?:Chi ph? b?nh qu?n tr?n m?t th? b?o hi?m y t? to?n qu?c nhom tu? i i c?a nm tr??c li?n k?=T_BHTT ? thanh to?n cho nh?m tu?i i to?n qu?c c?a nm tr??c li?n k?T?ng s? th? b?o hi?m y t? nh?m tu? i i to?n qu?c c?a nm tr??c li?n k? ? t?nh ? th?i gian m?t nmChi ph? b?nh qu?n tr?n m?t th? b?o hi?m y t? to?n qu?c c?a nm tr??c li?n k?=T_BHTT ? thanh to?n cho c?c nh?m tu?i to?n qu?c c?a nm tr??c li?n k?T?ng s? th? b?o hi?m y t? to?n qu?c c?a nm tr??c li?n k? ? t?nh ? th?i gian m?t nmTrong ?:- T_BHTT to?n qu?c = T?ng c?ng chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? ??c thanh quy?t to?n (sau ?y vi?t t?t l? T_BHTT) c?a c?c t?nh trong to?n qu?c;- T_BHTT t?nh = T?ng c?ng T_BHTT c?a to?n b? c?c c? s? th?c hi?n kh?m b?nh, ch?a b?nh theo ?nh su?t c?a t?nh;- T_BHTT c? s? = S? ti?n ??c x?c ?nh theo bi?n b?n gi?m ?nh thanh to?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? thu?c ph?m vi qu? b?o hi?m y t? c?a c? quan b?o hi?m x? h?i t?nh.i?u 5. Su?t ph? c? b?n to?n qu?c1. Su?t ph? c? b?n to?n qu?c c?a nm giao qu? (sau ?y vi?t t?t l? SPCBtq) ??c t?nh theo c?ng th?c nh? sau:SPCBtq=QUY_StqThe TtqTrong ?:a) QUY_Stq th?c hi?n theo quy ?nh t?i kho?n 1 i?u 4 Th?ng t? n?y;b) The Ttq l? s? th? t??ng ??ng to?n qu?c c?a nm giao qu? b?ng t?ng s? th? t??ng ??ng c?a t?t c? c?c t?nh nm giao qu?.2. S? th? t??ng ??ng nm giao qu? c?a t?nh = (S? th? t??ng ??ng n?i t?nh nm giao qu? c?a t?nh) + (S? th? t??ng ??ng a tuy?n ?n ngo?i t?nh c?a nm giao qu? c?a t?nh).a) S? th? t??ng ??ng n?i t?nh nm giao qu? c?a t?nh b?ng t?ng s? th? t??ng ??ng n?i t?nh theo 6 nh?m tu? i ??c quy ?nh t?i kho?n 2 i?u 2 Th?ng t? n?y nm giao qu? c?a t?nh ?. S? th? t??ng ??ng n?i t?nh c?a nm giao qu? nh?m tu? i i c?a t?nh (sau ?y vi?t t?t l? The T n?i t?nh nh?m i nm giao qu?) ??c t?nh theo c?ng th?c nh? sau:The T n?i t?nh nh?m i nm giao quy=S? l??t n?i t?nh nhom iti nh ntlkxThe Q nh?m iti nh nm giao quyxH? s? quy ?i l??t nh?m ito?n qu?c nm giao quyThe Q nh?m iti nh ntlkTrong ?:- S? l??t n?i t?nh nh?m it?nh ntlk l? s? l??t c?a ng??i b?nh nh?m tu? i i c? th? b?o hi?m y t? ng k? kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u t?i t?nh (kh?ng bao g?m th? b?o hi?m y t? do t?nh kh?c ph?t h?nh) i kh?m b?nh, ch?a b?nh t?i c?c c? s? tr?n ?a b?n c?a t?nh c?a nm tr??c li?n k?;- The Q nh?m it?nh ntlk l? s? th? quy ?i nh?m tu?i i c?a nm tr??c li?n k? c?a t?nh;- The Q nh?m it?nh nm giao quy l? s? th? quy ?i nh?m tu?i i c?a nm giao qu? c?a t?nh;- H? s? quy ?i l??t nh?m ito?n qu?c nm giao quy l? h? s? quy ?i l??t nh?m tu? i i to?n qu?c c?a nm giao qu?.b) S? th? t??ng ??ng a tuy?n ?n ngo?i t?nh c?a t?nh b?ng t?ng s? th? t??ng ??ng a tuy?n ?n c?a 6 nh?m tu?i theo quy ?nh t?i kho?n 2 i?u 2 Th?ng t? n?y.S? th? t??ng ??ng a tuy?n ?n nhom tu? i i cu a ti nh nm giao quy=S? l??#t kh?m b?#nh, ch?a b?nh ba o hi? m y t? ngo?i tru a tuy?n ?n nhom tu? i i cu a ti nh nm tr??c li?n k?xH?# s? quy ? i l??#t toan qu?c nhom tu? i i cu a nm giao quyc) H? s? quy ?i l??t to?n qu?c theo nh?m tu?i i (sau ?y vi?t t?t l? HSQLtqi) c?a nm giao qu? ??c t?nh theo c?ng th?c nh? sau:HSQLtqi=Chi ph? b?nh qu?n tr?n m?t l??#t nhom tu? i i cu a to?n qu?c c?a nm tr??c li?n k?Chi ph? b?nh qu?n tr?n m?t l??#t kham b?#nh ch?a b?#nh cu a to?n qu?c c?a nm tr??c li?n k?Trong ?:Chi ph? b?nh qu?n tr?n m?t l??t nh?m tu?i i c?a to?n qu?c c?a nm tr??c li?n k?=T_BHTT ? thanh to?n cho nh?m tu?i i c?a nm tr??c li?n k? c?a to?n qu?cT? ng l??t kh?m b?nh, ch?a b?nh nh?m tu?i i c?a to?n qu?c c?a nm tr??c li?n k?Chi ph? b?nh qu?n tr?n m?t l??t kham b?#nh c?a to?n qu?c nm tr??c li?n k?=T_BHTT ? thanh to?n cho 6 nhom tu? i c?a toan qu?c nm tr??c li?n k? T? ng s? l??t kh?m b?nh, ch?a b?nh cu a toan b?