China News Service, Xining, March 18 (Reporter Sun Rui) The Qinghai Provincial Medical Insurance Bureau stated on the 18th that in order to continuously enhance the health and well-being of the people, the Qinghai Provincial Medical Insurance Bureau will continue to focus on the development of medical insurance and the entire life cycle of the entire population, coordinating the "five doctors". Linkage, with deepening the reform of the medical insurance system as the main line, and gradually weaving a tight pocket to consolidate the province's medical security network.
The relevant person in charge of the Qinghai Provincial Medical Insurance Bureau introduced that since last year, the Qinghai Provincial Medical Insurance Bureau took the lead in formulating the "Implementation Opinions on Deepening the Reform of the Medical Insurance System in Qinghai Province", and officially issued the "Qinghai Province "14th Five-Year Plan" National Medical Insurance Plan". The country took the lead in implementing provincial-level overall planning of medical assistance, realizing the "five unifications" of assistance scope, assistance policies, fund management, handling services, and information systems.
At the same time, the Qinghai Provincial Medical Insurance Bureau and 6 departments took the lead in issuing the "Implementation Plan on Consolidating and Expanding Medical Security and Poverty Alleviation to Effectively Link Rural Revitalization Strategy". During the period, the risk of rural residents returning to poverty due to illness, consolidating and expanding the achievements in poverty alleviation through medical insurance, and helping the implementation of Qinghai Province's rural revitalization strategy.
It also actively participated in the centralized procurement of drugs organized by the state and the centralized procurement of inter-provincial alliances. A total of 137 drugs and 9 types of medical consumables were collected in the whole year, saving 1.3 billion yuan in procurement funds.
Steady progress was made in the reform of medical service prices, and 79 items of medical service prices were dynamically adjusted, involving 314 million yuan in price adjustment funds, reducing the medical burden on patients.
"We have established a mutual aid guarantee mechanism for employee medical insurance outpatient clinics, issued implementation measures, reformed individual accounts, and promoted the transformation of employee medical insurance outpatient insurance from individual accumulation to mutual aid. The reimbursement ratio has been increased, and the level of protection has been effectively improved.” The relevant person in charge of the Qinghai Provincial Medical Insurance Bureau said that it also carried out hypertension and diabetes clinics for urban and rural residents. In the special action of drug protection and health management, the province enjoyed 57,000 outpatient treatment for "two diseases", and the fund paid 4.1265 million yuan.
The relevant person in charge of the Qinghai Provincial Medical Insurance Bureau said that at present, the identification standards for chronic and special diseases in outpatient clinics in Qinghai have been unified, and the identification procedures have been simplified, so as to realize the timely enjoyment of benefits and instant settlement of expenses.
At the same time, 25 subsystems of the province's unified medical insurance information platform construction project have been completed. Relying on the medical insurance information platform, the medical insurance electronic vouchers, resident ID cards and other settlement methods have been vigorously promoted to further facilitate the settlement of medical care for the masses. The designated medical institutions in the province use medical insurance electronic vouchers. , ID card settlement rate of more than 95%.
(over)