Insurance patients were hospitalized in the township health center and community health service center for treatment and use of traditional Chinese medicine treatment. Medical insurance reimbursement was not less than 85%

This afternoon, the Provincial Government News Office held a press conference to introduce the relevant situation of the "Construction Plan for the Comprehensive Reform Demonstration Zone of the National Traditional Chinese Medicine of Shandong Province".

Traditional Chinese medicine is a treasure of Chinese civilization. It is a good job of doing well in the development of Chinese medicine inheritance and innovation and providing quality and cheap Chinese medicine services for the people. It is a work that we must work together. The Provincial Medical Insurance Bureau attaches great importance to the development of traditional Chinese medicine. In September 2020, the relevant departments of the United and relevant departments took the lead in the country to introduce 20 measures to support the development of traditional Chinese medicine, which strengthened the support of the original policy for Chinese medicine. The new support function has strengthened the joint support of departments and enhanced the comprehensive support of the policy. It has been highly evaluated and fully affirmed by the State Administration of Traditional Chinese Medicine and the State Council. It has laid the foundation for the establishment of a national Chinese medicine comprehensive reform demonstration zone.

This year, in accordance with the requirements of the demonstration area, the Provincial Medical Insurance Bureau, based on the actual situation of Shandong, further innovated measures, formulated a special action plan for medical insurance support policy, and the policy of supporting the development of traditional Chinese medicine to support the development of traditional Chinese medicine. The

1. Give full play to the role of medical insurance payment leverage to promote the development of traditional Chinese medicine medical institutions

First, the total medical insurance amount is tilted to the communities of the tight county medical institutions and its leadership of traditional Chinese medicine medical institutions and its leading. Second, the reform of the DRG/DIP medical insurance payment method tilted to traditional Chinese medicine, and guided medical institutions to carry out the diagnosis and treatment services of Chinese medicine advantageous diseases. Third, the proportion of medical insurance reimbursement is inclined, and cities with conditions are encouraged to explore and increase the proportion of medical insurance reimbursement in national and provincial key specialties and traditional Chinese medicine medical institutions. The fourth is to seize the opportunity of the National Traditional Chinese Medicine Inheritance Innovation Center and the National Medical Center to build in our province, tilt the two centers in the medical insurance payment policy, promote the formation of "head geese effects", and drive the development of traditional Chinese medicine medical institutions in the province.

2. Give full play to the guidance of medical insurance policies and promote the innovation and development of traditional Chinese medicine technology

First, priority adjustment of the price of traditional Chinese medicine projects with obvious efficacy, outstanding characteristics, and reflecting the value of labor services, and let the price of well -known expert consultation fees, traditional Chinese medicine smoking therapy and other prices. The second is to open up the green channel for new Chinese medicine projects, and accelerate the review and establishment of the personal clinical experience methods of Chinese medicine and other famous Chinese medicine medicines. The third is to incorporate the characteristics of traditional Chinese medicine characteristics and suitable new technologies into medical insurance payment. Self -funded traditional Chinese medicine projects such as traditional Chinese medicine treatment projects and decoction costs are allowed to be paid through medical insurance projects to meet the development needs of the masses for medical treatment and traditional Chinese medicine diagnosis and treatment technology. The fourth is to take the lead in carrying out the types of Chinese medicine superior diseases and fees according to the disease. The provincial -level promotion of 20 types of diseases has reached 20 types, and the number in the country is the largest.

3. Give full play to the strategic purchase of the medical insurance fund and promote the development of the Chinese medicine industry

First, the provincial traditional Chinese medicine (material) procurement alliance was established and merged with the Sanming Procurement Alliance. Shandong led the nation ’s first single Chinese medicine drinking tablet for inter -provincial inter -provincial union. You can spend less money to take good medicine. Second, the traditional Chinese medicine formula particles implement the public transactions of the Sunshine Sunshine. When the conditions are mature, the purchase will be concentrated in order to change the price to allow the masses to use the high -quality and low -quality Chinese medicine formula particles. The third is to include eligible Chinese medicine tablets, Chinese medicine formula particles, and therapeutic medical institutions in accordance with regulations into the scope of medical insurance payment to improve the market competitiveness of Chinese medicine products.

Fourth, give full play to the role of basic medical insurance guarantee, and provide the masses with more convenient, fast, intimate and warm -hearted services

The first is to include eligible traditional Chinese medicine medical institutions into the scope of medical security fixed -point and fixed -point points of the network, incorporate national negotiations into the "dual -channel" drug management, support smart sharing of the construction of Chinese medicine rooms, and improve the convenience of seeking medical treatment for the masses. The second is that patients participating in the insured are hospitalized in the township health center and the community health service center for traditional Chinese medicine treatment. The proportion of medical insurance reimbursement in compliance medical expenses is not less than 85%. The traditional Chinese medicine medical service model has worked hard to allow the people to get more benefits in the development of the development of traditional Chinese medicine.

In the next step, under the leadership of the Provincial Party Committee and the Provincial Government, the medical insurance department will always adhere to the people's health as the center, continuously deepen the reform of the medical security system, improve policies and measures, strengthen supervision and evaluation, do a good job of policy implementation, and ensure that the construction of the demonstration area has achieved practical results. , TCM has a better inheritance and innovation development.

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