China News Service, Nanchang, March 19 (Reporter Wu Pengquan) The reporter learned from the Jiangxi Provincial Medical Security Bureau on the 19th that in 2020, the province handled 16,687 illegal medical institutions and recovered 723 million yuan in medical insurance funds.
Medical security is a major institutional arrangement for reducing the burden of medical treatment, improving people's livelihood and welfare, and maintaining social harmony and stability.
In recent years, the sustained and rapid economic and social development of Jiangxi Province has provided a strong impetus for the improvement of the medical security system. Various reforms have continued to advance, and positive progress has been made in solving the problems of difficult and expensive medical treatment.
It is understood that since the establishment of the Jiangxi Provincial Medical Security Bureau, the province’s unified basic medical insurance system for urban and rural residents has been further improved, and a unified basic medical insurance and critical illness insurance system for employees has been established throughout the province. The fairness of the system and the sense of public gain have been continuously improved. , The reimbursement rate for urban and rural residents within the medical insurance policy reaches about 70%.
Statistics show that in 2020, the Jiangxi medical insurance poverty alleviation policy will fund 2.816 million rural poor populations to participate in insurance, reducing the burden of individual insurance payment by nearly 800 million yuan; the results of three batches of nationally organized centralized drug procurement have been fully implemented, and accumulated savings The procurement funds exceeded 3.3 billion yuan.
The relevant person in charge of the Jiangxi Provincial Medical Security Bureau said that as the people’s demand for health, well-being and a better life is increasing, the problem of unbalanced and inadequate development in the medical security field has gradually emerged. The system is fragmented, the treatment is unbalanced, and there are shortcomings in protection. Regulatory loopholes and inadequate services still exist and must be resolved through deepening reforms.
On December 21, 2020, the 13th meeting of the Jiangxi Provincial Party Committee Comprehensive Deepening Reform Committee reviewed and approved the "Implementation Opinions of the Jiangxi Provincial Party Committee and Jiangxi Provincial People's Government of the Communist Party of China on Deepening the Reform of the Medical Security System" (hereinafter referred to as the "Implementation Opinions" ).
On January 21, 2021, it will be officially issued and implemented in the name of Jiangxi Provincial Party Committee and Provincial Government.
The "Implementation Opinions" proposes to accelerate the completion of the shortcomings in the medical security field of Jiangxi Province, and strive to build a joint development of medical insurance, commercial health insurance, charitable donations, and mutual medical assistance with basic medical insurance as the main body and medical assistance as the foundation. Multi-level medical security system.
The "Implementation Opinions" require that in terms of improving the basic medical insurance system, it is proposed to improve the province's unified basic medical insurance policy, promote the reform of the personal account system, and improve the outpatient coordinating system; in view of the lack of accuracy in identifying medical assistance recipients, it emphasizes the adoption of multiple measures. Interaction between departments to establish a precise identification mechanism for aid recipients; in response to the failure of Jiangxi basic medical insurance and commercial health insurance to form a joint force, propose to encourage the development of commercial insurance products that are linked to basic medical insurance; combine the useful exploration of the Jiangxi medical insurance system in responding to the new crown epidemic , To propose specific ways to improve the emergency response mechanism of medical security for major epidemics, including measures such as targeted exemption of restrictive clauses such as medical insurance catalogs, payment limits, and drug dosages in response to major public health incidents.
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