Hangzhou Medical Insurance deepen medical services for different places, and "three measures" improve the effectiveness of managing management services

Since 2022, Hangzhou Medical Insurance focuses on the public in the field of medical insurance. It has steadily promoted the direct settlement of cross -provincial medical treatment, continuously expanded the scope of designated medical institutions for inter -provincial and different places, promoted the direct settlement of cross -provincial slow special diseases, optimized the filing policy, and optimized the filing policy. The "three measures" improve the efficiency of medical insurance management services and improve the city's medical insurance happiness and satisfaction.

1. Continue to expand the scope of designated medical institutions for medical institutions for medical treatment across provinces

According to the unified deployment of the National Bureau and the Provincial Bureau, Hangzhou has continuously expanded the scope of designated medical institutions in the long -term inter -provincial specialties of the Yangtze River Delta. As of the end of June 2022, Zhejiang's designated medical institutions can be used as 3303 for direct settlement in the provinces in the long triangle region. Home, 691 in Hangzhou (including the provincial medical institutions at the main urban area); the outpatient clinic can be settled directly 3,454, of which 716 in Hangzhou (including the provincial institutions of the main urban area). At present, Hangzhou designated medical institutions have a fixed -point opening rate of 38.57%, and they have completed 35%of the annual target tasks prescribed by superiors in advance.

2. Accelerate the settlement of slow and special diseases for outpatient clinics.

In order to further facilitate the direct settlement of the masses across provinces, Hangzhou has developed a cross -provincial direct disease in 5 countries, including hypertension, diabetes, malignant tumor outpatient treatment, uremia dialysis, and organ transplantation. The settlement pilot runs. The Medical Insurance Center has completed the direct settlement testing work on June 28. It has formulated a notice of medical settlement policies and process notifications for the inter -provincial medical treatment settlement of slow special diseases in Hangzhou Outpatient Clinic and reported to the provincial bureau. In the next step, in accordance with the requirements of the provincial bureau's annual key work deployment, Hangzhou will accelerate the direct settlement work of cross -provincial slow special disease costs. It is planned to be officially launched by the end of September this year. In the future, after Hangzhou's insured people have a medical treatment in different places, the cost of slow and special diseases across the provincial clinic can be settled directly in a designated designated medical institution in different places. Essence

3. Actively optimize without filing, and you can seek medical settlement method across provinces and different places

In order to solve the difficulty of settlement of medical expenses during the temporary period of the insured people, from January 1 this year, Hangzhou's people who had medical treatment during the temporary period of travel, tourism, and relatives in Hangzhou achieved direct settlement for cross -provincial medical treatment. Since this year, when the insured persons have a medical treatment in a temporary cross -province, the medical expenses incurred by the individual will be taken care of by individuals. They can open a designated medical institution directly settled in the medical area directly. Reimbursement of medical insurance agencies in the place of insurance. In the future, with the continuous upgrading of the "Smart Medical Insurance" platform system, when some people participating in the insured go out temporarily, some expenses of their own expenses due to emergency medical treatment will also be completely resolved to truly realize direct settlement of emergency response and other places in different places.

(Text: Cheng Xiaoyong Caicheng)

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