5 kinds of outpatient diseases, can be settled directly across the province before the end of the year

On July 26, the State Medical Insurance Bureau jointly issued the "Notice on Further Direct Settlement of Basic Medical Insurance Cross -provincial Different Places" (hereinafter referred to as the "Notice"). According to the "Notice", in the future, medical treatment will be more convenient.

In Wuhan, the city is stepping up the direct settlement of some outpatient clinics as required. According to the unified deployment and scheduling of the province, the relevant work is currently officially entered the online testing stage. It is expected that before the end of the year, 5 kinds of clinics such as hypertension, diabetes, malignant tumor outpatient chemotherapy, uremia dialysis, and organ transplantation have been opened for direct settlement of slow specialties related to the treatment of slow special diseases. Settlement coverage ".

Hospitalized and ordinary clinics in our city

Realize the full coverage of cross -provincial direct settlement

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Since 2016, Wuhan has vigorously promoted direct settlement of medical treatment across provinces. Different places include two categories: hospitalization costs and outpatient costs. As a place of participation and medical treatment, Wuhan has successively achieved medical services such as direct settlement of hospitalization cross -provincial direct settlement, ordinary outpatient expenses cross -provincial direct settlement, and direct settlement services such as fixed -point pharmacies.

As of now, there are 192 foreign medical institutions and the first batch of 170 different -in -network fixed -point pharmacies for medical institutions in Wuhan City. After handling the relevant procedures for medical treatment in different places, the insured in the field chose to take medical institutions in the other place in our city, and use personal medical insurance electronic vouchers or social security cards to directly complete medical insurance settlement. The insurers in Wuhan can complete the filing online (ordinary outpatient clinics and other online pharmaceutical stores to purchase medicines for exemption), and directly use personal medical insurance electronic vouchers or social security cards for medical insurance settlement. The trouble of reimbursement ".

Our city has gradually shifted from hospitalization to ordinary outpatient clinics. At present, it is stepping up the direct settlement of slow and special diseases across provinces.

It is expected to open before the end of the year

5 kinds of outpatient slow special diseases cross -provincial direct settlement

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Compared with hospitalization, the demand for outpatient medical services is high, the size of the person is large, and the scope of the clinic is more decentralized. Therefore, the outpatient cost is more complex and more difficult to cross -provincial direct settlement operations. Especially the outpatient clinic's slow specialties cross -provincial direct settlement work.

Generally speaking, the slow special disease of outpatient clinics refers to some medical expenses, clear diagnosis, social impact, can be treated in outpatient treatment, and eligible medical expenses are included in the scope of the payment of medical insurance overall funds. Item medical insurance policy.

At present, in accordance with the requirements, Wuhan City has accelerated five outpatient diseases such as hypertension, diabetes, kidney dialysis, tumor outpatient chemotherapy, and organ transplant anti -rejection. Those who have a heavy burden are generally developed in various places. "

According to reports, the direct settlement of slow special diseases of outpatient clinics must first overcome the identification and management of slow disease diseases in various places, and the standards of different standards. 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. At present, the city needs to complete the online test as a place to seek medical treatment and the place of insurance. There is a place or a medical place that has not been opened for a direct settlement of the outpatient clinic and a direct settlement.

In the designated medical institutions that have opened general outpatient medical expenses across provinces, our city will choose a designated medical institution with high levels of diagnosis and treatment, standardized management specifications, and completing the coding of medical security business to carry out outpatient clinics and special diseases. "It is more convenient for ordinary people to settle in different places, including employees' medical insurance insurers and urban and rural residents insured, and they can enjoy the convenience of medical treatment."

Changjiang Daily reporter Hu Qiongzhi

Edit Gan Juan

Source Yangtze River Daily Da Wuhan client Wuhan released

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