# cac nhom tu? i c?a to?n qu?c c?a nm tr??c li?n k?i?u 6. Qu? ?nh su?t t?nh1. Qu? ?nh su?t t?nh c?a nm giao qu? (sau ?y vi?t t?t l? QUY_St?nh) ??c t?nh theo c?ng th?c nh? sau:QUY_Sti nh=SPCBtqxS? the  t??ng ??ng c?a nm giao quy cu a ti nhxk1ti nhxk2ctqtqxk3ti nhTrong ?:a) SPCBtq th?c hi?n theo quy ?nh t?i kho?n 1 i?u 5 Th?ng t? n?y;b) S? th? t??ng ??ng nm giao qu? c?a t?nh th?c hi?n theo quy ?nh t?i kho?n 2 i?u 5 Th?ng t? n?y;c) k1t?nh l? h? s? i?u ch?nh chi ph? c?a t?nh theo chi ph? b?nh qu?n chung to?n qu?c v? b?o ?m qu? ?nh su?t t?m t?nh c?a t?nh theo h? s? k = k1 (ch?a bao g?m h? s? k2) kh?ng v??t qu? 110% (m?t trm m??i ph?n trm) ho?c nh? h?n 90% (ch?n m??i ph?n trm) khi c? c?ng m?t s? l??ng th? quy ?i nh? nhau c?a t?nh, k1t?nh ??c t?nh theo c?ng th?c nh? sau:k1t?nh=TLHS x CPBQ the  Tti nh ntlk + (1-TLHS) x CPBQ the  Ttq ntlkCPBQ the  Ttq ntlkTrong ?:- TLHS l? t? l? ?p d?ng h? s? chi ph? th?c hi?n theo l? tr?nh quy ?nh t?i kho?n 2 i?u 15 Th?ng t? n?y.- CPBQ th? Tt?nh ntlk l? chi ph? b?nh qu?n tr?n m?t th? t??ng ??ng c?a nm tr??c li?n k? c?a t?nh ??c t?nh theo c?ng th?c nh? sau:CPBQ the  Tti nh ntlk=T_TTS ti nh nm tr??c li?n k?S? the  t??ng ??ng cu a nm tr??c li?n k? cu a ti nh- CPBQ the  Tti nh ntlk l? chi ph? b?nh qu?n tr?n m?t th? t??ng ??ng c?a to?n qu?c c?a nm tr??c li?n k? ??c t?nh theo c?ng th?c nh? sau:CPBQ the  Ttq ntlk=T_TTS to?n qu?c nm tr??c li?n k?S? the  t??ng ??ng nm tr??c li?n k? cu a to?n qu?cd) k2ctqtq l? h? s? i?u ch?nh ? t? ng qu? ?nh su?t giao cho c?c t?nh c?a to?n qu?c b?ng t?ng qu? ?nh su?t to?n qu?c ??c t?nh theo c?ng th?c nh? sau:Trong ?:- n l? s? l??ng c?c t?nh th?c hi?n giao qu? kh?m b?nh, ch?a b?nh theo ?nh su?t;- QUY_Stq th?c hi?n theo quy ?nh t?i kho?n 1 i?u 4 Th?ng t? n?y;- QUY St?nh tt l? qu? ?nh su?t t?m t?nh c?a t?nh ??c t?nh theo h? s? k1 v? ? i?u ch?nh b?o ?m kh?ng v??t qu? 110% (m?t trm m??i ph?n trm) ho?c kh?ng nh? h?n 90% (ch?n m??i ph?n trm) so v?i T_TTS t?nh c?a nm tr??c li?n k? tr?n c?ng m?t l??ng th? quy ?i nh? nhau (ch?a bao g?m h? s? k2) c?a t?nh;- j l? s? th? t? t?nh th? j, trong ? j c? gi? tr? t? 1 ?n n t??ng ?ng v?i s? l??ng c?c t?nh th?c hi?n giao qu? kh?m b?nh, ch?a b?nh theo ?nh su?t.) k3t?nh l? h? s? i?u ch?nh kh?c c?a t?nh, k3t?nh ?p d?ng b?ng 1 trong nm ?u ti?n th?c hi?n. C?c nm ti?p theo do B? tr??ng B? Y t? quy ?nh. Tr??ng h?p kh?ng c? quy ?nh th? k3t?nh ?p d?ng b?ng 1.2. Qu? ?nh su?t t?nh ch?a bao g?m chi ph? tng ho?c gi?m do c?c y?u t? ch?nh s?ch thay ? i. Vi?c x?c ?nh chi ph? tng ho?c gi?m do c?c y?u t? ch?nh s?ch thay ?i th?c hi?n theo th?ng b?o c?a B? Y t?. Tr??ng h?p kh?ng c? th?ng b?o c?a B? Y t?, chi ph? tng gi?m do c?c y?u t? ch?nh s?ch thay ?i ??c t?nh b?ng kh?ng.3. Qu? ?nh su?t c?a t?nh s? ??c ph?n b? h?t cho c?c c? s? trong nm giao qu?.i?u 7. Su?t ph? c? b?n t?nh1. Su?t ph? c? b?n t?nh c?a nm giao qu? (sau ?y vi?t t?t l? SPCBt?nh) ??c t?nh theo c?ng th?c nh? sau:SPCBti nh=QUY_St?nhThe Tt?nhTrong ?:a) QUY_St?nh th?c hi?n theo quy ?nh t?i kho?n 1 i?u 6 Th?ng t? n?y;b) The Tti nh l? s? th? t??ng ??ng c?a t?nh nm giao qu?.2. S? th? t??ng ??ng to?n t?nh c?a nm giao qu? b?ng t? ng s? th? t??ng ??ng c?a c?c c? s? th?c hi?n ?nh su?t trong t?nh c?a nm giao qu?.3. S? th? t??ng ??ng c?a c? s? th?c hi?n ?nh su?t c?a nm giao qu? = (S? th? t??ng ??ng kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u t?i c? s? c?a nm giao qu?) + (S? th? t??ng ??ng a tuy?n ?n c?a c? s? c?a nm giao qu?).a) S? th? t??ng ??ng kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u c?a c? s? c?a nm giao qu? b?ng t?ng s? th? t??ng ??ng kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u theo 6 nh?m tu?i theo quy ?nh t?i kho?n 2 i?u 2 Th?ng t? n?y c?a nm giao qu? c?a c? s?.S? th? t??ng ??ng kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u nh?m tu? i i c?a nm giao qu? c?a c? s? ??c t?nh theo c?ng th?c nh? sau:The  T KCBB c? s?  nhom tu? i i nm giao quy=S? L??t KCBB Nhom ic? s?  ntlkxThe  Q nh?m ic? s?  nm giao quyxH? s? quy ?i l??t nh?m i toan ti nh nm giao quyThe  Q nh?m ic? s? ntlkTrong ?:- S? l??t KCBB nh?m ic? s?  