The per capita financial subsidy standard for resident medical insurance has increased by 90 yuan in 3 years
. Why do the representatives "like" to ask for money from medical insurance
On March 4, at the opening meeting of the Fifth Session of the Thirteenth National Committee of the Chinese People's Political Consultative Conference, Gao Xiaodi, a member of the National Committee of the Chinese People's Political Consultative Conference, "sang" the national anthem in sign language.
At the opening ceremony of the Beijing Winter Paralympics that night, Tai Lihua, a member of the National Committee of the Chinese People's Political Consultative Conference, "sang" the national anthem with sign language dancers composed of the hearing impaired, which moved many netizens.
While moved, some delegates were also concerned about the difficulties faced by the hearing-impaired.
This year, Lei Dongzhu, a representative of the National People's Congress, brought a proposal to "strengthen medical assistance for hearing disabilities." In her proposal, she proposed: "Include hearing aids and cochlear implants in the scope of medical insurance, implement centralized national procurement, and reduce product prices."
The reporter found that many representatives, like Lei Dongzhu, hope to solve the problems of people's livelihood with the help of medical insurance.
Ding Jie, a member of the National Committee of the Chinese People's Political Consultative Conference who has proposed for patients with rare diseases for 14 consecutive years, this year's proposal once again focuses on the role of medical insurance in the protection of drugs for rare diseases. She hopes to allow and encourage local governments to continue to explore rare diseases in the process of building a multi-level medical security system. Drugs, especially high-value drugs, enter the local multi-level medical security system and multi-party payment mechanism.
Yang Wenlong, a member of the National Committee of the Chinese People's Political Consultative Conference, pointed out in the proposal that "Internet + medicine" will play a more prominent role in responding to the new crown pneumonia epidemic and meeting the needs of the people for medical treatment and purchases. needs to be perfected.
Chen Jingyu, a representative of the National People's Congress, suggested that all the costs of organ transplants should be included in medical insurance.
In 2018, Sun Yan, a representative of the National People's Congress, suggested that infertility diagnosis and treatment items should be included in the basic medical insurance. Representative Li Yaping suggested to implement compulsory nursing insurance for the elderly in one-child families and special families.
It can be seen from the suggestions and proposals of many representatives and committee members around the use of medical insurance in recent years that they point to many livelihood issues such as pensions, medical treatment, and childbirth.
Representatives come from all walks of life across the country. They walked into the National People's Congress with the problems and suggestions they found in their own fields. "Medical insurance" is one of the intersections of the problems and suggestions they found.
30 billion behind 30 yuan
This year's government work report proposes that the per capita financial subsidy standard for residents' medical insurance will be increased by another 30 yuan.
In the government work report in the past five years, it is also proposed to increase the resident medical insurance by 30 yuan in 2021 and 2020 respectively. In the past three years, the per capita financial subsidy standard for the resident medical insurance has increased by 90 yuan.
According to data released by the National Medical Insurance Bureau on March 4, in 2021, 1.01 billion people nationwide will participate in resident medical insurance. That is to say, an increase of 30 yuan in per capita financial subsidies for resident medical insurance means an increase of 30 billion yuan in financial subsidies.
my country's basic medical insurance system is divided into two types: basic medical insurance for employees and basic medical insurance for urban and rural residents.
The financial subsidy is for the basic medical insurance of residents.
In recent years, with the continuous growth of medical expenses and the continuous improvement of the level of residents' medical insurance, the financing standards for residents' medical insurance have also increased year by year.
The medical security system is an important institutional arrangement to reduce the public's medical burden, improve people's livelihood and well-being, and maintain social stability.
In 2021, the number of people participating in basic medical insurance in my country will reach 1.364 billion, and the coverage will be stable at more than 95%.
The 2013 government work report pointed out that a new rural cooperative medical care system and a basic medical insurance system for urban residents were established, and the universal basic medical insurance system was initially formed.
In that year, the financial subsidy standard for the new rural cooperative medical care system and basic medical insurance for urban residents was raised from 240 yuan per person to 280 yuan per year.
Nine years later, the new rural cooperative medical system and urban residents' medical insurance were merged into residents' medical insurance, and the amount of financial subsidies was also increased by 310 yuan.
The medical insurance fund is also called "medical money" and "life-saving money" by ordinary people. This year's government work report also proposed to promote the centralized procurement of drugs and high-value medical consumables to ensure production and supply.
