Extraordinary ten years ｜ Continuously improve medical security, Xi'an citizens have "medical"

"My chronic diseases need to be prescribed, took medicine, or even hospitalized all year round. It is very troublesome. Thanks to the continuous improvement of our medical insurance environment in these years, it is more convenient and more money to see a doctor now." On September 3, I lived in Xi'an City. Ms. Zhang, a citizen on Chang'an South Road, came to the Xi'an Red Club Hospital to purchase medicines. In the medical insurance settlement window, Ms. Zhang scanned her mobile phone with her mobile phone, and the medical expenses that met the scope of medical insurance payment were settled directly. In the payment part, the entire reimbursement of medical insurance does not exceed 3 minutes.

In the past ten years, the medical insurance departments at all levels of Xi'an have worked hard to implement the people's livelihood commitments that allow the masses to "doctors and doctors", so that the city's medical security coverage is expanded, the level of guarantee is improved, and the management and services are superior. Feel surprise and warmth.

Huimin's good news one by one

It is more convenient to see a doctor and save money

Ms. Zhang is a diabetic patient who takes medicine all year round. In the past, she had to identify the outpatient chronic disease qualifications in the medical insurance agency to enjoy the treatment of medical insurance. When enjoying the treatment, she had to pay the fee first. By the following year's prescribed time, the information of all bills was sorted out and handed over to the unit. However, starting last year, Ms. Zhang did not need to run more, so she could directly determine the qualifications of chronic diseases for outpatient clinics while taking medical treatment at a designated medical institution, and the costs generated by medical purchase can be settled directly in fixed -point medical institutions and designated retail pharmacies.

The office hall of Xi'an Medical Security Economic Office Service Center (information photo)

This has saved a lot of things for Ms. Zhang. I did not expect that on May 30 this year, she ushered in good news. Average insulin procurement purchased by the national organization's centralized band volume was reduced by 48%, and it landed in Xi'an as soon as possible. On the first day of landing, Ms. Zhang enjoyed this benefit of benefiting the people. She got the prescription of insulin prescriptions by the doctor. It is understood that this is already the sixth batch of drugs in the national collection in Xi'an. As of the end of 2021, there were 5 batches of 218 drugs and provincial -level collection of 12 drugs in Xi'an. The average decrease of more than 52 %, A maximum decrease of more than 97%, saved a total of 1.259 billion yuan.

"In the past, I was particularly afraid of getting sick, and my psychological pressure was particularly great. Now the medical insurance has made us look at the onset and take medicine." Ms. Zhang was grateful when mentioning the medical insurance policy. She said that in recent years, her family members have been hospitalized in Beijing and Shanghai. During this period, she even felt the surprise brought by the medical insurance policy: in the past The phenomenon of "bulls and running back and forth" is now gone, in exchange for efficient and convenient medical insurance services.

The reporter learned from the Xi'an Medical Security Bureau that the "highway" of the direct settlement of medical treatment expenses for medical treatment in Xi'an this year has been repaired. Through the national network of medical insurance information systems, the insured person only needs to be filed on the mobile phone or the computer side, and the hospitalization costs generated by medical treatment can be settled directly. When the insured person is hospitalized in a different place, the medical expenses are required to pay the medical expenses burden of personal burden. The medical insurance payment fee will be settled directly by the medical insurance institution and the hospital.

Rare disease patient

The burden of medical expenses is reduced

More medications enter the medical insurance directory

"This medicine was too expensive before, and I really can't afford it. Now I finally see hope." In January this year, Kangkang (a pseudonym), a child with a spinal muscle atrophy in Xi'an in January this year After the second -affiliated hospital's children's hospital was successfully injected with genes, the mother was crying after the sodium of Nosina was sodium. This is the first needle that "sky -high" life -saving medicine entered the medical insurance catalog in Xi'an.

A few months after Kangkang's birth, his mother found that he was a bit "different" from other children: the movement was slow, could not complete some basic actions, and could not lift his head ... After going to many hospitals, he was told that the child suffered from the spinal cord. Sexual muscle atrophy.

