(Fighting against New Coronary Pneumonia) National Medical Insurance Administration: 1.232 billion yuan was paid for medical insurance for patients diagnosed and suspected of new coronary pneumonia nationwide
China News Service, Beijing, July 28 (Reporter Li Yanan) Xiong Xianjun, Director of the Medical Service Management Department of the National Medical Security Administration of China, said in Beijing on the 28th that as of July 19, 135,500 medical insurance settlements have occurred in confirmed and suspected patients with new coronary pneumonia across the country. , Involving medical expenses of 1.847 billion yuan (RMB, the same below), medical insurance payments of 1.232 billion yuan, the payment ratio reached 67%.
The State Council Information Office of the People's Republic of China held a briefing on the 28th to introduce the key tasks of deepening the medical reform in the second half of 2020.
Xiong Xianjun introduced at the briefing that since the outbreak, the National Medical Insurance Bureau has instructed local medical insurance departments to strengthen measures to respond to the epidemic, providing a strong guarantee for winning the battle against the epidemic.
One is the introduction of the "two guarantees" policy. Ensure that patients do not affect medical treatment due to cost issues, and ensure that hospitals admitted to treatment do not affect treatment due to payment policies. All diagnosed and suspected patients will be treated first and settled later, and special funds will be allocated to medical institutions undertaking the task of treating new coronary pneumonia, so as to relieve the financial pressure of medical institutions and conduct settlements with medical institutions in a timely manner. As of July 19, 135,500 medical insurance settlements occurred in confirmed and suspected patients with new coronary pneumonia across the country, involving 1.847 billion yuan in medical expenses, 1.232 billion yuan in medical insurance payments, and the payment ratio reached 67%.
The second is to innovate management methods. Implement the "five-office" medical insurance management service of "timely, in-person, convenient, private, postponed, and relieved" medical insurance management services, and include the "Internet +" follow-up service fees for common diseases and chronic diseases into the medical insurance payment scope. Implement a long prescription policy for patients with chronic diseases such as hypertension and diabetes.
The third is to support the resumption of work and production. From February, all regions can halve the payment of employee medical insurance units, and the reduction period shall not exceed 5 months. It is expected to reduce the burden of enterprises by more than 150 billion yuan.
Xiong Xianjun pointed out that the next step is to focus on the following tasks: First, do a good job of settlement and clearing, and do not leave behind accounts. Adhere to a game of chess across the country, uniformly organize the verification of the insured area and conduct a national liquidation. The second is to summarize experience and improve the system. We will normalize and institutionalize the "Internet + medical insurance" and long-term prescriptions that were introduced during the epidemic, and explore the establishment of a medical fee exemption system for special groups and specific diseases. The third is to strengthen situation analysis and research. Consolidate fund management responsibilities, and do a good job of monitoring and analyzing fund operations. Actively support medical institutions to tide over difficulties. (Finish)