ntlk l? s? l??t c?a ng??i b?nh nh?m tu?i i c? th? b?o hi?m y t? ng k? kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u t?i c? s? v? kh?m b?nh, ch?a b?nh t?i ch?nh c? s? ? c?a nm tr??c li?n k?;- Th? Q nh?m ic? s?  ntlk l? s? th? quy ?i nh?m tu?i i c?a c? s? c?a nm tr??c li?n k?;- Th? Q nh?m ic? s?  nm giao quy l? s? th? quy ?i nh?m tu? i i c?a c? s? c?a nm giao qu?;- H? s? quy ?i l??t nh?m i toan ti nh nm giao quy l? h? s? quy ?i l??t nh?m tu? i i to?n t?nh c?a nm giao qu?. H? s? quy ?i l??t to?n t?nh theo nh?m tu?i i c?a nm giao qu? ??c t?nh theo c?ng th?c nh? sau:H?# s? quy ? i l??#t nh?m i toan ti nh nm giao quy=Chi phi binh qu?n tr?n m?#t l??#t nhom tu? i i toan ti nh cu a nm tr??c li?n k?Chi phi binh qu?n tr?n m?#t l??#t chung toan b?# 6 nhom tu? i toan ti nh cu a nm tr??c li?n k?Trong ?:Chi phi binh qu?n tr?n m?#t l??#t nhom tu? i i toan ti nh cu a nm tr??c li?n k?=T_BHTT ?  thanh toan cho nhom tu? i i toan ti nh cu a nm tr??c li?n k?T? ng l??#t kham b?#nh, ch?a b?#nh ba o hi? m y t? nhom tu? i i toan ti nh cu a nm tr??c li?n k?Chi phi binh qu?n tr?n m?#t l??#t chung cac nhom tu? i toan ti nh nm tr??c li?n k?=T_BHTT toan ti nh cu a nm tr??c li?n k?T? ng s? l??#t kham b?#nh, ch?a b?#nh cu a cac nhom tu? i cu a toan ti nh cu a nm tr??c li?n k?b) S? th? t??ng ??ng a tuy?n ?n c?a c? s? c?a nm giao qu? b?ng t?ng s? th? t??ng ??ng a tuy?n ?n c?a 6 nh?m tu?i theo quy ?nh t?i kho?n 2 i?u 2 Th?ng t? n?y.S? th? t??ng ??ng a tuy?n ?n nh?m tu? i i c?a c? s? c?a nm giao qu? = (S? l??t kh?m b?nh, ch?a b?nh a tuy?n ?n theo nh?m tu?i i c?a c? s? c?a nm tr??c li?n k?) x (H? s? quy ? i l??t to?n t?nh theo nh?m tu?i i c?a nm giao qu? ??c quy ?nh t?i i?m a kho?n n?y).i?u 8. Qu? ?nh su?t c? s?1. Qu? ?nh su?t c? s? c?a nm giao qu? ??c t?nh theo c?ng th?c nh? sau:Quy i#nh su?t c? s? =SPCBti nhxS? the  t??ng ??ng c?a c? s?  cu a nm giao quyxk1c? s? xk2ctqti nhxk3c? s? Trong ?:a) SPCBt?nh th?c hi?n theo quy ?nh t?i kho?n 1 i?u 7 Th?ng t? n?y;b) S? th? t??ng ??ng c?a c? s? c?a nm giao qu? th?c hi?n theo quy ?nh t?i kho?n 3 i?u 7 Th?ng t? n?y;c) k1c? s?  l? h? s? i?u ch?nh chi ph? c?a c? s? theo chi ph? b?nh qu?n chung to?n t?nh v? b?o ?m qu? ?nh su?t t?m t?nh theo h? s? k = k1 (ch?a c? h? s? k2) kh?ng v??t qu? 110% ho?c nh? h?n 90% khi c? c?ng m?t s? l??ng th? quy ?i nh? nhau c?a c? s?. k1c? s?  ??c t?nh theo c?ng th?c nh? sau:k1c? s? =TLHS x CPBQ the  Tc? s?  ntlk + (1-TLHS) x CPBQ the  Tti nh ntlkCPBQ the  Tti nh ntlkTrong ?:- TLHS l? t? l? ?p d?ng h? s? chi ph? th?c hi?n theo l? tr?nh quy ?nh t?i kho?n 2 i?u 15 Th?ng t? n?y.- CPBQ the  Tc? s?  ntlk l? chi ph? b?nh qu?n tr?n m?t th? t??ng ??ng c?a nm tr??c li?n k? c?a t?nh ??c t?nh theo c?ng th?c nh? sau:CPBQ the  Tc? s?  ntlk=T_TTS c? s? S? the  t??ng ??ng cu a c? s?  cu a nm tr??c li?n k?d) k2ctqti nh l? h? s? i?u ch?nh ?  t? ng qu? ?nh su?t giao cho c?c c? s? c?a to?n t?nh b?ng t? ng qu? ?nh su?t c?a t?nh ??c t?nh theo c?ng th?c nh? sau:+ n l? s? l??ng c?c c? s? th?c hi?n thanh quy?t to?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? theo ?nh su?t tr?n ?a b?n to?n t?nh;+ QUY_Sti nh th?c hi?n theo quy ?nh t?i i?u 6 Th?ng t? n?y;+ QUY_Sc? s? tt l? qu? ?nh su?t t?m t?nh c?a c? s? ??c t?nh theo h? s? k c?a c? s? b?ng k1 v? ? i?u ch?nh ? b?o ?m kh?ng v??t qu? 110% ho?c kh?ng nh? h?n 90% so v?i chi ph? nm tr??c li?n k? tr?n c?ng m?t l??ng th? quy ? i nh? nhau (ch?a bao g?m h? s? k2) c?a c? s? ?;+ j l? s? th? t? c? s? th? j, trong ? j c? gi? tr? t? 1 ?n n t??ng ?ng v?i s? l??ng c?c c? s? th?c hi?n thanh quy?t to?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? theo ?nh su?t tr?n ?a b?n to?n t?nh.) k3c? s? l? h? s? i?u ch?nh kh?c c?a c? s?, k3c? s? ?p d?ng b?ng 1 trong nm ?u ti?n th?c hi?n. C?c nm ti?p theo do S? 