Zhengzhou medical insurance services are "diversified" to benefit 8.8 million participation in the masses
Author:Zhengzhou Evening News Time:2022.08.27
Medical protection is the most concerned, direct, and most realistic people's livelihood work. On August 27, at the press conference of the key people's livelihood in Zhengzhou City in 2022, Wei Ningzhang, director of the Zhengzhou Medical Security Bureau, introduced that as of now, Zhengzhou has built a city and county level. The medical security service system of the masses will launch the city inclusive commercial health insurance "Zhengzhou Medical Hui Insurance" in the next step to further improve the treatment guarantee system; accelerate the advancement of the diseased score (DIP), pay daily, and close the bed, close type, close type, close type, close type, close type, and close type, close type, and close type. Reform measures such as packaging and paying in the county medical community have effectively reduced many measures such as the burden of medical expenses of the people.
"Diversified" service, benefit 8.8 million to protect the masses
According to Wei Ningzhang, director of the Zhengzhou Medical Security Bureau, Zhengzhou has built a medical security service system covering the two levels of cities and counties and benefiting 8.8 million participation in the masses.
The first is to do it online. Through the official website of Zhengzhou Medical Insurance Bureau login medical security public service platform, 33 matters such as insured information and payment information inquiry can be handled.
The second is to handle it. Through the "Zheng Haoqiu" APP, WeChat public account, Alipay life number, etc., we can set up 24 "medical insurance" at a time.
The third is the hall office. Participants can go to the city's 17 medical insurance agencies in the city to handle various medical insurance business.
The fourth is to do it nearby. 156 medical insurance extension service points were completed, covering communities, banks, designated medical institutions, etc., forming a "15 -minute medical insurance service circle".
Fifth, the hotline office. In accordance with the standards of "integration, full -time, standardization, dynamicization, informatization, and intelligence", the 12393 medical insurance service hotline can be opened in the province. Report and other services. Since its opening in April, the cumulative connection volume of 272,000 people, with an connection rate of more than 98%, to achieve "first -line knowledge of the people, the front line to solve public opinion, and the first line to solve the people."
Realize outpatient clinics Slow special disease across the region and medical insurance mobile payment
Since the beginning of this year, the Zhengzhou Medical Security Bureau has strengthened informatization support and made the masses more smooth.
The overall network office of the clinic slow special disease is implemented. Change the policy of only two declarations of chronic diseases in the past year, and realize the online application, online approval, and online settlement of outpatient clinics. Eligible people who meet the conditions can be completed from the fastest one day of application to enjoy the treatment, and the two levels of the city and counties are implemented simultaneously. Since the beginning of this year, a total of 3,7757 people have been applied for slow special diseases, 26,179 were approved, and the medical insurance fund had paid more than 600 million yuan.
Carry out medical insurance mobile payment. Realize the online and offline application of medical insurance electronic vouchers registration, diagnosis and treatment, medicine collection, settlement, query, etc., and open up the "last mile" for medical treatment and medical insurance settlement. One code settlement ".
Open a medical insurance electronic voucher family account. After binding medical insurance electronic vouchers through channels such as WeChat and Alipay, the people participating in the insurance can activate the medical insurance electronic vouchers and create a family member for the "one old and one young" family member under the same household book to help family members perform electronic vouchers, pay, pay, and pay, and pay, pay, and pay, and pay, pay, and pay, and pay, pay, and pay, and pay, payment, and payment, and payment, and payment, payment, and payment, and payment. Query, etc., realize "a terminal to protect the whole family for medical treatment."
Open 5 filing channels, medical treatment is no longer difficult to seek medical treatment in different places
The Zhengzhou Medical Security Bureau opened 5 filing channels including the National Medical Insurance Service Platform APP, Zheng Haoqao, and the "Zhengzhou Medical Security Bureau" WeChat public account; all long -term residents and temporary medical personnel who were inter -provincial and different are included in the scope of the guarantee. Cancel various certification materials for medical treatment in different places, implement a credit commitment system, and immediately settle immediately within one working day after the business application is successfully submitted; open 5 outpatient slow special diseases such as hypertension and diabetes. Home and ordinary outpatient expenses Different places Differently settled in 186 designated pharmaceutical institutions, and 193 fixed -point pharmaceutical institutions were directly settled in the hospital for medical treatment. All the medical services for medical treatment could be "not visited" and "one -stop settlement". From January to July 2022, the city's cross-provincial and different places directly settled 25,374 person-times, total medical expenses of 137 million yuan, and medical insurance funds paid 84.8535 million yuan.
In the next step, Zhengzhou City will launch the city inclusive commercial health insurance "Zhengzhou Medical and Insurance Insurance" to further improve the treatment guarantee system; accelerate the advancement of payment according to the type of disease (DIP) Reform measures such as packaging and payment to effectively reduce the burden of medical expenses of the people; continue to carry out centralized procurement of drugs and medical consumables, and squeeze out the price of drug consumables; pay close attention to hot spots such as fertility allowances that the people pay attention to The problem, promote more online, hand -up, handling, and one -time handling of medical insurance matters to implement the party's policy of benefiting the people, so that the results of the reform will benefit more people.
Zhengguan News • Zhengzhou Evening News reporter Zhang Hua/Wen Ma Jian/Picture
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