China News Service, Beijing, April 28 (Reporter Li Chun) The 13th Healthy China Forum was held in Beijing on April 28.
The conference specially set up the "Medical Security: Full Coverage of Multi-level Security System" parallel forum, which attracted more than 200 experts and scholars from the field of medical security and relevant persons in charge of enterprises and institutions to participate in the conference to provide advice on the construction and development of a multi-level medical security system.
Li Linkang, vice president of the Chinese Hospital Association, said in his speech that the "Thirteenth Five-Year Plan" period was five years in which the reform of medical insurance was promoted the most, the functions of medical insurance played the fullest, and the masses had the strongest sense of gain.
At present, the reimbursement ratios of hospitalization expenses for employee medical insurance and resident medical insurance in China have reached about 80% and 70% respectively. After the triple system of basic medical insurance, critical illness insurance, and medical assistance, the actual reimbursement ratio of hospitalization and outpatient chronic diseases has stabilized at 80% for the poor. %about.
"my country has established the world's largest basic medical insurance network, basic medical insurance covers more than 1.36 billion people, the participation rate has stabilized at more than 95%, and the poor population's participation rate has stabilized at more than 99.9%." Li Linkang said.
In March 2020, the Central Committee of the Communist Party of China and the State Council issued the "Opinions on Deepening the Reform of the Medical Security System."
The "Opinions" require that by 2030, a comprehensive medical security system with basic medical insurance as the main body, medical assistance as the foundation, supplementary medical insurance, commercial health insurance, charitable donations, and mutual medical assistance will be established.
Lou Hong, Dean of the National Medical Security Research Institute of Capital Medical University, pointed out that the development of a multi-level medical security system requires a new pattern of joint construction, co-governance, and shared medical insurance governance.
Co-construction and co-governance are the path, and sharing is the goal.
Through co-construction and co-governance, the institutional advantages of the multi-level medical security system are transformed into the effectiveness of medical insurance governance, so that the results of medical insurance reform can be shared by the people.
Lou Hong also said that it is necessary to improve the basic medical insurance stable and sustainable financing and benefit adjustment mechanism, improve the medical insurance payment policy, implement the medical insurance checklist system, implement the four-level medical insurance overall plan, and promote the provincial-level overall plan.
Improve the basic medical insurance outpatient supply guarantee mechanism, and improve the medical insurance and relief system for major diseases.
Include eligible Internet medical services into the scope of medical insurance, implement settlement for medical treatment in different places, and actively develop commercial medical insurance.
In the process of building a multi-level medical security system, the role of commercial health insurance cannot be ignored.
Gong Minghua, deputy party secretary and vice chairman of the Insurance Institute of China, pointed out that commercial health insurance, as a supplement and extension of basic medical insurance, has effectively improved the medical security of the people and played an important role in improving the multi-level medical security system.
"In the past 20 years or so, China's medical security reform has achieved very outstanding results. The national medical insurance coverage is as high as 95%, and the medical insurance catalog is constantly expanding." Shen Peng, founder and CEO of Waterdrop, also pointed out that medical insurance expenditures The proportion of health expenditures is increasing year by year, and supplementary forces such as commercial insurance and critical illness fundraising are still relatively weak, and there is still a lot of room for development.
According to Wang Zhenyao, Dean of the China Philanthropy Research Institute of Beijing Normal University, in terms of medical assistance, government medical assistance has now reached about 50 billion yuan per year.
From the perspective of social forces, more than 200 foundations have invested in medical assistance. The total amount of medical assistance and drugs for a year exceeds 30 billion yuan, and the public welfare social assistance also exceeds 10 billion yuan, which can reflect the role of social forces in medical care. Great potential in rescue.
At the same time, social forces are also facing challenges in participating in medical assistance.
Wang Zhenyao believes that the challenge comes from "insufficient information docking": there is not enough docking and cooperation, and there are also insufficient information docking between the government and social forces.
From this, he put forward three suggestions: one is to communicate information, in a hospital, a region, or even across the country, to unite information to make communication action; second, to establish a mechanism, and all parties must have frequent dialogues; third, to demonstrate , All fields must promote social forces to actively participate in the multi-level medical security system.
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