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Y t?. Vi?c x?c ?nh qu? ?nh su?t t?m giao th?c hi?n theo quy ?nh t?i kho?n 2 i?u n?y;b) Qu? ?nh su?t t?nh c?a nm tr??c li?n k? nm giao qu?.2. Qu? ?nh su?t t?m giao ?u nm c?a t?nh ??c x?c ?nh theo quy ?nh t?i i?u 6 Th?ng t? n?y, trong ? c?c s? li?u ??c t?m t?nh nh? sau:a) Qu? ?nh su?t to?n qu?c nm tr??c li?n k? ??c quy?t to?n t?m t?nh b?ng t? ng qu? ?nh su?t to?n qu?c t?m giao c?a nm tr??c li?n k?;b) Su?t ph? c? b?n to?n qu?c t?m giao ?u nm = (95% (ch?n m??i lm ph?n trm) qu? ?nh su?t to?n qu?c t?m t?nh ? i?m a kho?n n?y) : (S? th? t??ng ??ng to?n qu?c quy ?nh t?i i?m b kho?n 1 i?u 5 Th?ng t? n?y);c) S? th? quy ?i c?a nm tr??c li?n k? c?a t?ng t?nh t?m t?nh tr?n s? th? ? ph?t h?nh c?a c? quan b?o hi?m x? h?i c?a nm tr??c li?n k? c?a t?ng t?nh ? ??c quy ?i theo h? s? quy ?i th? to?n qu?c;d) S? l??t, T_BHTT t?nh c?a nm tr??c li?n k? ??c t?m t?nh b?ng s? l??t, s? chi kh?m b?nh, ch?a b?nh b?o hi?m y t? ngo?i tr? trong ph?m vi ?nh su?t m? c? s? ? ? ngh? tr?n H? th?ng th?ng tin gi?m ?nh b?o hi?m y t? c?a nm tr??c li?n k? c?a t?nh;) T_TTS t?nh c?a nm tr??c li?n k? ??c t?m t?nh b?ng qu? ?nh su?t t?m giao c? nm tr??c li?n k? ? ??c i?u ch?nh v?o qu? IV c?a nm tr??c li?n k? c?a t?nh;e) S? th? quy ? i nm giao qu? c?a t?ng t?nh t?m t?nh b?ng s? th? tham gia b?o hi?m y t? trong qu? I c?a nm giao qu? c?a t?ng t?nh ? quy ? i theo h? s? quy ?i th? to?n qu?c.i?u 10. Giao qu? ?nh su?t ?i v?i c? s?1. Cn c? th?ng b?o v? qu? ?nh su?t t?nh t?m giao theo quy ?nh t?i kho?n 1 i?u 9 Th?ng t? n?y, tr??c ng?y 30 th?ng 01 c?a nm giao qu?, B?o hi?m x? h?i t?nh c? tr?ch nhi?m th?ng b?o cho c? s? v?:a) Qu? ?nh su?t c? s? ??c t?m giao c?a nm giao qu? sau khi th?ng nh?t v?i S? Y t?. Vi?c x?c ?nh qu? ?nh su?t t?m giao cho t?ng c? s? tr?n ?a b?n theo quy ?nh t?i kho?n 3 i?u n?y;b) Qu? ?nh su?t c? s? c?a nm tr??c li?n k? nm giao qu?.2. Cn c? qu? ?nh su?t t?m giao c?a t?ng c? s?, B?o hi?m x? h?i t?nh c? tr?ch nhi?m giao qu? ?nh su?t cho t?ng c? s? theo t?ng qu? v?i m?c v? th?i h?n sau ?y:a) Giao qu? c?a qu? I tr??c ng?y 30 th?ng 01 c?a nm giao qu? v?i s? ti?n b?ng 22% (hai m??i hai ph?n trm) c?a qu? ?nh su?t t?m giao;b) Giao qu? c?a qu? II tr??c ng?y 15 th?ng 04 c?a nm giao qu? v?i s? ti?n b?ng 24% (hai m??i b?n ph?n trm) c?a qu? ?nh su?t t?m giao;c) Giao qu? c?a qu? III tr??c ng?y 15 th?ng 07 c?a nm giao qu? v?i s? ti?n b?ng 27% (hai m??i b?y ph?n trm) c?a qu? ?nh su?t t?m giao;d) Giao qu? c?a qu? IV tr??c ng?y 15 th?ng 10 c?a nm giao qu? v?i s? ti?n b?ng 27% (hai m??i b?y ph?n trm) c?a qu? ?nh su?t t?m giao.3. Qu? ?nh su?t t?m giao ?u nm cho c? s? ??c x?c ?nh theo quy ?nh t?i i?u 8 Th?ng t? n?y, trong ? c?c s? li?u ??c t?m t?nh nh? sau:a) Qu? ?nh su?t t?nh t?m t?nh b?ng t?ng qu? ?nh su?t t?nh ??c th?ng b?o ?u nm;b) Su?t ph? c? b?n t?nh = (95% (ch?n m??i lm ph?n trm) qu? ?nh su?t t?nh t?m giao ?u nm) : (S? th? t??ng ??ng to?n t?nh quy ?nh t?i kho?n 2 i?u 7 Th?ng t? n?y);c) S? th? quy ?i c?a nm tr??c li?n k? c?a t?ng c? s? t?m t?nh tr?n s? th? ? ph?t h?nh c?a c? quan b?o hi?m x? h?i c?a nm tr??c li?n k? ? ??c quy ?i theo h? s? quy ?i th? to?n t?nh;d) S? l??t, T_BHTT c? s? c?a nm tr??c li?n k? ??c t?m t?nh b?ng s? l??t, s? chi kh?m b?nh, ch?a b?nh b?o hi? m y t? ngo?i tr? trong ph?m vi ?nh su?t m? c? s? ? ? ngh? tr?n H? th?ng th?ng tin gi?m ?nh b?o hi?m y t? c?a nm tr??c li?n k? c?a c? s?;) T_TTS c? s? c?a nm tr??c li?n k? ??c t?m t?nh b?ng qu? ?nh su?t t?m giao c? nm c?a nm tr??c li?n k? ? ??c i?u ch?nh v?o qu? IV c?a nm tr??c li?n k? c?a c? s?;e) S? th? quy ?i nm giao qu? c?a t?ng c? s? t?m t?nh b?ng s? th? ng k? kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u trong qu? I c?a nm giao qu? v? ??c quy ?i theo h? s? quy ?i th? c?a t?nh.i?u 11. Quy?t to?n qu? ?nh su?t ?i v?i c? s?1. Qu? ?nh su?t c? s? ??c quy?t to?n h?ng qu? theo s? ??c giao c? s? quy ?nh t?i kho?n 2 i?u 10 Th?ng t? n?y.2. Qu? ?nh su?t c? s? c? nm ??c quy?t to?n b?ng s? qu? ??c x?c ?nh t?i i?u 8 Th?ng t? n?y khi