Jiangsu proposed 19 measures to promote medical insurance support inheritance and innovation and dev

Content source: intersection news Xinhua Daily · Jiao Dian Reporter: Huang Hongfang

The Jiangsu Provincial Medical Security Bureau and the Provincial Administration of Traditional Chinese Medicine Recently issued the "Implementation Opinions on the Innovation and Development of Medical Insurance Supporting the Innovation of TCM inheritance". By supporting traditional Chinese medicine medical institutions, incorporating the management of medical insurance fixed -point management, more traditional Chinese medicine medical service projects, traditional Chinese medicine into the medical insurance directory, etc. 19 specific measures support the inheritance and innovation and development of traditional Chinese medicine, and better meet the people's service needs for Chinese medicine.

Jiangsu is a large province of Chinese medicine, and has been famous for all medicines in the past. It has an important position in the history of traditional Chinese medicine. The "Implementation Opinions" clearly clearly incorporates eligible Chinese medicine medical institutions, Chinese medicine retail pharmacies, etc. in time into medical insurance designated management; timely, the grass -roots medical and health institutions, rehabilitation hospitals, Anning therapy centers, nursing care centers, nursing centers, nursing The college and pension institutions have a traditional Chinese medicine medical institution in the management of medical insurance designation; the eligible fixed -point TCM medical institutions are included in the scope of direct settlement of medical treatment in different places; the "Internet+" traditional Chinese medicine services provided by the Internet hospital opened by traditional Chinese medicine medical institutions are included in the medical insurance fund Payment scope.

According to clinical needs and fund security capabilities, local medical insurance departments will include Chinese medicine service projects with extensive clinical use, obvious functional effects, and outstanding advantages in the scope of medical insurance payment. Establish a dynamic adjustment mechanism for hospital preparations and traditional Chinese medicine decoction tablets that are connected to the national pharmaceutical directory adjustment, which will meet the national medicines with reasonable clinical needs, reasonable prices, and accurate efficacy. The traditional Chinese medicine preparation is included in the medical insurance directory according to the program. Support the use of the prescribed Chinese medicine hospital preparations within the scope of the specified designated medical institutions and incorporate it into medical insurance payment. The Chinese medicine preparations and traditional Chinese medicine formulas of medical institutions are paid according to class B to explore the establishment of a unified medical insurance payment standard in the province.

Incorporate Chinese medicines in the "National Talking Medicine" into the "dual channel" management, and the patient's medication channels are expanded to fixed -point retail pharmacies to better guarantee the need for the use of medication for participating people. Establish and improve the "National Talking Medicine" to enter the hospital's monitoring and evaluation index system, and incorporate the composite medicine equipment and use of medical institutions into the scope of monitoring and evaluation.

In major epidemics, Chinese medicines, traditional Chinese medicine drinks, traditional Chinese medicine diagnosis and treatment projects, and special prescriptions approved or filed by the provincial drug supervision department will be temporarily included in the payment scope of the medical insurance fund in accordance with relevant national and Jiangsu regulations. Essence

In addition, Jiangsu will gradually improve the connotation of family doctors 'contract service packages, and incorporates the appropriate Chinese medicine service projects that are suitable for grass -roots medical institutions into family doctors' contract content to achieve a unified code. Support fixed -point traditional Chinese medicine medical institutions to carry out "Internet+" Chinese medicine services in accordance with regulations, and realize the same payment policy for online and offline medical services. Open the mobile payment function of the medical insurance to realize the online payment of the "Internet+" Chinese medicine service fee for the insured person.

Edit: Dong Juntong

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