Continue to improve!Related to medical insurance
Author:Hebei Radio and Television Sta Time:2022.07.09
On July 8th, the State Medical Insurance Bureau, the Ministry of Finance, and the State Administration of Taxation jointly issued the "Notice on Doing a Good House for the Basic Medical Guarantee of Urban and Rural Residents in 2022", which clarifies to continue to improve the funding for basic medical insurance for urban and rural residents this year; Increase subsidies for the payment of medical insurance insurance for residents, and the per capita financial subsidy standards are added 30 yuan to reach a per person of not less than 610 yuan per year. The personal payment standard is 30 yuan per person, reaching 350 yuan per person per year.
The notice pointed out that the central government continued to implement sub -grading subsidies in accordance with regulations, and subsidized subsidies to the western and central regions in accordance with the per capita subsidy standards of 80%and 60%, respectively, and subsidized the provinces in the eastern region according to a certain proportion. my country will also make overall planning for urban and rural residents 'major illness insurance funds to ensure that the fundraising standards and the level of treatment are not reduced; explore the establishment of a dynamic fundraising mechanism for the establishment of residents' medical insurance fundraising standards and the per capita disposable income of residents, and further optimize the fundraising structure. At the same time, this year, the restrictions on the household registration of flexible employees such as new employment employment employees will be allowed. For those who hold a residence permit to participate in local residents' medical insurance, finances at all levels shall be subsidized in accordance with the same standards of local residents.
The three departments stated that this year, we will continue to stabilize the level of medical insurance hospitalization for residents to ensure that the fund payment ratio is stable at about 70%within the scope of the policy; improve the outpatient protection measures, continue to do a good job in high blood pressure, diabetic outpatient drug guarantee, improve the chronic diseases and special disease protection of outpatient clinics; 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. In addition, this year, it will also rationally improve the level of guarantee for the medical insurance medical expenses of residents, effectively support the three -child maternity policy, and reduce the burden on maternity medical expenses.
The notice also clearly states that it is necessary to standardize the management of ethnic drugs, medical institutions, traditional Chinese medicine tablets, and traditional Chinese medicine formula pellet medical insurance; explore outpatient clinics to pay in accordance with the first person, promote the reform of traditional Chinese medicine and medical insurance payment, and explore the types of traditional Chinese medicine. At the same time, it is necessary to promote the collection of drugs and medical consumables in a comprehensive and level, and coordinate and coordinate the development of national organizations and inter -provincial alliance collection. At the end of 2022, the number of cumulative number of drugs for the national and provincial (or cross -provincial alliances) has not less than 350 drugs, and the cumulative high -value medical consumables have reached more than 5.
This year, it will also accelerate the construction and improvement of the regulatory system and law enforcement system of the medical insurance fund, promote the establishment of an incentive accountability mechanism, and incorporate the crackdown on fraudulent protection work into the relevant work assessment; continue to carry out special rectification operations to combat fraud and deficit insurance, and continue to expand the breadth of the special rectification operations of special rectification operations And depth. Continue to do medical expenses, new crown vaccines and vaccination costs for new crown pneumonia. Before the end of 2022, at least one ordinary outpatient cost of each county will be opened to open a designated medical institution for connected provincial networks. Conduct of Slow Special Diseases Cross -provincial Direct Settlement Services.
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