The online office, the handheld, one window, and the door of the house, the medical treatment will welcome new changes

Wuhan Evening News August 17th (Reporter Hu Qiongzhi) On August 16, the official website of Hubei Provincial Medical Insurance Bureau released the "Hubei Provincial Medical Guarantee Different Settlement Services and Information Platform Sinking Implementation Plan" (hereinafter referred to as the "Implementation Plan"). According to the "Implementation Plan", the medical institution coverage of medical insurance information systems will be expanded by sinking medical records to the township and village levels, and the medical insurance information system functions will be expanded by sinking to the township and villages.

According to reports, medical insurance policies and management of "two places" involved in the place of insurance and the "two places" in the place of medical insurance. At present, Wuhan has achieved direct settlement services such as direct settlement in different places such as direct settlement, general outpatient costs directly settlement, direct settlement of ordinary outpatient expenses, and fixed -point pharmacies in different places, and direct settlement services such as direct settlement of hospitals in both directions. With the issuance of the "Implementation Plan", the direct settlement of medical treatment in Wuhan will be more convenient, and it will gradually realize the online office, palm handling, one window office, and home.

The record of medical treatment in different places will gradually sink to the street

At present, Wuhan as a medical place. After the insured in the field contacted the participating place to handle the relevant procedures for medical treatment, the medical institution of medical institutions in Wuhan's different place in Wuhan City can directly complete the medical insurance settlement with the medical insurance electronic voucher or social security card. As an insured place, the insured in our city can complete the filing online. At the same time, the insured in our city implemented a "exemption" for medical purchase medicines in ordinary outpatient clinics and foreign networking pharmacies in other places, which can directly use personal medical insurance electronic vouchers or social security cards for medical insurance settlement.

According to the "Implementation Plan", the newly added "Different Temporary Management Personnel Records" and "File (Preliminary Trial)" for "Different Places Requesting Personnel" were added. At the same time, under the unified arrangement of the provincial provincial, Wuhan medical insurance department will gradually resettle retirees in different places, long -term residents' filing in different places, resident staff filing in foreign places, fixing in different places (preliminary review), and temporary medical staff filing filing. Matters are adjusted to the four levels of cities, districts, streets, and communities, and formulate specific operating specifications and operating guidelines. This means that "medical treatment in different places will further sink to the grassroots level, so that the people will do things nearby."

Expand the coverage of pharmaceutical institutions at different places

Since 2016, Wuhan has vigorously promoted direct settlement of medical treatment across provinces. As of now, a total of 192 different local medical institutions and the first batch of 170 different -in -network fixed -point pharmacies have opened direct settlement services to the outside world, and the number is still increasing. According to reports, in recent years, Wuhan has taken the lead in the province to gradually incorporate the city's public tertiary and secondary medical institutions into the direct settlement of medical treatment in different places, and gradually expand the coverage from public medical institutions to private medical institutions. Expand it to various specialized hospitals, and extend to primary medical institutions, "cover all urban areas in Wuhan."

The "Implementation Plan" proposes to expand the coverage of medical treatment in different places, and incorporates medical institutions in the province's cities and states above levels, and counties (cities, districts). This also means that in the future, the insureds from other places can see medical expenses in the city's third -level comprehensive hospitals and specialist hospitals, or to see a doctor in a community hospital. With the gradual expansion of the coverage of medical institutions in different places, the gradual expansion of medical institutions will help "further form a more orderly hierarchical diagnosis and treatment system."

Improve medical insurance information system function

At present, in accordance with the requirements, Wuhan City will accelerate the incorporation of slow and special diseases in relevant outpatient clinics into different places. According to reports, the direct settlement of slow special diseases across provinces should first overcome the policy barriers of the identification and management standards of slow disease diseases in various places. Secondly, to incorporate more medical institutions in the city, especially the medical and health service agencies of grass -roots communities, into the direct settlement network, informatization will be a huge project.

According to the "Implementation Plan", the province will unify the types of slow disease diseases in the province and encode the disease. Cancel down the monthly, day -to -day, and decision outpatient clinics and urban and rural residents' hypertension and diabetes outpatient drug guarantee payment limit or quota standards. At the same time, all cities and states of the province will gradually realize the direct settlement of all outpatient diseases in this overall planning area and the expenses of the province in different places in the province, as well as the province's overall planning areas of the province's overall planning areas of municipal and state clinics.

In the next step, the Hubei Provincial Medical Security Information Platform will be in -depth with the integrated platform of Hubei Provincial Government Services, upgrading the information system, and supporting the medical filing commitment mode and intelligent approval of the medical treatment filing. Realize the centers of townships (streets), village (community), and community convenience service centers in different places. Develop the uniform inquiry function of the designated medical institution of slow special diseases in the province.

[Edit: Yu Lina]

- END -