The three departments issued a document to adjust the basic medical insurance funding standards for urban and rural residents

Author:Guangming Daily Time:2022.07.09

Our newspaper, Beijing, July 8th (Reporter Qiu Yan) In order to meet the growth of medical expenses and the improvement of basic medical needs, and ensure the rights and interests of the insured persons, the State Medical Insurance Bureau, the Ministry of Finance, and the State Administration of Taxation released the "About 2022 years of 2022 years The notice of the basic medical security work of urban and rural residents (hereinafter referred to as the "Notice"), it is clear that in 2022, it will continue to improve the funding standard for the basic medical insurance (hereinafter referred to as "residents' medical insurance").

The "Notice" requires that finances at all levels continue to increase the subsidy for the payment of insurance insurance for residents, and the per capita financial subsidy standards will be added 30 yuan to reach less than 610 yuan per person per year. 350 yuan per year.

At the same time, the central government continues to implement subsidies for localization in accordance with regulations, and gives subsidies to the western and central regions in accordance with the per capita financial subsidy standards of 80%and 60%, respectively, and will be subsidized according to a certain proportion of provinces in the eastern region. Overall and arrange the capital of urban and rural residents' serious illness insurance (hereinafter referred to as "major illness insurance") funds to ensure that fundraising standards and treatment levels are not reduced. Explore the establishment of a dynamic fundraising mechanism for the establishment of a fundraising standard for residents' medical insurance and the per capita disposable income of residents, and further optimize the fundraising structure. Let go of the restrictions on the household registration of flexible employment personnel such as new employment forms.

The "Notice" requires that the level of medical insurance hospitalization is stabilized and the fund payment ratio within the policy scope is stable at about 70%. Improve the outpatient guarantee measures, continue to do a good job in the guarantee of hypertension and diabetes outpatient clinics, and improve the clinic chronic disease and special disease protection. Strengthen the function of major illness insurance and medical assistance outpatient clinics, explore the incorporation of high medical expenses within the scope of policies into the calculation caliber of the medical expenses of major illness insurance compliance medical expenses, coordinate the use of outpatient and inpatient rescue funds, and share the annual rescue limit. Reasonably improve the level of guarantee for the medical insurance medical expenses of residents, effectively support the three -child maternity policy, reduce the burden on maternity medical expenses, and promote the long -term balanced development of the population.

The "Notice" also emphasizes that it is necessary to consolidate the results of poverty alleviation to expand medical security, consolidate the function of medical assistance, and resolutely keep the bottom line of returning to poverty due to the scale of the disease. Continue to do a good job of medical assistance to the people of difficult people to participate in the personal payment of the residents' medical insurance. The full funding is funded, and the excess funding is funded to the poor and returned to the poor. Improve the efficiency of the use of medical assistance funds in overall planning, use enough funding to participate in insurance and direct rescue policies to ensure that they should do their best and rescue them.

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