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At present, the framework of the medical security system in rural and pastoral areas of Inner Mongolia Autonomous Region has taken shape, which plays an important role in meeting needs of the farmers and herdsmen on health care and improving the health standard. First, this article elaborates on the operations of the medical security system in rural and pastoral areas of Inner Mongolia. And then, the problems that exist in the medical security system would be analyzed. Finally, combining with the real situation in Inner Mongolia, the proposals to improve the medical security system are offered so as to improve the medical service level in rural and pastoral areas and meet the needs of farmers and herdsmen on health care. KEYWORD: NCMS (New Rural Cooperative Medical System); Medical Assistance; Public Health Services Farmers and Herdsmen; Inner Mongolia International Conference on Social Science, Education Management and Sports Education (SSEMSE 2015) © 2015. The authors Published by Atlantis Press 1681 hospitalization fund, outpatient fund, insurance fund of serious illness and risk fund. 2.1.2 Compensation Standard The compensation standard of NCMS includes hospitalization compensation and outpatient compensation. Taking Erdos City as an example: 2.1.2.1 Hospitalization Compensation The limit line of hospitalization compensation (including special outpatient clinic) per capita every year is up to 200 thousand. And the compensation standard is as follows: Table1 Hospitalization Compensation standard of NCMS 2.1.2.2 Outpatient Compensation The designated medical institutions of outpatient compensation are Sumu health clinics in towns and townships in every country, community health service center and the clinics of Gacha villiage, which implements the integrated management of villages. The ratio of compensation is as follows: Table2 Outpatient Compensation standard of NCMS Medical Institution Pay Line (Yuan) Compensation Ratio Limit Line City’s hospital of village and county level 100 65% The limit line is set according to the disease categories and meanwhile, the total cost combining the limit line of hospitalization can not exceed 200 thousand. City’s hospital (including hospitals of district and city level) Under Second-class Hospital (including second-class) 300 55% Third-class Hospital 500 45% Hospitals outside the city 700 35% 2.2 Rural and Pastoral Medical Assistance System The fund of rural and pastoral medical assistance system is from government allocations and voluntary contributions of all sectors of society. And the target people are including five guarantees family with serious illness, poor households and entitled groups in rural areas. And the four assistance measures consist of regular medical assistance, medical assistance for serious illness, outpatient assistance for serious illness and temporary medical assistance. 2.3 Basic Public Health Services The meaning of basic public health services covers a lot. And here, the author refers to the narrowly meaning of public health service, of which the content is providing the disease control and prevention and maternal and child protection. The major institution responsible for the public health services is Sumu health clinics in towns and townships. Until 2010, the number of health clinics in towns and townships in Inner Mongolia is 1340, of which the number of beds is 16424.[2]And Sumu health clinics in towns and townships provides various public health services, including building health records of farmers and herdsmen, popularizing the common sense of health care, executing the national immunization plan, vaccinating, registering and reporting the infectious disease and suspected cases within the region and controlling epidemics. 2.4 Medical Insurance of Serious Illness of NCMS Since 2014, Inner Mongolia has already carried out the work of medical insurance of serious illness of NCMS, of which the target people are the farmers and herdsmen who are insured that very year. And the insurance coverage is the annual large amount of fees of certain serious disease. And the specific compensation coverage and standard is consulted to the municipal administrative department of NCMS. And 20 yuan per person from the collective funds of NCMS is taken as the insurance expense and no additional fee should be paid. Besides, the annual ratio of fund surplus for commercial insurance companies cannot be over 5%. The part in excess of 5% should return to the fund of NCMS. If the proportion of capital loss of commercial insurance for serious illness is below 10%, the insurance companies should bear the cost and as for the part in excess of Medical Institution PayLine (Yuan) Compensation Ratio Limt Line Locality The Range of Hospital City, Village and County Level Sumu health clinics in towns and towships 200 90% 200 thousand City’s Hospitals Cla-ss I Under Second-class Hospital (including second-class) County Level 400 80% City Level 600 Cla-ss II Third-class Hospital County Level 600 75% City Level 1000 Hospitals outside the city 1500 65%

Study on the Medical Security System in Rural and Pastoral Areas of Inner Mongolia Autonomous Region