China News Service, July 28th. Xiong Xianjun, Director of the Medical Service Management Department of the National Medical Insurance Administration, introduced on the 28th that as of July 19, 135,500 medical insurance settlements occurred in confirmed and suspected patients with new coronary pneumonia nationwide, involving medical expenses of 1.847 billion yuan. 1.232 billion yuan was paid, and the payment ratio reached 67%.
At the State Council’s regular policy briefing held on the 28th, a reporter asked: We know that the medical insurance department has provided strong guarantees for responding to the new crown pneumonia epidemic. In the next step, what will the National Medical Insurance Bureau continue to do to normalize the epidemic prevention and control?
Xiong Xianjun introduced that since the outbreak, the National Medical Insurance Bureau has worked with relevant departments to study and formulate policies in a timely manner in accordance with the deployment requirements of the Party Central Committee and the State Council, and guide medical insurance departments in various regions to strengthen response measures to provide strong guarantees for winning the battle against the epidemic.
The first is to introduce 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 in the next step, we must focus on the following aspects: First, do a good job in 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.