Expand the scope of special diseases and diseases in the clinic, and enhance the function of supplementary insurance supplementary insurance for medical treatment ... Chengdu Medical Insurance Multi -measure and "benefit the enterprise for the people"

Red Star reporters learned from the Chengdu Medical Insurance Bureau that recently, the Chengdu Medical Insurance Bureau issued the "A Measures for helping to stabilize the economic growth of the" benefits for the people "(hereinafter referred to as the" Measures "). The "Measures" use the service enterprise development, open up policies to empower blockage points, and improve the level of service levels as the purpose of work, improve medical insurance service services, accurately help enterprises in difficulties, use medical insurance characteristics to help stabilize economic insurance growth, create good creation Economic underlying environment and social stability environment.

Medical insurance helps stabilize economic insurance growth. The 11 measures for "benefiting enterprises for the people" are as follows:

The first is to improve long -term care insurance protection. Incorporate students and moderate disabled secondary and tertiary disabled personnel into the scope of the system guarantee; increase the frequency of professional nursing at home; incorporate the auxiliary instrumental services into the scope of the payment of the medical insurance fund.

The second is to enhance the function of supplementary insurance for medical mutual assistance. Personal high -value consumables for the cancellation of the medical mutual assistance supplementary insurance supplementary insurance for major illness.

The third is to expand the scope of special diseases and diseases. Two diseases of adverse spinalitis and severe osteoporosis are incorporated into the scope of the special disease protection scope of the outpatient disease in Chengdu.

The fourth is to optimize hypertension and diabetes ("two diseases"). Simplify the "two diseases" identification procedures for urban and rural residents; the "two diseases" groups that are standardized and managed by the health department are included in the scope of medical insurance.

Fifth, the preparations of medical institutions are included in medical insurance reimbursement. In accordance with the principles of clinical necessity, safety and effectiveness, and reasonable prices, the preparations of Chengdu medical institutions are included in the medical insurance directory.

Sixth, the prepaid management of basic medical insurance settlement expenses for medical institutions is implemented. Pay the basic medical insurance settlement expenses in advance to the qualified fixed -point medical institutions to reduce the pressure of cushioning medical expenses for cushioning in designated medical institutions.

Seventh, improve the convenience of medical services for different places. Implementing the insured people in Chengdu for medical treatment in Chongqing and provinces; incorporating malignant tumors, organ transplants, anti -excretion, hemodialysis outpatient diseases, and incorporate direct settlement of medical treatment in different places; implement sporadic reimbursement online payment online payment Essence

Eighth is to optimize the "Hui Rongbao" upgrade guarantee. Guide the inclusive commercial health insurance "Hui Rongbao" to reduce the starting line, increase the proportion of self -funded reimbursement, optimize the drug selection mechanism, and increase the drug reimbursement directory.

Nine is to enhance the "medical insurance loan" service function. The "medical insurance loan" service target is expanded from two fixed institutions to "medical+medicine+health management" related enterprises.

Ten is to optimize the medical insurance workstation around the masses. Innovate the cooperation with finance, insurance, and designated pharmaceutical institutions to provide insurance registration and inquiry, medical treatment filing, continuation of medical insurance relations, and printed by insurance insurance relations, etc., implement agency systems, and achieve full -process services. The masses and enterprises only run once.

Eleven is to improve the service level of medical insurance. Carry out 64 online business online service services for "medical enterprises" enterprises; add large and high -tech new enterprises VIP service rooms and flexible employment staff to run service windows to increase the self -service terminal service of civil medicine insurance.

Red Star News reporter Peng Jing

Edit Tan Wangyu

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