c? s? b?o ?m ?ng th?i c?c t? l? sau ?y:a) T? l? chuy? n v?o i?u tr? n?i tr? trong ph?m vi ?nh su?t kh?ng l?n h?n nm tr??c li?n k?;b) T?n su?t a tuy?n i c?a ng??i b?nh ng k? kh?m b?nh, ch?a b?nh ban ?u kh?ng l?n h?n nm tr??c li?n k?;c) T? l? chuy?n tuy?n c?a ng??i b?nh a tuy?n ?n i kh?m b?nh, ch?a b?nh ngo?i tr? t?i tuy?n t?nh v? tuy?n trung ??ng trong ph?m vi ?nh su?t nm giao qu? kh?ng l?n h?n nm tr??c li?n k?;3. Tr??ng h?p c? s? kh?ng ?p ?ng quy ?nh t?i kho?n 2 i?u n?y th? qu? ?nh su?t c? s? c? nm ??c quy?t to?n = (s? qu? ??c x?c ?nh theo quy ?nh t?i i?u 8 Th?ng t? n?y) - (s? ti?n ph?i kh?u tr? ??c x?c ?nh theo quy ?nh t?i i?u 12 v? i?u 13 Th?ng t? n?y t??ng ?ng v?i t? l? tng).V? d?:- N?u c? s? b? tng t? l? chuy? n v?o i?u tr? n?i tr? th? s? ti?n kh?u tr? ??c x?c ?nh theo quy ?nh t?i i?u 12 Th?ng t? n?y;- N?u c? s? b? tng t?n su?t a tuy?n i c?a ng??i b?nh ng k? kh?m b?nh, ch?a b?nh ban ?u th? s? ti?n kh?u tr? ??c x?c ?nh theo quy ?nh t?i kho?n 1 i?u 13 Th?ng t? n?y;- N?u c? s? b? tng t? l? chuy?n v?o i?u tr? n?i tr? v? tng c? t?n su?t a tuy?n i c?a ng??i b?nh ng k? kh?m b?nh, ch?a b?nh ban ?u th? s? ti?n kh?u tr? b?ng t? ng s? ti?n ??c theo quy ?nh t?i i?u 12 Th?ng t? n?y v? s? ti?n ??c x?c ?nh theo quy ?nh t?i kho?n 1 i?u 13 Th?ng t? n?y.4. S? kinh ph? ch?nh l?ch gi?a qu? ?nh su?t t?m giao c?a c?c qu? I, II, III v?i s? kinh ph? c?a qu? ?nh su?t ??c quy?t to?n c? nm c?a c? s? ??c qu? b?o hi?m y t? i?u ch?nh v?o k? quy?t to?n qu? ?nh su?t qu? IV.5. Tr??ng h?p c? s? d?ng h?p ?ng kh?m b?nh, ch?a b?nh b?o hi?m y t? ngo?i tr? trong nm th?c hi?n th? s? ti?n quy?t to?n qu? ?nh su?t t??ng ?ng v?i th?i gian th?c hi?n ?nh su?t.6. Tr??ng h?p qu? ?nh su?t giao trong nm th?c hi?n l?n h?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? ? th?c hi?n (k?t d? qu? ?nh su?t):a) S? ti?n k?t d? qu? ?nh su?t ??c gi? l?i t?i a t?i c? s? l? 20% (hai m??i ph?n trm) t?ng qu? ?nh su?t ??c giao c? nm c?a c? s? v? ??c ?a v?o t?nh qu? ?nh su?t c?a c? s? cho nm sau. Ph?n k?t d? c?n l?i sau khi c? s? gi? l?i 20% (n?u c?) s? ??c chuy? n v? qu? ?nh su?t t?nh v? kh?ng ??c ?a v?o t?nh qu? ?nh su?t c?a c? s? cho nm sau;b) C? s? h?ch to?n s? ti?n k?t d? quy ?nh t?i i?m a kho?n n?y v?o ngu?n thu c?a c? s?. Vi?c qu?n l?, s? d?ng ph?n k?t d? n?y th?c hi?n theo quy ?nh c?a ph?p lu?t;c) N?u qu? ?nh su?t c? s? bao g?m c? chi ph? kh?m b?nh, ch?a b?nh c?a c?c c? s? tr?c thu?c th? c? s? c? tr?ch nhi?m tr?ch m?t ph?n ti?n trong s? ti?n d? c?a c? s? ??c gi? l?i cho c? s? tr?c thu?c. S? Y t? ch? tr? ph?i h?p v?i B?o hi?m x? h?i t?nh h??ng d?n tr?ch ph?n k?t d? cho t?ng c? s? tr?c thu?c cho ph? h?p v?i i?u ki?n th?c t? t?ng ?a ph??ng.7. Tr??ng h?p qu? ?nh su?t ??c giao nh? h?n s? kinh ph? chi cho kh?m b?nh, ch?a b?nh b?o hi?m y t? trong ph?m vi ?nh su?t (c? s? b? b?i chi qu? ?nh su?t) th? c? s? t? c?n ?i trong ngu?n thu c?a c? s? theo quy ?nh.Ch??ng IVCH? S? GI?M S?T TH?C HI?N ?NH SU?Ti?u 12. Quy ?nh v? t? l? i?u tr? n?i tr?1. T? l? i?u tr? n?i tr? ??c x?c ?nh theo c?ng th?c nh? sau:Ty  l?# i?u tri# n?#i tru=S? l??#t i?u tri# n?#i tru cu a nm (n) cu a c? s? S? the  quy ? i cu a nm (n) cu a c? s? Ri?ng ?i v?i c?c c? s? tuy?n t?nh v? tuy?n trung ??ng, s? l??t i?u tr? n?i tr? ch? t?nh nh?ng tr??ng h?p l? ng??i b?nh c? ng k? kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u t?i c? s?.Tr??ng h?p c? s? th?c hi?n thanh to?n theo ph??ng th?c ?nh su?t c? t? l? chuy? n v?o i?u tr? n?i tr? c?a nm giao qu? v??t qu? t? l? chuy? n v?o i?u tr? n?i tr? c?a nm tr??c li?n k?, m?i l??t v??t qu? m?c s? b? gi?m tr? i s? ti?n t??ng ?ng v?i chi ph? trung b?nh l??t i?u tr? n?i tr? b?o hi?m y t? c?a c? s?.2. S? l??t i?u tr? n?i tr? v??t qu? m?c ??c t?nh theo c?ng th?c nh? sau: S? l??#t i?u tri# n?#i tru v??#t qua m?c= (Ty  l?# i?u tri# n?#i tru cu a nm giao quy-Ty  l?# i?u tri# n?