Table 1.

NCMS^a reimbursement policies and per capita OOP^b expenditures

	Year	Official reimbursement rate c(%)			Ceiling of annual compensation per patient (104¥)	OOPb expenditure as a share of total expenditure (%)	OOPb expenditure as a share of annual net income (%)
		Primary hospital	Secondary hospital	Tertiary hospital
Before the reform	2007	65	45	35	2	67.98	30.29
	2008	75	50	35	2	59.25	25.46
	2009	80	60	40	4	58.11	25.93
	2010	80	60	40	6	57.20	25.28
	2011	85	65	45	7	53.97	22.66
	2012	60–90	80	50	8	47.60	17.54
After the reform	2013	60–95	85	50–70	10	42.37	13.33
	2014	60–95	75–85	50–80	10	47.34	13.95
	2015	60–95	75–85	50–80	10	45.10	12.68
	2016	90	85	85	10	41.05	10.58

^aNCMS: New Cooperative Medical Scheme

^bOOP: Out-of-pocket

^cThis is the official reimbursement rate by NCMS for inpatient care, which is not the same as the actual reimbursement ratio, because many services provided in the hospitals are not covered by NCMS, and therefore, patients have to pay 100%