Chinanews.com, Lanzhou, December 30th (Reporter Wei Jianjun) At the 2020 Lanzhou Medical Insurance Bureau's key work completion status and the implementation of benefits for the people policy held on the 30th, the meeting notified Lanzhou "Smart Medical Insurance" and Gansu Province The "good and bad reviews" system of the government service network has been seamlessly connected, and functions such as business window evaluation and mobile phone evaluation have been opened to promote service optimization through public evaluation.
The medical insurance collection work of the Lanzhou Municipal Medical Insurance Bureau actively carried out "non-contact" convenient services, and provided convenience to the insured units and residents through the "online, no meeting, security, and approval" service.
Including the online newspaper business will be done if it comes, the online live broadcast will be known, and the epidemic reduction will be enjoyed if it comes, alleviating the financial difficulties of enterprises and effectively reducing the burden on enterprises.
Dong Xinwei, chief of the medical service management section of the bureau, said that the implementation of "reduction of certificates to facilitate the people" is mainly to streamline certification materials.
All certification materials that must be cancelled as required by superiors will be cancelled. A total of 17 certification materials such as hospital grade certificates, ID cards, and unit introduction letters provided for reimbursement of medical expenses in different places will be cancelled. All items that are desirable or not will be cancelled, and the long-term outpatient threshold fee will be cancelled. .
The “reduction of certificates and convenience for the people” is also manifested in reducing the time limit for processing and increasing the number of immediate settlements.
The length of reimbursement for insured employees’ off-site hospitalization expenses has been shortened from 60 working days to 30 working days, the financial reconciliation and appropriation process of the two organizations’ funds has been shortened from 5 working days to 3 working days, and the time for reporting the loss of the social security card has been reduced from 5 The working day was shortened to 3 working days.
The Lanzhou Medical Insurance Bureau has also delegated its business authority to decentralize the reimbursement of insured employees’ off-site medical expenses, the change of long-term outpatient medical institutions for insured personnel, and the direct settlement and filing approval of insured personnel’s off-site hospitalization to districts and counties to facilitate the insured people’s proximity Go through.
Equipped with convenient facilities, opened green channels, and carried out leading and accompanying services for special groups of people.
According to statistics, in 2020, the city’s urban and rural residents will be covered by a total of 20,836,616 people. As of the beginning of December, 2011,28 people have been registered and registered for the poor population, and 258,688 people have been covered by medical assistance, and 26,688,900 yuan has been subsidized.
After the basic medical insurance, critical illness insurance, and medical assistance are triple-reimbursed for hospitalization expenses within the scope of the poor population policy, the actual reimbursement ratio reaches over 85%.
Yan Fayun, deputy director of the Lanzhou Municipal Medical Insurance Bureau, said that all designated medical institutions in the city have achieved "one-stop" settlement of basic medical insurance, critical illness insurance, and medical assistance. The network of village-level health institutions has been connected, and outpatient reimbursement can realize instant credit card settlement.
The meeting also disclosed that starting from February 2020, the medical insurance premiums payable by various enterprises participating in the basic medical insurance for urban employees in the city will be halved or deferred, and the deferred payment period shall not exceed 6 months.
This year, Lanzhou City has reduced the total basic medical insurance fees payable by units from February to June by a total of 732.8 million yuan for 22,159 enterprises, and handled deferred payment of 2.516 million yuan for 24 enterprises in an effort to reduce the burden on enterprises.
Lanzhou City has also formulated a drug protection mechanism for urban and rural residents suffering from hypertension and diabetes. For urban and rural residents’ basic medical insurance participants who need long-term standard outpatient drug treatment, it enhances the basic medical insurance outpatient coverage and reduces the burden of patients’ outpatient medication costs. Efforts should be made to reduce the burden on enterprises and facilitate medical treatment.
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