Solid muscle atrophy is a rare disease of hereditary neuromuscular diseases. The incidence of newborns in my country is about 1/6000 to 1/10000. "This is a disease that we have never heard of, but no matter how difficult it is, we must treat the child." In the face of rare diseases, although Mother Kangkang could not accept the facts for a while, she chose to insist on treatment.

Nosnina's sodium injection is the first imported drug in my country to be approved to treat spinal muscle atrophy. When entering the Chinese market in 2019, the price per stitch is nearly 700,000 yuan, and the price adjustment of the enterprise will be reduced to 550,000 yuan, but it is still very expensive. When Kangkang was born 7 months old, he experienced weakness and softness of the whole body, and even his breathing was laborious. Later, due to severe lung infection, he has been living in the intensive care unit. Professor Huang Shaoping, Children's Hospital of the Second Affiliated Hospital of Xi'an Jiaotong University, said that if it is not actively treated, multi -system functional damage will occur, which will eventually lead to respiratory failure and the possibility of life ending at any time. For treatment with Nosina sodium injection, 4 stitches should be taken in the first two months of the treatment cycle, and one needle is taken every 4 months. Such treatment costs are undoubtedly astronomical for ordinary families.

From January 1 this year, Xi'an's medical insurance special medicine scope was adjusted to 167 species, and a variety of rare diseases were shortlisted for the "Basic Medical Insurance Special Drug Catalog", which included Nosina sodium injection, which means that this is used for this use for this use for this kind of use for this kind of use for this kind of use for this kind of use for this kind of use for it for for it. Special effects of the treatment of rare diseases of spinal muscle atrophy have been significantly reduced after the state medical insurance negotiations, and successfully landed in Xi'an on January 1, and officially entered the medical insurance directory. According to medical insurance reimbursement policies, a 33,000 yuan Nosna sodium injection was reimbursed through medical insurance for urban and rural residents. If the family's family replenish commercial insurance and medical assistance, it will greatly reduce the economic burden. "Like catching the life -saving straw, the child has caught up with a good policy. Although it is a rare disease, the medical insurance has not given up!" Kangkang's mother said. After entering the medical insurance catalog after the price reduction of Nosine sodium injection, the Xi'an Medical Security Bureau investigated the patients in Xi'an as soon as possible. After determining the patient's medication, after communicating with the pharmaceutical company Get treatment.

In addition to the much -watched Nosina sodium injection, the thick solution for the antinase α injection also entered the Xi'an special medicine directory. The drug is the drug of the treatment method, the treatment of the treatment method, and the cost of treatment also exceeded one million yuan before. "More and more special medicines are included in the catalog, and I hope to reduce the burden of medical expenses for the medical expenses of severe diseases in the insurance." According to the staff of the Xi'an Medical Security Bureau, human coagulation factors IX, acetic acid Aitanter injection, ammonia, ammonia, ammonia, ammonia Pyplyrine mild release tablets, chlorophenzimate soft capsules ... These rare drugs that treat hemophilia, hemophilia, hemophilia, multi -hardening, and thyroid protein starchy myocardial disease have entered the medical insurance directory.

You can also "hospitalize" without leaving home

Family beds benefit more patients

At present, home care is the choice of most families, so how to meet the medical needs of these elderly people? Last year, Lianhu District of Xi'an piloted a family bed. On March 30, 2021, the Taoyuan Road Community Health Service Center of Lianhu District established the first family bed in Xi'an. Uncle Shao, a 81 -year -old patient, became the first beneficiary of the city's family bed. The Community Health Service Center established a bed bed at Uncle Shao's house, providing him with home diagnosis, nursing, and rehabilitation. The medical expenses incurred can also be reimbursed in accordance with medical insurance -related standards, which made Uncle Shao's family feel worry -free and money.

Patients can "hospitalize" without leaving home (information picture)

This year, on the basis of the pilot work of the Lianhu District Family Separational Service, Xi'an City expanded the pilot work to the city six districts and Xixian New District. More and more people can "hospitalize" at home.

