China News Service, Urumqi, March 6 (Reporter Qi Yaping) The Xinjiang Production and Construction Corps will further improve the designated retail pharmacies into the overall management of outpatient clinics, so as to better promote the reform of the medical insurance outpatient mutual aid guarantee mechanism for Xinjiang Corps employees, and continuously improve the people's medical care. Ensure the level of protection and effectively reduce the burden of outpatient medical expenses for insured persons.
The reporter learned on the 6th that the Xinjiang Corps Medical Security Bureau recently issued a notice, requiring the medical security bureaus of all divisions and cities to attach great importance to the inclusion of designated retail pharmacies in outpatient coordination work; actively support designated retail pharmacies to open outpatient coordination services; Including clarifying the payment scope of outpatient pooling funds, improving the total budget management of outpatient pooling, strengthening the management of outpatient pooling medical insurance service agreements, and doing a good job in the audit and settlement of outpatient pooling expenses.
At the same time, clearly designate retail pharmacies to be included in the supporting policies of outpatient co-ordination, including strengthening drug price coordination, strengthening prescription circulation management, and strengthening fund supervision.
And strengthen organizational guarantees, including strengthening organizational leadership, doing a good job in policy publicity, and strengthening departmental coordination.
Incorporating designated retail pharmacies into the overall management of outpatient clinics is an important part of the reform of the employee medical insurance outpatient mutual aid protection mechanism, which will help improve the convenience and accessibility of insured people to seek medical treatment and purchase medicines.
The Xinjiang Corps Medical Security Bureau requires the medical insurance departments of all divisions and cities to improve their political positions, unify their thinking and understanding, use the outpatient pooling fund to expand the supply of medical services, release the dividends of medical insurance reform, and enhance the people's sense of gain, happiness, and security.
Effective measures should be taken to encourage eligible designated retail pharmacies to voluntarily apply for outpatient co-ordination services, and to provide outpatient co-ordination of medication guarantees for insured persons.
It is necessary to disclose the handling process, optimize the application conditions, improve the service process, and open outpatient coordinating services for eligible designated retail pharmacies in a timely manner.
According to relevant regulations, during the agreement period, designated retail pharmacies for special medicines and chronic special diseases can directly provide medical insurance outpatient services for employees.
Insured persons can purchase drugs listed in the medical insurance catalog at designated retail pharmacies with prescriptions from designated medical institutions or externally distributed electronic prescriptions.
The minimum payment standard, payment ratio and maximum payment limit for the outpatient pooling of designated retail pharmacies implement the same medical insurance treatment policies as designated medical institutions at the first level and below.
Designated retail pharmacies can provide delivery services according to the needs of insured personnel, and delivery costs are not included in the scope of medical insurance payment.
Designated retail pharmacies should follow the principles of fairness and legality, honesty and credit, and quality-price matching, and provide affordable medicines for insured persons. They must respect the market mechanism and insist on undertaking fixed-point attributes to strengthen self-discipline.
Support designated retail pharmacies to purchase drugs through the Xinjiang Corps pharmaceutical procurement platform, and encourage voluntary participation in centralized drug procurement with volume.
Advocate the sale of medical insurance drugs with reference to the price of the Xinjiang Corps pharmaceutical procurement platform.
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