Guarantee the treatment of insurers is not reduced!Hunan Provincial Medical Insurance Bureau has issued twelve new measures to dry goods

Today, Xiaobu learned from the Hunan Provincial Medical Security Bureau that in order to help enterprises' high -quality development and ensure that the insured's treatment is not reduced, it supports the normal operation of fixed -point pharmaceutical institutions. "

Small and medium -sized enterprises phase slow payment measures are exempted from shackles

Based on the unified national deployment, on the basis of considering the ability of the medical insurance fund to withstand, the conditional coordination zone implements the phased payment of small and medium -sized enterprises to implement the payment of employee medical insurance units. Slowly paying measures are exempt from sharing, and the implementation time is 3 months.

Support quality innovation of pharmaceutical companies in the province, and optimize the application procedures for the province's drugs and innovative drugs that pass the national generic drug quality and efficacy consistency.

Promote the direct settlement of the collection of pharmaceutical collection, rely on the province's unified medical insurance information platform "drug and medical consumables recruitment management subsystem", promote the selection of product payment directly from the medical insurance fund, the settlement process of the medical payment of medicine, and shorten the time for the settlement of medical payment , Reduce the cost of collecting drug transactions and reduce the pressure of corporate funds.

The medical insurance department in our province will do a good job in the transfer of various types of people's participation and medical insurance relations across regions, and realize the full coverage of direct settlement of ordinary outpatient clinics and counties in all districts and counties in Hunan Province. Direct settlement helps the reform of the social movement system and mechanism of talents.

保证参保人待遇不降低

The 15 overall planning areas in the province further do a good job of payment of insured personnel to ensure that the level of medical insurance reimbursement during the slow payment period will not decrease.

The medical insurance department in our province has continued to stabilize the basic disk of the medical insurance fund, and scientifically compiles the revenue and expenditure budget of the medical security fund in accordance with the principle of "receiving and expenditure, balance of revenue and expenditure, and slightly balanced." Strictly implement a list of medical insurance benefits, shall not be able to introduce institutional policies at will, and shall not use medical insurance funds to pay large -scale crowd nucleic acid testing costs.

At the same time, the fund exports strictly to prevent fraudulent insurance, high prices of pharmaceutical consumables, excessive diagnosis and treatment, and prevent waste of fund loss.

Consolidating the three -way system protection function and the risk of returning to poverty after the "triple protection" after the "triple protection", in accordance with the re -rescue system, it will be given to the rescue. Promote the "one -stop" settlement of basic medical insurance, major illness insurance, and medical assistance. Promote the development of commercial health insurance, and encourage conditions for enterprises to establish supplementary medical insurance on the basis of implementing basic medical insurance for employees.

Due to difficulty in the income and expenditure of medical insurance funds, the normal operation of the enterprise is affected

The medical insurance department will further improve the efficiency of the medical insurance fund payment, timely settle the funds with designated pharmaceutical institutions in a timely manner, and promote the timely landing function of the new platform to be implemented in a timely manner. Mass treatment standards and medical institutions and pharmaceutical companies normal production and operation.

Our province will deepen the reform of "decentralization of service", implement "one thing at a time", and improve the service efficiency of medical insurance. Provincial medical insurance agencies put the relevant work matters such as "two fixed" and "special door" access to Changsha City, and the on -site assessment will not be repeatedly carried out, so that they should be released.

Support the development of traditional Chinese medicine inheritance and innovation, and give priority to approval of the traditional Chinese medicine diagnosis and treatment technology projects that fill the diagnosis and treatment methods of major illness or diagnosis and treatment projects, and reflect the innovation and clinical value of traditional Chinese medicine and clinical value.

Support the innovation and development of "Internet+Medical", and add the new "Internet+" medical service price projects declared by medical institutions, accelerate the acceptance review, scientifically determine the project name, service content, pricing unit, charging method, etc. Provide policy basis for distribution income.

来源丨长沙晚报

Reporter 丨 Xu Yuan

编辑丨汤威 校对丨文春燕

Review 丨 Du Jin

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