#i tru cu a nm tr??c li?n k?) xS? the  quy ? i cu a nm giao quy cu a c? s? i?u 13. Quy ?nh v? t? l? a tuy?n i v? t? l? chuy?n tuy?n1. T? l? a tuy?n i c?a ng??i b?nh ng k? kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u (sau ?y vi?t t?t l? t? l? a tuy?n i) t?i c? s? trong m?t nm (k? hi?u l? n) b?ng (=) s? l??t kh?m b?nh, ch?a b?nh b?o hi?m y t? c?a ng??i c? th? b?o hi?m y t? ng k? kh?m b?nh, ch?a b?nh ban ?u t?i c? s? i kh?m b?nh, ch?a b?nh b?o hi?m y t? trong ph?m vi ?nh su?t t?i c? s? kh?c (kh?ng g?m tr??ng h?p i kh?m b?nh, ch?a b?nh b?o hi?m y t? t?i c?c c? s? tuy?n huy?n trong t?nh) c?a nm (n) chia (:) s? th? quy ? i c?a nm (n) c?a c? s?.S? l??t a tuy?n i v??t qu? t? l? a tuy?n i c?a nm tr??c ??c t?nh theo c?ng th?c nh? sau:S? l??#t a tuy?n i v??#t qua ty  l?# a tuy?n i cu a nm tr??c= (Ty  l?# a tuy?n i cu a nm giao quy-Ty  l?# a tuy?n i cu a nm tr??c li?n k? nm giao quy) xS? the  quy ? i cu a nm giao quy Tr??ng h?p c? s? th?c hi?n thanh to?n theo ph??ng th?c ?nh su?t c? t? l? a tuy?n i v??t qu? t? l? a tuy?n i c?a nm tr??c li?n k?, m?i l??t v??t qu? m?c s? b? kh?u tr? i s? ti?n t??ng ?ng v?i chi ph? trung b?nh m?t l??t kh?m b?nh, ch?a b?nh b?o hi?m y t? ngo?i tr? trong ph?m vi ?nh su?t c?a c?c tr??ng h?p a tuy?n i trong nm giao qu? c?a c? s?.2. T? l? chuy?n tuy?n c?a ng??i b?nh a tuy?n ?n t?i c? s? c?a nm (n) ??c t?nh theo c?ng th?c nh? sau:Ty  l?# chuy? n tuy?n cu a ng??i b?#nh a tuy?n ?n ta#i c? s?  cu a nm (n)=S? l??#t ng??i b?#nh a tuy?n ?n cu a c? s?  ti?p tu#c ??#c chuy? n tuy?n i kham b?#nh, ch?a b?#nh ba o hi? m y t? ngoa#i tru ta#i c? s?  tuy?n ti nh va tuy?n trung ??ng trong pha#m vi i#nh su?t cu a nm (n)S? l??#t ng??i b?#nh a tuy?n ?n cu a nm (n) cu a c? s? Trong ?:S? l??#t chuy? n tuy?n v??#t qua ty  l?# chuy? n tuy?n cu a nm tr??c= (Ty  l?# chuy? n tuy?n cu a nm giao quy-Ty  l?# chuy? n tuy?n cu a nm tr??c li?n k?) xS? l??#t kham b?#nh, ch?a b?#nh a tuy?n ?n cu a nm giao quy Ri?ng ?i v?i c?c c? s? tuy?n t?nh v? tuy?n trung ??ng kh?ng ?p d?ng t? l? chuy?n tuy?n c?a ng??i b?nh a tuy?n ?n.Tr??ng h?p c? s? th?c hi?n thanh to?n theo ph??ng th?c ?nh su?t c? t? l? chuy?n tuy?n v??t qu? t? l? chuy?n tuy?n c?a nm tr??c li?n k?, m?i l??t tng qu? m?c s? b? kh?u tr? i s? ti?n t??ng ?ng v?i chi ph? trung b?nh m?t l??t kh?m b?nh, ch?a b?nh b?o hi?m y t? ngo?i tr? trong ph?m vi ?nh su?t c?a c?c tr??ng h?p chuy?n tuy?n i trong nm giao qu? c?a c? s?.3. C?c c? s? nh?n ng??i b?nh kh?m b?nh, ch?a b?nh b?o hi?m y t? t? c? s? kh?c chuy?n tuy?n ?n khi chuy? n d? li?u l?n H? th?ng th?ng tin gi?m ?nh b?o hi?m y t? ph?i c? ? th?ng tin m? n?i c? s? kh?m b?nh, ch?a b?nh chuy? n ng??i b?nh ?n (MA_NOI_CHUYEN) theo quy ?nh t?i b?ng 1 Ph? l?c ban h?nh k?m theo Quy?t ?nh s? 4210/Q-BYT ng?y 20 th?ng 9 nm 2017 c?a B? Y t? v? vi?c Quy ?nh chu?n v? ?nh d?ng d? li?u ?u ra s? d?ng trong qu?n l?, gi?m ?nh v? thanh to?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t?. Trong tr??ng h?p h? s? ? ngh? thanh to?n b?o hi?m y t? theo chuy? n ?ng tuy?n m? kh?ng c? m? th?ng tin m? n?i c? s? kh?m b?nh, ch?a b?nh chuy? n ?n n?y th? h? s? ? kh?ng ??c coi l? tr??ng h?p chuy? n ?ng tuy?n v? ??c thanh to?n theo quy ?nh hi?n h?nh v? tr??ng h?p chuy? n kh?ng ?ng tuy?n.Ch??ng VI?U KHO?N THI H?NHi?u 14. Hi?u l?c thi h?nh Th?ng t? n?y c? hi?u l?c thi h?nh t? ng?y 01 th?ng 7 nm 2021.i?u 15. i?u kho?n chuy?n ti?p v? l? tr?nh th?c hi?n1. Qu? ?nh su?t c?a nm 2021 ??c t?nh t? ng?y 01 th?ng 01 nm 2021, trong ? c?c s? li?u ?  