The reimbursement standard for reimbursement of "two diseases" outpatient drugs for urban and rural residents in Yuncheng

On June 28, a reporter from the Shanxi Evening News learned from the Transported Urban Medical Insurance Bureau that in order to further improve the "two diseases" (hypertension, diabetes) outpatient drug protection mechanism policies and measures of the urban and rural residents of the city, to expand the benefits To further reduce the burden on the use of "two diseases" patients, starting from July 1, 2022, Yuncheng canceled the "two diseases" outpatient drug reimbursement standards (the original payment standard 30 yuan/year).

At the same time, medicines that have been included in the scope of hypertension and diabetes clinics can also be paid by urban and rural residents' medical insurance clinics. Insurance residents occurred at the fixed -point grass -roots medical institution clinic at the second and below of the pre -level and below. The limit is 260 yuan with hypertension patients, 480 yuan for patients with type I diabetes, and 360 yuan for other types of diabetic patients.

The Yuncheng Medical Insurance Bureau requested that the county medical group should implement the responsibility of the main body of the "two diseases" supplies of the "two diseases" in the group, coordinate the demand for drugs for various institutions, and prioritize the "two diseases" drugs in the selected products in centralized procurement. And guide the standards to ensure that grass -roots medical and health institutions can be worthy of all kinds of drugs, which can be used, can be used, and uses "two diseases" drugs. The medical insurance department will use the county medical group to procurely equipped with drug conditions for primary medical and health institutions as an assessment indicator for medical groups. It is included in the management of paid and paid agreement. The assessment results are linked to the total medical insurance budget indicators and performance distribution.

Hu Zengchun Tao Dengxiao

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