The same city and the same policy, the same city and the same treatment!Hubei fully implemented a medical insurance city -level overall planning before the end of this year

Before the end of 2022, Hubei Province fully implemented a municipal -level overall planning of basic medical insurance, including the overall planning of employees 'medical insurance and urban and rural residents' medical insurance overall planning. On August 17, the website of the Hubei Provincial People's Government issued the "Implementation Opinions of the General Office of the Provincial People's Government on the overall planning of basic medical insurance municipal -level" (hereinafter referred to as the "Implementation Opinions").

The "Implementation Opinions" clarify the "six unifications" of the city -level city -level, which is clearly done, and specifically includes:

● Unified policy and system. In the municipal (state) overall planning area, the policy and systems such as medical insurance and urban and rural residents' medical insurance participation insurance payment, fundraising standards, and treatment payment are unified.

● Unified treatment standards. Strictly implement the national unified pharmaceutical directory and the province's unified diagnosis and treatment items, scope of medical service facilities and payment standards for payment. In the municipal (state) overall planning area, uniformly uniformly paid -in -payment standards, payment ratios, and maximum payment limit for medical expenses within the scope of policy scope of ordinary outpatient clinics, outpatient clinics, and hospitalization.

● Unified fund management. The basic medical insurance fund implements the unified collection of municipal (state), and is included in the management of municipal (state) fiscal households, and the two lines of income and expenditure are implemented. The employee medical insurance fund and the urban and rural residents' medical insurance funds are separated, accounts for accounting, and special funds.

● Unified service. Each city (state) implements a unified business work process such as insurance registration, payment declaration, treatment payment, medical management, and expense settlement, and provides convenient and efficient service services for participants.

● Uniform point management. Each city (state) formulates a unified management measures and agreement texts of designated pharmaceutical institutions, strengthen supervision of the performance of the agreement, establish and improve the mechanism for evaluation and evaluation and dynamic access to exit, and severely crack down on fraud.

● Uniform information system construction. Relying on the province's medical insurance information platform, the management of the management is uniformly regulated, and the "one -stop" instant settlement is achieved. Carry out the new service model of "Internet+Medical Insurance Payment" to promote the equal reach of public services in medical security.

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"Opinions of the General Office of the Provincial People's Government on Comprehensively Doing a Basic Medical Insurance Municipal -level Coordination"

(Changjiang Daily Da Wuhan Client Products Source: Source of Hubei Provincial People's Government, Edit Integration of Hubei Provincial Medical Security Bureau: Fu Ying)

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