t?nh to?n qu? ?nh su?t nm 2021 ??c th?c hi?n theo c?c quy ?nh sau ?y:a) S? th? t??ng ??ng c?a c? s?, c?a t?nh do tng ho?c gi?m th? quy ?i x?c ?nh theo ch?nh l?ch s? th? quy ? i c?a nm 2021 so v?i nm 2019;b) T? ng qu? ?nh su?t to?n qu?c nm 2021 theo quy ?nh t?i kho?n 1 i?u 4 Th?ng t? n?y ??c t?nh theo c?ng th?c nh? sau:T? ng quy i#nh su?t toan qu?c nm 2021=(CP x TL)+CPx (S? the  quy ? i nm 2021-S? the  quy ? i nm 2019)S? the  quy ? i 2019Trong ?:- CP l? s? chi kh?m b?nh, ch?a b?nh b?o hi?m y t? trong ph?m vi ?nh su?t nm 2019 ??c quy?t to?n theo quy ?nh c?a Ngh? ?nh s? 146/2018/N-CP ng?y 17 th?ng 10 nm 2018 c?a Ch?nh ph? quy ?nh chi ti?t v? h??ng d?n bi?n ph?p thi h?nh Lu?t b?o hi?m y t? (sau ?y vi?t t?t l? Ngh? ?nh s? 146/2018/N-CP);- TL l? t? l? chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? trong ph?m vi ?nh su?t trong T? ng chi kh?m b?nh, ch?a b?nh b?o hi?m y t? thu?c tr?ch nhi?m thanh to?n c?a c? quan b?o hi?m x? h?i nm 2019.c) T_BHTT c?a nm tr??c li?n k? b?ng T_BHTT c?a nm 2019;d) T_TTS nm tr??c li?n k? b?ng T_BHTT c?a nm 2019;) C?c ch? s? gi?m s?t ?i v?i c? s? ??c x?c ?nh theo s? li?u c?a nm 2019, trong ?:- T? l? a tuy?n i, t? l? chuy? n i c?a nm tr??c li?n k? ??c x?c ?nh b?ng t? l? a tuy?n i, t? l? chuy?n tuy?n i c?a nm 2019;- T? l? chuy?n v?o i?u tr? n?i tr? c?a nm tr??c li?n k? b?ng (=) S? l??t kh?m b?nh, ch?a b?nh b?o hi?m y t? trong ph?m vi ?nh su?t c?a nm 2019 c?a c? s? chia (:) S? l??t kh?m b?nh, ch?a b?nh kh?m b?nh, ch?a b?nh b?o hi?m y t? (bao g?m c? n?i v? ngo?i tr?) c?a nm 2019 c?a c? s?.2. L? tr?nh th?c hi?n t? l? ?p d?ng h? s? chi ph?:a) Nm 2021: t? l? ?p d?ng h? s? chi ph? b?ng 80% (t?m m??i ph?n trm);b) T? nm 2022: Th?c hi?n theo th?ng b?o c?a B? Y t?. Tr??ng h?p kh?ng th?ng b?o th? ti?p t?c ?p d?ng b?ng t? l? ?p d?ng h? s? chi ph? nm tr??c li?n k?.i?u 16. i?u kho?n tham chi?uTr??ng h?p c?c vn b?n d?n chi?u trong Th?ng t? n?y ??c thay th? ho?c s?a ?i, b? sung th? th?c hi?n theo vn b?n ??c thay th? ho?c s?a ?i, b? sung ?.i?u 17. Tr?ch nhi?m thi h?nh1. Tr?ch nhi?m c?a B? Y t?:a) Ki?m tra, ?i so?t tr??c khi giao qu? ?nh su?t cho c?c t?nh v? k?t qu? t?nh to?n qu? ?nh su?t to?n qu?c, c?c ch? s?, h? s? giao qu?, c?c h? s? kh?c c? li?n quan ?n giao qu? ?nh su?t c?a B?o hi?m x? h?i Vi?t Nam ?i v?i c?c t?nh d?a tr?n s? li?u th?c t? ? s? d?ng;b) Quy ?nh v? th?ng b?o h? s? k3t?nh;c) Ch? tr?, ph?i h?p v?i B?o hi?m x? h?i Vi?t Nam t?nh to?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? trong ph?m vi ?nh su?t khi c? s? t?c ?ng c?a c?c y?u t? ch?nh s?ch li?n quan ?n thanh quy?t to?n chi ph? kh?m b?nh, ch?a b?nh b?o hi? m y t?;d) Ch? ?o c?c c? s? th?c hi?n nghi?m t?c c?c quy ?nh v? chuy?n m?n, th?c hi?n ?ng b? c?c gi?i ph?p ? b?o ?m vi?c s? d?ng qu? ?nh su?t h?p l?, an to?n v? hi?u qu?;) T? ch?c tri?n khai, ki?m tra, thanh tra, gi?m s?t, ?nh gi?, t? ng k?t vi?c t? ch?c th?c hi?n Th?ng t? n?y tr?n ph?m vi to?n qu?c.2. Tr?ch nhi?m c?a B?o hi?m x? h?i Vi?t Nam:a) Ch? tr? t?nh qu? ?nh su?t to?n qu?c, h? s? quy ? i, h? s? giao qu?, c?c h? s? kh?c c? li?n quan ?n vi?c ph?n b?, giao qu? ?nh su?t c?a c?c t?nh; th?ng nh?t v?i B? Y t? tr??c khi th?ng b?o qu? ?nh su?t cho c?c t?nh;b) Cung c?p cho B? Y t? c?c s? li?u s? d?ng t?nh to?n, c?ch t?nh to?n, ph?n b?, giao qu? ?nh su?t ? th?c hi?n ki?m tra, ?i so?t;c) Tr??ng h?p t?ng chi ph? trong ph?m vi qu? ?nh su?t to?n qu?c nm giao qu? l?n h?n t? ng qu? ?nh su?t to?n qu?c ? giao, B?o hi?m x? h?i Vi?t Nam t?ng h?p, b?o c?o theo quy ?nh t?i kho?n 6 i?u 25 Ngh? ?nh s? 146/2018/N-CP;d) Th?ng b?o qu? ?nh su?t cho c?c t?nh;) Ch? ?o B?o hi?m x? h?i t?nh:- Tri?n khai th?c hi?n ph??ng th?c thanh to?n theo ?nh su?t ??c quy ?nh, h??ng d?n t?i Th?ng t? n?y;- Ch? tr?, ph?i h?p v?i S? Y t? x?c ?nh c?c ch? s?: s? th? b?o hi?m y t? ng k? kh?m b?nh, ch?a b?nh ban ?u, h? s? quy ?i th?, su?t ph? c? b?n c?a t?nh, h? s? giao qu? c?a t?ng c? s? v? c?c h? s? c? li?n quan kh?c theo h??ng d?n c?a B? Y t? v? B?o hi?m x? h?i Vi?t Nam;- Ph?i h?p v?i c?c c? s? kh?m b?nh, ch?a b?nh b?o hi?m y t? trong t? ch?c th?c hi?n theo quy ?nh t?i Th?ng t? n?y;- Ph?i h?p v?i S? Y t? trong vi?c ki?m tra, gi?m s?t, b?o ?m quy?n l?i cho ng??i b?nh c? th? b?o hi?m y t?, gi?m s?t ho?t ?ng th?c hi?n Th?ng t? n?y ?i v?i c?c c? s? kh?m b?nh, ch?a b?nh th?c hi?n thanh to?n theo ?nh su?t, gi?i quy?t c?c v??ng m?c ph?t