The average price reduction of 305 drugs such as tumor targeting drugs and hypertension such as tumor targeting drugs and high blood pressure is reduced by more than 50%.

On September 5, the Shandong Provincial Government held a press conference to interpret the "Implementation Opinions on Implementation of Medical Insurance and Rescue System" (hereinafter referred to as "Implementation Opinions"). Huang Xiaojun, a member of the Party Group and Deputy Director of the Shandong Provincial Medical Insurance Bureau, introduced at the press conference that since the establishment of the Shandong Provincial Medical Insurance Bureau, in accordance with the requirements of the Provincial Party Committee and the Provincial Government, deepen reforms in key areas, accelerate the improvement of the multi -level medical security system, steadily improve the level of protection levels , Co -force reduces the difficulties of the people to see the disease.

Over the past four years, the province's medical security policy has been highly benefited from the difficulties, and the downturn, and the difficulties of the minimum insurance objects of 25.954 million people, and the medical insurance fund has paid a total of 41.308 billion yuan in medical expenses of the people in difficulties, helping the poverty -stricken people below the poverty -stricken people below 2.516 million provinces. Medical care has a guarantee goal.

The first is to do insurance payment funding. Comprehensively implementing difficult people participating in the basic medical insurance payment and classification policy for the basic medical insurance of urban and rural residents. In the past four years, a total of 91.473 million people enjoy the insurance funding. The accumulated funding of the individuals of difficulties will pay 2.216 billion yuan, which effectively solves the difficulty of participating in the insurance and disconnection of insurance. The issue of leakage and escape protection has achieved the best guarantee for the difficulties.

The second is to steadily improve the level of medical insurance treatment. The average proportion of hospitalization reimbursement within the scope of basic medical insurance policies of residents and employees reached about 70%and 80%, respectively. Some cities have established a normal outpatient help mechanism. The annual guarantee quantity of the ordinary outpatient clinics of residents has been uniformly increased to more than 200 yuan. The reimbursement ratio of the "two diseases" outpatient drugs of residents' hypertension and diabetes has reached 60%. Improve the proportion of reimbursement in the reimbursement of special poverty, subsistence allowance objects, and return to the poverty -poverty -poverty -stricken population. The policy tilted in the reimbursement of the delivery line, the top line, and the use of major illness insurance special effects drugs.

In addition, our province actively explores the establishment of a customized commercial medical insurance system, which is voluntarily insured by the masses. After the reimbursement of medical insurance reimbursement, the personal burden of the medical insurance can be reimbursed. Essence

The third is to further reduce the burden of medical expenses. Promote the reform of the centralized volume of drugs and medical consumables, 305 kinds of drugs such as tumor targeting drugs, hypertension and diabetes, and common medical drugs have reduced the average price of more than 50%by collecting mining. The average price reduction is more than 70%, and the cumulative burden of patients and more than 23 billion yuan in medical insurance funds has effectively reduced the burden of medical treatment for medical treatment. For example, the cardiac stent dropped from 13,000 yuan before the collection to 700 yuan; the anticoagulant drug Polidal collection was reduced from 108.29 yuan per box to 17.81 yuan; 5.88 yuan per box.

In addition, Shandong deepened the reform of medical insurance payment methods, and took the lead in realizing the full coverage of the restructuring area in accordance with the disease -related group (DRG) paid and paid (DIP) payment method according to the disease diagnosis of disease diagnosis (DRG). The average hospitalization expenses, average hospitalization days, and sub -personal burden expenses of pilot hospitals have decreased by 5.12%, 8.83%, and 11.22%year -on -year, respectively, which not only reduces the burden of medical expenses of the people in difficulties, improves the use of medical insurance funds, but also promotes the benefits of medical insurance funds, but also promotes the benefits of medical insurance funds. The high -quality development of the hospital has achieved a win -win situation for the three parties of "medical, insurance, and affected".

The fourth is to work hard to achieve quality and efficiency of service service. All 16 cities in the province are all launched by the national medical insurance information platform, establishing an efficient and convenient medical insurance payment settlement system, and medical insurance services have fully realized online, hand -in -hand, and nearby, and realize the basic medical insurance, major illness insurance, and medical assistance in the city. Stand -style settlement and medical insurance, hospitalization, outpatient and outpatient slow special disease costs for medical insurance, hospitalization and outpatient clinics of different places. Actively promote the "active office" of medical institutions, the "door -to -door office" of the agency, and the staff of the staff to "help the office" to build the operation and operation of the township (street), the village (community) grass -roots medical insurance workstation (point) of 22,000. (Community) can handle medical insurance.

New Yellow River Client Reporter: Chai Yingying Editor: Sun Feifei

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