Chinanews client, Beijing, July 10 (Reporter Li Jinlei) Time has entered the second half of the year, and there are also some new actions and changes in social security, which are good for you and me and are worthy of attention.
Data map: Citizens line up for registration in the outpatient hall of the hospital.
Photo by China News Agency reporter Yang Di
Speed up the settlement of inpatient and outpatient expenses for medical treatment in different places
The executive meeting of the State Council held on July 7 determined that the focus will be on hundreds of millions of migrant workers, especially migrant workers, and accelerate the promotion of settlement services for hospitalization and outpatient expenses in different places to
ensure that there is at least one county in more than 60% of the provinces by the end of this year. Ordinary outpatient expenses are inter-provincial networked institutions, and by the end of next year, at least one designated medical institution in each county can provide inter-provincial direct settlement services for medical expenses including outpatient expenses.
According to data from the National Medical Insurance Administration, in 2020, the number of designated medical institutions for direct settlement of hospitalization expenses across provinces and other places will be 44,413; the number of valid records on the national platform is 7.71 million.
In the whole year, 5.85 million hospitalizations were hospitalized across provinces and other places for medical treatment, of which 3.0023 million were directly settled across provinces, and medical expenses were settled directly across provinces to 74.28 billion yuan, and funds paid 43.873 billion yuan.
The seventh national census data shows that my country’s migrant population has exceeded 370 million, and there is a large demand for medical treatment in different places, but medical expenses reimbursement still need to go back to the place of origin.
With the advancement of the settlement of hospitalization and outpatient expenses for medical treatment in different places, migrant workers and elderly pensioners in other places no longer have to worry about reimbursing medical expenses in different places, and more people will enjoy the labor-saving and worry-free medical settlement services.
Social security data map.
Photo by China News Agency reporter Zhang Bin
Flexible employment personnel usher in "freedom of insurance"
The executive meeting of the State Council also proposed to
liberalize the household registration restrictions for flexible employees to participate in basic pension and basic medical insurance in the place of employment.
With the vigorous development of new business formats and the new economy, there are more and more flexible employees, and there are currently more than 200 million people.
However, in some places, flexible employees must have a local household registration, and flexible employees with a non-local household registration cannot participate in social security at the place of employment.
With the liberalization of household registration restrictions, flexible employees will also usher in "freedom to participate in insurance" and can participate in endowment insurance and medical insurance at the place of employment.
This is a real benefit for the vast number of flexible employees.
Data map: The takeaway boy delivers meals in the snow.
Photo by China News Agency reporter Liu Dong
Launch a pilot program for occupational injury protection for flexible employees
The executive meeting of the State Council also made it clear that,
focusing on industries such as travel, food delivery, and instant delivery, pilot projects of occupational injury protection for flexible employees will be launched.
Currently, the Internet economy has spawned a large number of new jobs, such as online ride-hailing drivers, couriers, and takeaway riders.
However, due to the special method of employment on the platform, it is difficult to identify both parties as a labor relationship in accordance with the current standards for establishing labor relations. As a result, new employment forms including takeaway riders cannot be included in the current work injury insurance system.
The pilot project of occupational injury protection for flexible employees aims to solve the above-mentioned problems.
In the future, with the blessing of occupational injury protection, the sense of security of flexible employees will also be further improved.
Data map: outpatient building of a hospital.
Photo by China News Agency reporter Yin Liqin
Medical insurance personal account family mutual aid began to land
In April this year, the General Office of the State Council issued the "Guiding Opinions on Establishing and Improving the Employee Basic Medical Insurance Outpatient Mutual Aid Guarantee Mechanism." Personal accounts can be used to pay for the insured persons themselves, their spouses, parents, and children who seek medical treatment at designated medical institutions. Medical expenses borne by individuals, as well as expenses borne by individuals incurred in the purchase of drugs, medical equipment, and medical consumables in designated retail pharmacies.
Opinions require that all provincial people’s governments shall, in accordance with the requirements of this opinion, make overall arrangements and make scientific decisions, and issue implementation measures before the end of December 2021 to guide the implementation of the overall planning area. A transition period of about 3 years can be set up to gradually achieve the reform goals. .
Recently, some places have started to land.
Among them, from July 5th, Dalian employee medical insurance participants can use their own medical insurance personal accounts to buy medicines, medical equipment and medical consumables for their families in designated pharmacies.
Yang Yansui, a professor at the Institute of Hospital Management of Tsinghua University, believes that before the reform, medical insurance personal accounts can only be used for themselves, but young and healthy people cannot use them, and the elderly are not enough. After the reforms, the scope of personal accounts will be expanded, which will help strengthen families. Mutual aid.
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