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Beijing -Tianjin -Hebei Medical Insurance Coordinated Development 2022 Work Points

In order to thoroughly implement the spirit of General Secretary Jinping's series of instructions on the coordinated development of Beijing -Tianjin -Hebei, actively serve the major national strategy of Beijing -Tianjin -Hebei coordinated development, and further strengthen the in -depth cooperation in the cooperative development of Beijing -Tianjin -Hebei medical security work. "Cooperation Development Cooperation Agreement", combined with the actual development of the Beijing -Tianjin -Hebei region, fully negotiated through the three parties, the main points of the joint development of Beijing -Tianjin -Hebei Medical Insurance in 2022 are as follows:

1. Actively promote the direct settlement of the Beijing -Tianjin -Hebei Clinic

(1) Expand the number of fixed -point pharmaceutical institutions directly settled across provinces. In accordance with the unified deployment and requirements of the country, continue to expand the number of direct settlement medical institutions for cross -province medical clinics, actively serve Beijing's non -capital functions, Tianjin Binhai New Area and other districts to achieve full -coverage of fixed -point medical institutions for cross -province medical clinics, Hebei Province Actively expand the number of cross -provincial medical institutions in the key areas of non -Capital Functional Differential Different Regions, such as Beisan County, Xiong'an New District, Xiong'an New District, Qian'an New District, Qian'an, Caofeidian, Gu'an, and Lishui. The exploration will include eligible fixed -point retail pharmacies in the opening scope.

(2) Promoting the relevant treatment cost of slow special diseases for outpatient clinics across provinces. At least one designated medical institution in each overall planning area can achieve high blood pressure, diabetes, malignant tumor outpatient treatment, uremia dialysis, and organ transplantation, including 5 outpatient diseases, etc. On the basis, the number of direct settlement of targeted medical institutions in the inter -provincial and different places for medical treatment is continued.

(3) Strengthen the integrated development of medical security in the three places. Promote the expansion of the scope of mutual recognition of designated medical institutions in the three places, continue to include Beijing -Tianjin -Hebei third -level designated medical institutions into mutual recognition, and promote mutual recognition of second -level designated medical institutions. Explore the cancellation of medical treatment for medical treatment in the Beijing -Tianjin -Hebei region. Strengthen the in -depth cooperation of the three places in the field of government services, promote some medical insurance services to achieve cross -provincial general standards and colleagues, and optimize management services.

2. Actively promote the cooperative development of Beijing -Tianjin -Hebei pharmaceutical services management

(1) Continue to promote the "3+N" alliance pharmaceutical products based on Beijing -Tianjin -Hebei. Combined with the characteristics of the Beijing -Tianjin -Hebei region, further expand the scope of the joint recruitment of drugs and consumables, promote the return of price to a reasonable range, implement the implementation of the recruitment results, and effectively reduce the cost of the cost of participating patients.

(2) Establish a communication mechanism for Beijing -Tianjin -Hebei pharmaceutical work. Focusing on the key tasks such as the procurement of pharmaceutical products, the formulation of the medical insurance catalog, and the management of the "two fixed" institutions, the Beijing -Tianjin -Hebei medical insurance department strengthened communication, strengthened the effective connection of policies and price collaboration, and promoted the orderly flow of factors.

3. Promote the coordinated supervision of the Beijing -Tianjin -Hebei Medical Insurance Fund

(1) Continue to strengthen exchanges and cooperation. The medical insurance department of Beijing -Tianjin -Hebei should be required to take various methods such as research, exchanges, and special investigations in the medical insurance department to continue to carry out exchanges and cooperation in the supervision of medical insurance funds.

(2) Promote the direct settlement of intelligent monitoring in different places. According to the direct settlement of medical expenses in different places, the medical expenses of direct settlement of the three places across provinces and other provinces are gradually included in the local intelligent monitoring system, and the direct settlement behavior of cross -provincial medical direct settlement is supervised.

Fourth, support the development of medical security for Xiong'an New District

(1) Support the design of medical insurance policy in Xiong'an New District. Provide the Beijing medical insurance policy and medical insurance directory to Xiong'an New District, and help relevant aspects such as explaining and interpretation of the meaning of interpretation and policy design ideas, professional knowledge, and information communication in Beijing.

(2) Provide macro statistical data support to Xiong'an New District. In response to the needs of the Xiong'an New District, under the framework of the national information security law, the overall medical expenses and medical insurance payment of the hospital, the overall medical insurance payment of the Xiong'an New District, the proportion of the payment of different levels of medical institutions are used for the data analysis of the new district to do a good job of data analysis Provide data support for formulating policies.

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