Binzhou Voice October 10
On October 10, the reporter learned from the series of press conferences on "Welcome the Twenty National Congress - Deepening the Reform of the Business Environment in the City to Polish the 'Binjingjing' Brand" - Inclusive, inclusive and innovative improvement of medical and nursing services, that since this year, the medical insurance department of our city has deepened the "medical insurance for the people" project in accordance with the goal of "more benefits for the people, more convenient services, and warmer services", providing convenience for the people , , medical treatment and medicine purchase, etc., and raising the financial subsidy standards to reduce personal burdens.
adapts to population mobility needs and provides convenience for medical treatment in other places
medical procedures are simplified again. The two categories of medical personnel in other places have been integrated and simplified to "long-term residents in other places" and "temporary medical personnel". The filing of "long-term residents in other places" has been changed to a commitment filing system. The filing procedures for temporary medical treatment across cities in the province have been cancelled, and the cross-provincial "temporary medical personnel" have been added to the on-site processing.
is more convenient to come to Bin for medical treatment. All 173 designated medical institutions with inpatient functions in the city have launched cross-provincial inpatient network settlement, and 240 designated medical institutions have achieved cross-provincial general outpatient network settlement. On the basis of realizing the "one card pass" in the province, we will promote the "one card pass" of employees' personal accounts across provinces, break the barriers to the use of personal accounts across provinces and other places, and 800 designated medical institutions have achieved "one card pass" across provinces. Five outpatient chronic and special diseases, including hypertension , diabetes , malignant tumor outpatient chemotherapy, uremia dialysis, and anti-rejection treatment after organ transplantation, have been opened in both directions inside and outside the province. Among them, 21 designated medical institutions in our city have achieved cross-provincial settlement of five outpatient chronic and special diseases, achieving full coverage of counties and districts. It only takes three steps for insured persons to enjoy the inter-provincial reimbursement of 5 outpatient chronic diseases. First, apply for chronic special diseases, then register the place of medical treatment when going out, and finally present the medical insurance electronic certificate or social security card for medical treatment. From January to August, the number of people who came to Bin to cross-provincial off-site hospitalization network settlement increased by 21.39% compared with the same period last year, and the number of people who came to Bin to cross-provincial off-site clinic network settlement increased by 21 times compared with the same period last year.
The personal burden is reduced again. The "temporary medical personnel" of employees and residents first reduced the proportion of self-paid to 5%, the lowest in the province. From January to August, the number of people insured persons in our city increased by 0.25% compared with the same period last year, and the number of people in cross-provincial off-site outpatient network settlement increased by 17 times compared with the same period last year.
It is reported that at present, 81 people in our city have been seeking medical treatment in Beijing, Tianjin, Hebei and other places. Three people in Jiangsu and Hebei from other provinces have enjoyed the convenience of "zero running errands" and "no advance payment" for direct online settlement and reimbursement.
promotes data empowerment, and the public seeks medical treatment and purchases medicines "on-mobile"
was the first in the province to launch the "Medical Insurance Online Purchase of Medicine + Pharmacy Delivery of Medicine to Home" project. With the help of the Alipay mobile platform, Alipay medical insurance drug purchase, medical insurance pharmacy supply, and platform partner riders deliver medicine to the home service, covering all counties, cities and districts. Currently, a total of 259 pharmacies have been opened, with a total of 6,927 people purchasing drugs online, and a drug sales amount of 285,500 yuan.
opens the "Internet Hospital + Outpatient Clinical Severe Disease" service in the city urban area. Relying on the Internet Hospital of Binzhou Traditional Chinese Medicine Hospital and Xinyue Rehabilitation Internet Hospital, a new model of online prescription renewal, online payment, prescription circulation, offline drug collection, and home delivery of medicines is implemented. At present, the Yellow River Community Hospital is being promoted and applied, and 126 people have purchased medicines online, with 34,600 yuan in medical expenses and 14,700 yuan in medical insurance funds paid.
set up a "24-hour medical insurance smart cloud pharmacy". Relying on physical designated retail pharmacies, we can realize 24-hour Internet hospital video communication prescription services to meet the people's needs for night-time medicine purchases. At present, 13 "24-hour medical insurance smart cloud pharmacies" have been deployed and put into use at the south gate of Bin Medical Affiliated Hospital, Bincheng District , Huimin County , etc.
highlights convenience and benefits for the people, and delivers services to your doorstep
The province is the first to achieve full coverage of grassroots medical insurance convenience service sites in cities, counties and villages. A total of 1,752 grassroots service sites have been built, and the service matters have been handled at the hospital and at the grassroots level, creating a "15-minute medical insurance service circle". Experiences and practices have been promoted throughout the province and have been published by People's Daily and China Medical Insurance Network.
Normally promotes the reform of centralized procurement of pharmaceutical and consumables. The province took the lead in implementing the centralized procurement policy of artificial joints and was interviewed and reported by Shandong Taiwan's "Evening News" and CCTV's "News Broadcast". The province took the lead in piloting the entry of centralized drug procurement into pharmacies, breaking the trend that centralized drug procurement can only be used for hospitalization in hospitals, and there are 207 centralized drug stores in the city. The drug price disclosure procedure was independently developed to implement the drug price disclosure, and the price announcement of 50 commonly used drugs was announced on the official website of the Municipal Medical Insurance Bureau.
increase the financial subsidy standard, and the medical insurance benefits of residents are sustainable
Starting from October 1, our city will start the 2023 basic medical insurance payment work for urban and rural residents. The fiscal subsidy standard has increased from 580 yuan per person per year to 610 yuan, and the individual payment standard has increased from 320 yuan to 350 yuan.
Insured residents can enjoy 6 categories of basic medical insurance benefits: First, the annual medical expenses for ordinary outpatient clinics are reimbursed at 60% within the limit of 400 yuan; Second, the types of chronic diseases have increased from 20 to 43, and the reimbursement ratio has increased from 50% to 65%; Third, patients with hypertension and diabetes who are included in standardized management are included in the protection scope and are reimbursed at 60% , the annual payment limit is 300 yuan for hypertension and 400 yuan for diabetes, 600 yuan for the combined two diseases and the use of insulin ; fourth, the proportion of hospitalization reimbursement for residents' tertiary hospitals increased from 50% to 60%; fifth, the financing standard for residents' serious illness insurance increased from 81 yuan per person per year to 90 yuan, and the proportion of reimbursement for major illnesses increased from 50% to 60%; sixth, the number of basic medical insurance drug catalogs increased from more than 1,500 to more than 2,800.
