Jiangsu promoted medical insurance to support the development of traditional Chinese medicine inheritance, and "Internet+" Chinese medicine services were included in medical insurance

Content source: China Traditional Chinese Medicine Reporter: Xu Jing

A few days ago, the Jiangsu Provincial Medical Security Bureau and the Provincial Administration of Traditional Chinese Medicine issued the "Implementation Opinions on the Innovation and Development of Medical Insurance Supporting the Innovation of TCM inheritance" to give full play to the advantages of the medical security system and support the inheritance and innovation and development of traditional Chinese medicine.

The "Opinions" proposes that the support of traditional Chinese medicine medical institutions is included in the management of fixed -point medical insurance. Timely incorporate qualified Chinese medicine (including Chinese and Western medicine, minority medicine) medical institutions, Chinese medicine retail pharmacies, etc. into medical insurance fixed -point management, and timely primary medical and health institutions, rehabilitation hospitals, and tranquility centers that provide qualified Chinese medicine services that meet the conditions , TCM medical institutions in the nursing home and pension institutions are included in the management of fixed -point medical insurance, and the eligible designated Chinese medicine medical institutions are included in the scope of direct settlement of medical treatment in different places. Payment scope of medical insurance funds.

The "Opinions" proposes to promote a compound diversified payment method that conforms to the characteristics of traditional Chinese medicine. Select the Chinese medicine medical treatment of traditional Chinese medicine with obvious characteristics, clear treatment paths, and stable costs in batches, formulate clinical paths, reasonably determine payment standards, implement single -disease payment, and encourage the same price of traditional Chinese and western medicine. Support fixed -point traditional Chinese medicine medical institutions to carry out "Internet+" Chinese medicine services in accordance with regulations, and realize the same payment policy for online and offline medical services. Open the mobile payment function of the medical insurance to realize the online payment of the "Internet+" Chinese medicine service fee for the insured person.

The "Opinions" proposes that more traditional Chinese medicine medical service projects and traditional Chinese medicine are included in the medical insurance directory. According to clinical needs and fund guarantee capabilities, the clinical use of wide clinical use, obvious functional effects, and outstanding advantages include traditional Chinese medicine service projects into the scope of medical insurance payment. In major epidemic conditions, Chinese medicines, traditional Chinese medicine drinks, traditional Chinese medicine diagnosis and treatment projects, and special prescriptions approved or filed by the provincial drug regulatory department will be temporarily included in the medical insurance fund payment in accordance with the relevant regulations of the country and Jiangsu Province. scope.

The "Opinions" proposes to strengthen the price management of traditional Chinese medicine services. Improve the management mechanism of traditional Chinese medicine service price project. Accelerate the innovative technology of Chinese medicine diagnosis and treatment into clinical application. Improve the dynamic adjustment mechanism of the price of medical services, adjust the price of traditional Chinese medicine medical services in batches and classified, and give priority to adjusting the technical level and high inheritance value, accurate efficacy, and obvious advantages of traditional Chinese medicine service projects, and reasonably open the technical level difference. To promote the value of Chinese medicine and Western medicine medical services, some traditional Chinese medicine projects are the same as the same price as similar projects with Western medicine projects. Further let go of the price of traditional Chinese medicine medical service projects with sufficient market competition and strong personalized demand.

Edit: Wang Di

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