According to medical insurance -related policies, the starting standard of family beds in Xi'an urban employees is 200 yuan for the first time in each natural year, and the bed is 100 yuan each time. The medical expenses of the medical insurance payment scope are paid by 95%of the overall funds and 5%of the individual burden. The starting standard of urban and rural residents' family beds is 150 yuan for the first time in each natural year, and the bed is 100 yuan each time in the future. , By 80%of the overall funds, 20%of personal burden, the maximum payment limit of the overall fund in each natural annual year is 12,000 yuan.

Uncle Shao's daughter said: "In the hospital for hospitalization, ask the caregiver to spend a lot of money, as well as the transportation fee on the road. Now the family bed has been established. In the Taoyuan Road Community Health Service Center of Lianhu District, it learned that the center built nearly 50 family beds in 2021. For more than a year, the family bed service was praised by the masses. Nowadays, the pilot work is expanding, which is the combination of Xi'an actively responding to the aging of the population, promoting medical care and health care, and actively providing home medical treatment and nursing services for elderly patients. Essence

For ten years, the promise of Xi'an Medical Insurance Department was more than that.

Last year, Xi'an built the first standardized and standardized medical insurance service center in the country. Insurance people can run less legs and not legs when applying for medical insurance business.

This year, the national medical security information platform was officially launched in Xi'an. The municipal medical insurance entered the "code era" from the "card era". The "Internet+medical insurance" convenience services went deep into thousands of households. You can easily get a mobile phone to see a doctor and buy medicine.

At present, the insured can "code" with medical insurance electronic vouchers and enjoy various online medical security services.

In the next step, more rehabilitation items are included in the scope of Xi'an medical insurance payment, more traditional Chinese medicine diseases are included in the scope of medical insurance payment scope of traditional Chinese medicine, and the implementation of national drug collection and mining work allows patients to spend small money to buy medicines, "two diseases" outpatient drug guarantee policies continue to continue Upgrade ... Xi'an Medical Insurance will always put the lives of the people's lives and health first, and continue to woven the medical security network to make unremitting efforts for the "health dreams" of the citizens.

Digital reading medical insurance

1

★ As of the end of 2021, the number of basic medical insurance participants in Xi'an was 10.9439 million, and there were 4,695 medical insurance medical institutions in the city and 5,312 fixed -point pharmacies.

2

★ Pharmaceutical National Collection of Five batches of 218 drugs and 12 provincial -level collection of 12 drugs have been implemented in Xi'an. The average price decreased by more than 52%and a maximum decrease of more than 97%, which saved a total of 1.259 billion yuan. 3

★ National collection of 1 type of high -value medical consumables, provincial -level collection of 2 types of high -value medical consumables, and 2 types of ordinary pharmaceutical consumables have been implemented in Xi'an, with a price decrease of more than 98%, which can save 559 million yuan.

4

★ Promote the reform of multiple composite medical insurance payment methods. 231 types of diseases are paid according to disease types, 17 types of daily payments, 11 daily surgery paid implementation, and running smoothly; actively support the development of traditional Chinese medicine, facial paralysis, etc. Traditional Chinese medicine diseases are included in the scope of medical insurance payment in traditional Chinese medicine.

5

★ In 2021, a total of 293,700 people were paid by the major illness insurance of urban and rural residents in Xi'an City, and the total funds for the total amount were 680 million yuan. Throughout the year, patients with hypertension in Xi'an enjoyed a total of 772,800 benefits and fund expenditures of 46.8437 million yuan. Throughout the year, the patients with diabetes in Xi'an enjoyed 412,900 benefits and fund expenditures of 66.259 million yuan.

6

★ The number of elderly medical insurance payment rehabilitation projects has been increased to 43, and 41 medical care institutions are included in the medical guarantee point to establish a family bed for 365 insured people.

7

★ The per capita life expectancy increased from 75.7 years in 2011 to 80.93 years in 2021.

Source: Xi'an released

Edit: Qin Xiaojian Shu Yunmao Ziyu Junhui

Review: The Health Promotion Division of the Shaanxi Provincial Health and Health Committee

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