This year, the per capita financial subsidy standard for medical insurance in Shandong residents increased by 30 yuan, reaching no less than 610 yuan per person per year

Author:Published in Shandong Time:2022.09.08

Recently, the Shandong Provincial Medical Security Bureau, the Shandong Provincial Department of Finance, the State Administration of Taxation's Shandong Provincial Taxation Bureau, and the Qingdao Taxation Bureau of the State Administration of Taxation jointly issued the "Notice on Doing a Better Medical Guarantee Work in City and Rural Residents in 2022". According to the unified national deployment, the per capita financial subsidy standard for residents' medical insurance in 2022 will be added 30 yuan, reaching no less than 610 yuan per person per year; the individual payment will be added 30 yuan simultaneously, reaching an average of less than 350 yuan per person per year. The residents' serious illness insurance is still funded at the original standard.

The "Notice" proposes that provincial finances are subsidized in accordance with regulations, and municipal, county (city, district) finance shall arrange financial subsidy funds in full and in place in accordance with regulations. Implementing flexible employment personnel such as new employment forms to participate in the policy of flexible employment. For residential permits to participate in local residents' medical insurance, finances at all levels shall be subsidized in accordance with the same standards of local residents. Implement the policy of bidding for the insurance of difficulties, give full funding to the special poverty -stricken personnel, and provide a settlement of funding for the subsistence allowances, members of the poverty -poverty -poverty, and family members of the minimum guarantee edge of the minimum living. Finances at all levels pass the medical assistance funds on behalf of the individual payment paid by qualified personnel, and will be collected by the medical insurance department to push special payment documents, the financial department allocated funds, and the tax department. Starting from the new semester of the fall of 2022, the personal payment policy of the students in school was canceled during the school during the school, and the natural annual payment and enjoyment were uniformly treated.

The efficiency of the comprehensive guarantee of basic medical insurance, major illness insurance, and medical assistance is used to consolidate and improve the level of medical insurance treatment for residents. Conditional cities can further increase the proportion of hospitalization expenses within the scope of residents 'medical insurance policy through moderately increased the proportion of residents' hospitalization payment ratios or reduce the level of personal burden such as category B drugs and high -value medical consumables. Establish and improve the outpatient guarantee mechanism. Before the end of 2022, the general outpatient clinic coordination system of residents is established, and the "two diseases" outpatient drug guarantee work for urban and rural residents' hypertension and diabetes will be done. Reasonably improve the level of protection for the medical insurance for residents' medical insurance, support the three children's fertility policies for participating residents, and promote the long -term balanced development of the population.

The "Notice" clearly states that the implementation of national collection, provincial collection, and inter -provincial sectrheal drug consumables have been implemented. Purchasing, reducing the burden on the masses, and promoting the high -quality development of the Chinese medicine industry. At the end of 2022, the number of cumulative number of drugs for the national and provincial (inter -provincial alliance) has not less than 350 drugs, and the cumulative medical consumables have reached 18 categories. Continue to implement the retirement policy for the balance of medical insurance funds, comprehensively promote the direct settlement of the payment of drugs and medical consumables in the collection, and enhance the enthusiasm of medical institutions and pharmaceutical companies to participate in reform.

Shandong will accelerate the construction of provincial, cities, counties, townships, and villages. The construction of the five -level medical insurance service system and the payment service system of the provincial, cities, counties, townships, and villages will be fully covered by the end of 2022. At the same time, combined with local reality, actively stabilized to the village (community), "two fixed" institutions, financial institutions, enterprises, schools, etc., and strived to create a "15 -minute medical insurance service circle". Comprehensively promote the service models such as online office, handling, self -service office, nearest office, and help agency, and vigorously promote the service methods such as "one -click", "one clarion" and "not to ask". Build the province's medical insurance SMS service platform, implement the "one SMS" work method, timely push the medical insurance service information to the masses in a timely manner, and gradually realize the masses' online consultation. Strengthen the standardization construction of medical insurance service windows, promote the implementation of the system and implementation of the first question, the acceptance of the acceptance, and the promise of the certificate, and to realize the full coverage of standardized management of the medical insurance service hall at or above the county level.

Optimize the insurance payment service and improve the level of payment facilitation. On the basis of the "One -Line Co -Organization" of the Medical Bonded Offline, with the help of the provincial integrated government service platform, Ai Shandong APP, Ai Shandong Qing E Office and other channels, the insured registered and payment function online "one window Township. Actively promote the "one incident" theme integration service and birth medical certificate, children's vaccination, hukou registration, urban and rural residents' participation registration, social security cards, and other "birth of one thing".

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