Luohe City's "Fourteenth Five -Year" medical security development plan is released

A few days ago, the "Fourteenth Five -Year Plan" Medical Security Development Plan "(hereinafter referred to as the" Plan ") was issued and implemented by the Municipal Medical Security Bureau.

"Planning" clarified the overall goal of the city's medical security development during the "Fourteenth Five -Year Plan" period. By 2025, the city's medical security will basically complete the reform tasks of key areas such as important mechanisms such as the treatment of the city's economic and social development level, fundraising operation, medical insurance payment, fund supervision, etc. The hierarchical medical security system is basically mature and shaped, and the modern medical security system has been initially formed.

The "Planning" proposed 14 main indicators and expected goals for the development of medical security during the "Fourteenth Five -Year Plan" period. By 2025, the participation rate of basic medical insurance in Luohe will reach more than 97%, and the income scale and expenditure scale of basic medical insurance (including maternity insurance) funds (including maternity insurance) have more adaptable to the city's economic and social development level and the health needs of the masses. The proportion of the payment of hospitalization expenses within the scope of the medical insurance and urban and rural residents' medical insurance policy stabilized at about 80%and 70%, respectively, and the proportion of rescue expenses for the key rescue targets reached 70%. The proportion of hospitalization expenses that are reached by the hospital for diagnosis related to the disease diagnosis or the type of disease is more than 70%of the total hospitalization expenses, and the amount of public medical institutions purchased through the provincial centralized procurement platform accounted for all purchased drugs (excluding Chinese medicine slices) amount. When 90%, public medical institutions purchase high -value medical consumables through provincial centralized procurement platforms accounted for 80%of the amount of high -value medical consumables purchased by all procurement of high -value medical consumables. There are more than 500 concentrated procurement varieties in the country, provincial, and provincial and municipalities, and the procurement varieties of high -value medical consumables have reached 5 categories. The direct settlement rate of hospitalization expenses has reached more than 80%, the online -per online rate of medical insurance service services reaches more than 90%, and the menu can be handled by 100%of the medical insurance government service.

The "Planning" proposes that during the "Fourteenth Five -Year Plan" period, the city's medical security work will focus on completing three tasks. The first is to improve the "one system", that is, the construction is based on the basic medical insurance, medical assistance as the bottom, and the medical security system of major disease insurance, commercial health insurance, charity donation, and medical mutual assistance. The second is to improve the "four mechanisms" and consolidate the "two support", that is, the four mechanisms of continuous improvement of treatment guarantee, fundraising operation, medical insurance payment, and fund supervision, and strive to consolidate the two support systems of medical service supply and medical security management services. The third is to implement the "four major projects", that is, the implementation of improvement and improvement of major illness assistance systems, basic medical insurance outpatient protection mechanisms, reform of medical insurance payment methods, and optimization of medical insurance services.

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