Beijing, January 15th (Reporter Li Hongmei) Recently, the National Medical Insurance Administration issued the "Interim Measures for the Management of Medical Security in Medical Institutions" and "Interim Measures for the Management of Medical Security in Retail Pharmacies" to clarify qualified medical institutions and retail pharmacies It can be included in the designated management of medical insurance by applying for signing a medical insurance agreement, and the basic conditions and procedures for signing the agreement are clarified.
According to statistics, in 2019, about 200,000 medical institutions (excluding integratedly managed village clinics) and 390,000 retail pharmacies have been included in the designated medical insurance sites, basically meeting the medical and drug service needs of the insured.
Comply with the medical institutions and retail pharmacies within the scope of designated medical insurance institutions, the operation time shall not be less than 3 months, the basic requirements such as certain business license qualifications and service personnel, and meet the requirements of the medical insurance management system and the relevant financial system requirements of medical insurance. Statistical information management, effective docking with the medical insurance information system, and strict implementation of management requirements such as the catalog of medical insurance drugs, consumables, and medical service items can apply for inclusion in designated management.
At the same time, the "Interim Measures for the Management of Medical Security in Medical Institutions" proposes 14 situations for dissolving agreements, and the "Interim Measures for the Management of Medical Security in Retail Pharmacies" proposes 17 situations for dissolving agreements. The medical expenses incurred after the dissolution of the agreement, the medical insurance fund No more settlement.
Internet hospitals can also apply to be included in designated medical insurance management. They can sign an agreement with the physical designated medical institution they rely on and report to the overall planning regional medical insurance agency for record. The provision of services incurs relevant expenses that meet the requirements. The regional medical insurance agency and designated medical care Institutional settlement.
Designated retail pharmacies can sell drugs with electronic prescriptions issued by designated medical institutions.
This will greatly facilitate the insured people to purchase medicines through Internet hospitals and get medical insurance reimbursements, realizing "more information and prescriptions, patients less errands".