CCTV News:

Starting from February 1 this year, 15 provinces and regions, including Shanxi and Inner Mongolia, have been added as pilots for direct settlement of ordinary outpatient expenses.

Up to now, 27 provinces (autonomous regions and municipalities) across the country have carried out a trial operation of direct settlement of ordinary outpatient expenses without outpatient chronic diseases.

The newly added pilot projects include 15 provinces and autonomous regions in Shanxi, Inner Mongolia, Liaoning, Jilin, Heilongjiang, Fujian, Jiangxi, Shandong, Hubei, Guangxi, Hainan, Shaanxi, Ningxia, Qinghai, and Xinjiang. The first batch of 89 coordinated regions and designated medical institutions will be opened. 663 homes.

The total number of direct settlements nationwide exceeded 3 million

　　Since 2018, the Yangtze River Delta, Beijing-Tianjin-Hebei, and Southwestern five provinces (autonomous regions and municipalities) have successively carried out pilot projects for direct settlement of ordinary outpatient expenses in the region, and the total number of direct settlements exceeded 3 million, effectively solving the "reimbursement of patients" Problems such as long cycles and tired trips.

Xiong Guang, deputy director of the Medical Security Management Office of Luzhou People’s Hospital, Sichuan Province: In the

past, hypertension and diabetes outpatients outside the province had to pay a lot of money each time they

reported their bills

, and then went back to the insured area to

repay the bills. It

was also very hard to travel back and forth. Once direct settlement is enabled, such patients can be settled directly in our hospital.

When the medical reform is underway, the national centralized procurement of coronary stents will be implemented nationwide

　　The other good news is about coronary stents.

Beginning on New Year's Day this year, the state's centralized procurement of coronary stents has gradually landed.

Recently, as Guangxi, Tibet and other places began to use selected products, patients across the country can use more affordable coronary stents.

Huang En, a patient with coronary heart disease in Wuming District, Nanning City, Guangxi, recently went to the hospital due to chest tightness and chest pain.

In the end, Huang En successfully implanted two coronary stents on January 28, becoming an earlier patient in Guangxi who used the Shanghai National Centralized Coronary Stent.

Patient's daughter Huang Longlan:

Actually, I was very nervous, because before the reform, the price of the stent was around 13,000 yuan, and now it has dropped to more than 700 yuan after the reform.

Li Lang, chief physician of the Department of Cardiovascular Medicine, deputy dean of the First Affiliated Hospital of Guangxi Medical University:

The collection of high-value consumables and medicines, especially high-consumables such as coronary stents, I think the country is solving the problem of difficult and expensive medical treatment for the masses. An important move.

　　In addition, since the state implemented centralized procurement of medical consumables, the prices of medicines and related products have dropped significantly.

Lu Bangfu, director of the Department of Cardiology, the First People's Hospital of Xiangtan City, Hunan Province:

Before the national

centralized

procurement policy, the cost of medicine for one month was about 700-800 yuan. After the national centralized procurement policy, now (patients) take (home) The medicines are all collected medicines, and now it costs only about 150 yuan a month, which significantly reduces the financial burden of patients.

　　In order to solve the problem of "difficult and expensive medical treatment", the country has deepened the reform of the medical and health system in the past five years, and more and more medical reform "gifts" are bringing benefits to the people.

Solve the difficulty of seeing a doctor: promote the sinking and balanced allocation of high-quality resources

　　According to the National Health Commission, during the "13th Five-Year Plan" period, pilot projects will be carried out in 8 provinces to promote the construction of medical consortia and comprehensive medical reforms in counties.

Today, 84% of county-level hospitals across the country have reached the level of hospitals above the second level.

In addition, strengthen the integration of resources and services. The number of urban medical groups established nationwide has reached 1,408, county medical communities have reached 3,346, and cross-regional specialist alliances have reached 3,924; at the same time, it has promoted family doctors' contract services, piloted the construction of community hospitals, and improved the level of primary care. .

my country has built the world's largest basic medical insurance network

　　In order to make it more convenient for everyone to see a doctor, during the "13th Five-Year Plan" period, the number of people who directly settle medical and hospital expenses across provinces and the scale of funds has increased steadily. More than 300 million people across the country have electronic medical insurance certificates.

During the new crown pneumonia epidemic, the medical insurance department promulgated policies as soon as possible to ensure that patients will not be affected by cost issues; medical institutions that are admitted do not affect treatment due to payment policies.

At present, our country has built the world's largest basic medical insurance network, basically realizing all the necessary insurance.

Tianjin citizen Wang Guizhi: It

’s great to get medical insurance, otherwise I wouldn’t be very relieved to treat it.

If you are seriously ill, you will have a heavy mental burden. With medical insurance, the price of this medicine will be reduced again, and there will be no pressure.

Ease the cost of medical treatment and reduce the price of medicines

　　In the past five years, for the first time in the field of medicines and consumables, my country has carried out centralized procurement by the state organization. The three batches of national centralized procurement of 112 medicines have dropped by an average of 54%, saving 53.9 billion yuan in medical costs.

The average price of high-value medical consumables for coronary stents has dropped from 13,000 yuan to about 700 yuan, with an average price reduction of 93%. Based on the agreed purchase volume for the first year, it is estimated that the cost can be saved by 11.7 billion yuan.

Chen Jinfu, Deputy Director of the National Medical Security Administration:

The purpose of centralized bidding and procurement is to eliminate the sales with gold, and promote the reconstruction of new mechanisms in the field of recruitment and procurement through market exchange, volume-price linkage, and integration of recruitment and procurement.

　　Since 2017, the medical insurance department has conducted medical insurance access negotiations for four consecutive years. Exclusive drugs that are expensive or have a greater impact on the fund can be included in the list after negotiation.

The most advanced drugs for the treatment of hepatitis C have been negotiated and reduced from RMB 30,000 to RMB 6,500.

After being included in the medical insurance reimbursement, the self-paid part is only 650 yuan.

Su Sheng, a resident of Zhili Town, Wuxing District, Huzhou City, Zhejiang Province:

Now that the price of medicines has come down, some medicines can be prepared at the grassroots level without having to go to the city. I really feel that the country has done practical work for the people in terms of medical treatment.

　　During the "13th Five-Year Plan" period, my country's investment in medical insurance funds continued to increase.

In 2020, the per capita financial subsidy standard for resident medical insurance will reach more than 550 yuan, an increase of 170 yuan from 2015.

The central government allocated 27.5 billion yuan in medical aid funds, 90% of which was invested in the central and western regions.

Since 2018, the state has invested a total of 12 billion yuan in subsidies for three consecutive years to support deeply impoverished areas and improve the level of medical security for the poor.