sinh trong qu? tr?nh th?c hi?n theo th?m quy?n;- Ph?i h?p v?i S? Y t? h??ng d?n c?c c? s? k? h?p ?ng kh?m b?nh, ch?a b?nh theo ph??ng th?c ?nh su?t x? l? k?t d? ho?c b?i chi qu? ?nh su?t (n?u c?) cho c?c c? s? tr?c thu?c.e) X?y d?ng ph??ng ph?p gi?m ?nh ph? h?p v?i ph??ng th?c thanh to?n theo ?nh su?t, h??ng d?n B?o hi?m x? h?i t?nh th?c hi?n v? ki?m tra, gi?m s?t, b?o ?m quy?n l?i cho ng??i b?nh c? th? b?o hi?m y t?.3. Tr?ch nhi?m c?a ?y ban nh?n d?n c?p t?nh:Ch? ?o, gi?i quy?t k?p th?i c?c kh? khn, v??ng m?c thu?c nhi?m v?, quy?n h?n c?a m?nh trong qu? tr?nh th?c hi?n ch?nh s?ch, ph?p lu?t v? b?o hi?m y t? v? c?c n?i dung li?n quan ?n Th?ng t? n?y.4. Tr?ch nhi?m c?a S? Y t?:a) Ch? ?o c?c c? s? kh?m b?nh, ch?a b?nh b?o hi?m y t? tr?n ?a b?n t? ch?c th?c hi?n Th?ng t? n?y;b) Ki? m tra, ?i so?t tr??c khi giao qu? ?nh su?t cho c?c c? s? v? k?t qu? t?nh to?n qu? ?nh su?t t?nh v? vi?c giao qu? ?nh su?t c?a B?o hi? m x? h?i t?nh ?i v?i c?c c? s? d?a tr?n s? li?u th?c t? ? s? d?ng;c) Ph?i h?p v?i B?o hi?m x? h?i t?nh x?c ?nh c?c ch? s?: s? th? b?o hi?m y t? ng k? kh?m b?nh, ch?a b?nh b?o hi?m y t? ban ?u, h? s? quy ?i th?, su?t ph? c? b?n c?a t?nh, h? s? giao qu? c?a c? s? kh?m b?nh, ch?a b?nh v? c?c h? s? c? li?n quan kh?c theo h??ng d?n c?a B? Y t?;d) Ch? tr?, ph?i h?p v?i B?o hi?m x? h?i t?nh trong vi?c ch? ?o c?c c? s? kh?m b?nh, ch?a b?nh t? ch?c tri?n th?c hi?n Th?ng t? n?y t?i c?c ph?ng kh?m a khoa, tr?m y t? x? tr?c thu?c c? s?;) Ch? tr?, ph?i h?p v?i B?o hi?m x? h?i t?nh trong vi?c ki?m tra, gi?m s?t, b?o ?m quy?n l?i cho ng??i b?nh c? th? b?o hi?m y t?, gi?m s?t ho?t ?ng th?c hi?n Th?ng t? n?y ?i v?i c?c c? s? kh?m b?nh, ch?a b?nh th?c hi?n thanh to?n theo ?nh su?t, gi?i quy?t c?c v??ng mc ph?t sinh trong qu? tr?nh th?c hi?n theo th?m quy?n;e) Ch? tr?, ph?i h?p v?i B?o hi?m x? h?i t?nh h??ng d?n c?c c? s? k? h?p ?ng kh?m b?nh, ch?a b?nh theo ph??ng th?c ?nh su?t x? l? k?t d? ho?c b?i chi qu? ?nh su?t (n?u c?) cho c?c c? s? tr?c thu?c ph? h?p th?c ti?n c?a ?a ph??ng.5. Tr?ch nhi?m c?a c? s? kh?m b?nh, ch?a b?nh:a) Ch? ?o c?c ?n v?, c? nh?n thu?c quy?n qu?n l? nghi?n c?u, t? ch?c th?c hi?n Th?ng t? n?y;b) B?o ?m quy?n l?i cho ng??i b?nh b?o hi?m y t?, cung ?ng ?y ? k?p th?i thu?c, h?a ch?t, v?t t? y t? trong ph?m vi ??c h??ng c?a ng??i tham gia b?o hi?m y t?;c) Tr??ng h?p d? qu? ?nh su?t v??t qu? 25% (hai m??i nm ph?n trm) qu? ?nh su?t ??c t?m giao ?u nm c? s? ph?i c? vn b?n thuy?t minh v?i S? Y t? v? B?o hi?m x? h?i t?nh. S? Y t? v? B?o hi?m x? h?i t?nh s? t? ch?c gi?m ?nh ?nh gi? ch?t l??ng i?u tr? nh?m b?o ?m quy?n l?i cho ng??i tham gia b?o hi?m y t?;d) Th?c hi?n vi?c m? h?a, tr?ch chuy? n d? li?u i?n t? li?n quan ?n th?c hi?n ph??ng th?c thanh to?n ?nh su?t theo quy ?nh;) Th?c hi?n x? l? k?t d? ho?c b?i chi qu? ?nh su?t theo h??ng d?n c?a S? Y t?;e) Ph?n b? qu? cho c?c c? s? tr?c thu?c ? nh?ng kh?ng v??t qu? t? ng s? qu? ?nh su?t ? ??c giao c?a c? s?;g) Ch? ?ng s? d?ng ngu?n kinh ph? ? ??c x?c ?nh trong nm ? cung c?p c?c d?ch v? y t? cho ng??i b?nh c? th? b?o hi?m y t?.Trong qu? tr?nh th?c hi?n n?u c? v??ng m?c, b?t c?p ? ngh? c?c c? quan, ?n v?, t? ch?c, c? nh?n ph?n ?nh k?p th?i v? B? Y t? (V? K? ho?ch - T?i ch?nh) ?  ??c xem x?t gi?i quy?t./. N?i nh?n: - ?y ban v? c?c v?n ? x? h?i c?a Qu?c h?i (? b?o c?o); - PTTgCP. Vi ?c am (? b?o c?o); - BT Nguy?n Thanh Long (? b?o c?o); - C?c Th? tr??ng (?  ph?i h?p ch? ?o); - Vn ph?ng Ch?nh ph? (V? KGVX, C?ng b?o, C?ng TTT Ch?nh ph?); - B? T? ph?p (C?c Ki?m tra vn b?n QPPL); - B? T?i ch?nh; - B?o hi?m x? h?i Vi?t Nam; - UBND c?c t?nh, th?nh ph? tr?c thu?c TW; - C?c ?n v? thu?c, tr?c thu?c B? Y t?; - S? Y t? c?c t?nh, th?nh ph? tr?#c thu?c TW; - Y t? c?c B?, ng?nh; - Hi?p h?i B?nh vi?n t? nh?n; - C?ng Th?ng tin i?n t? B? Y t?; - L?u: VT, PC, KHTC (05).KT. B?# TR?? NG TH? TR?? 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