甘肃宕昌县提升基层医疗服务能力，降低就医成本——“有医保有补助，不让大家因病返贫”

Core Viewpoint - The article highlights the advancements in healthcare accessibility and affordability in Gansu's poverty-stricken areas, particularly through the implementation of the "Thousand County Project," which has enabled local hospitals to perform minimally invasive surgeries like arthroscopy, significantly improving patient outcomes and reducing costs for families [3][4][5]. Group 1: Healthcare Improvements - The "Thousand County Project" initiated by the National Health Commission aims to enhance the medical capabilities of county hospitals, targeting at least 1,000 hospitals to reach tertiary service levels by 2025, focusing on poverty-stricken and relocated areas [3][4]. - The local hospital in宕昌 has benefited from expert assistance, with 27 specialists providing support since July 2022, which has improved the hospital's surgical capabilities and overall healthcare services [3][4]. - The introduction of new medical equipment and techniques has allowed the county hospital to perform over 130 arthroscopic surgeries, demonstrating a significant enhancement in local healthcare services [4]. Group 2: Cost Reduction and Financial Support - The total cost for the patient's hospitalization, including surgery and medication, was approximately 10,000 yuan, but due to local insurance policies, the patient was able to receive an 80% reimbursement on eligible expenses [5][6]. - Additional financial support measures include a 100 yuan subsidy for impoverished households to cover insurance costs, and a mechanism for further reimbursement if out-of-pocket expenses exceed 5,000 yuan [5][6]. - The hospital has implemented a "pay after treatment" policy, allowing for immediate reimbursement processing, which alleviates financial burdens on patients [7].