Deepen the reform of medical insurance payment methods and strengthen the supervision of medical insurance funds.
Improve the direct settlement method for cross-provincial medical treatment in different places, and realize the basic uniformity of the scope of medical insurance drugs across the country.
Because medical insurance involves many livelihood issues, the people also have high expectations for medical insurance.
On February 11, at the press conference of the State Council Information Office, Chen Jinfu, deputy director of the National Medical Insurance Bureau, responded to the procurement of high-value medical consumables and pointed out that he would strive to launch the alliance reform of local centralized procurement of dental implants in the first half of this year.
After the meeting, the news that dental implants will be included in medical insurance rushed to the hot search, and many netizens discussed the matter, hoping that dental implants would be included in medical insurance as soon as possible.
It is cheaper and more convenient for the common people to see a doctor
"Realize the basic unification of the national medical insurance coverage." On March 5, when listening to the government work report in the Great Hall of the People, this sentence caught Lei Dongzhu's attention.
Lei Dongzhu said that most of the drugs included in the medical insurance list are the basic drugs that the common people often use. Now, the medical insurance drug list of each province has been adjusted on the basis of national regulations. If the scope of medical insurance drugs in the country is unified, the basic drugs commonly used by the common people will be provided by the state. If the negotiation is centralized, then the purchase cost of this medicine will be reduced, and the cost of seeing a doctor for the common people will also be reduced.
As the director of a tertiary hospital in Hunan Province, the common people's medication problem is the focus of Lei Dongzhu's usual attention.
In 2019, Lei Dongzhu submitted a proposal to improve the state of supply of essential medicines in the country.
During her research, she found that the supply of basic medicines in grass-roots township health centers was insufficient. In addition, a commonly used medicine was often out of stock in her hospital at that time, which brought inconvenience to the common people.
The issues that Lei Dongzhu is concerned about are actually issues of national concern.
In order to systematically solve the difficulties encountered by ordinary people in the process of seeing a doctor, the National Medical Security Bureau was established in 2018, which unified the functions of medical insurance previously scattered in the former National Health and Family Planning Commission, the Ministry of Human Resources and Social Security, the National Development and Reform Commission, and the Ministry of Civil Affairs. In the National Medical Insurance Administration, it is an institution directly under the State Council.
In 2019, the National Medical Insurance Bureau responded to Lei Dongzhu's above-mentioned suggestion, saying that since its establishment, the bureau has comprehensively promoted the reform of medical insurance payment methods, increased the internal motivation and enthusiasm of hospitals to purchase and use low-cost drugs, and appropriately increased the total budget to primary medical care. Health institutions are inclined to increase the demand for essential medicines and the enthusiasm of enterprises for production and distribution.
At the same time, the "2019 National Medical Insurance Drug List Adjustment Work Plan" gives priority to categories such as national essential drugs.
The National Medical Insurance Bureau also sought Lei Dongzhu's opinion, and she expressed satisfaction.
In addition, the Hunan Provincial Medical Insurance Department took the initiative to contact her after seeing the media report on her suggestion to discuss basic drug protection.
Lei Dongzhu said frankly that before the establishment of the National Medical Insurance Bureau, she asked the higher authorities for instructions on issues such as medical insurance and medication, and she often encountered "wrangling" between departments.
After the establishment of the National Medical Insurance Bureau, medical insurance issues were dealt with centrally, and "wrangling" has become a thing of the past.
After the establishment of the National Medical Insurance Bureau, ordinary people also feel that it is cheaper and more convenient to see a doctor.
Cardiac stents have been reduced from tens of thousands of yuan to more than 700 yuan, and the "soul bargain" that has been searched several times has cut the 700,000 yuan per injection of "high-priced medicine" to more than 30,000 yuan. The construction of the medical insurance information platform has also allowed ordinary people to have " "Medical insurance business hall in your pocket", direct settlement of hospital expenses across provinces and different places covers the whole country...
According to data from the National Medical Insurance Administration, in 2021, the basic medical insurance fund (including maternity insurance) will receive 2,871.028 billion yuan in revenue and 2,401.109 billion yuan in expenditure.
People are concerned that under the existing medical insurance payment scope, which medical consumables will be included in the medical insurance in the future?
On December 10, 2021, at the press conference of the State Council Information Office, Long Xuewen, head of the Medical Insurance Management Center of the National Medical Insurance Administration, responded that "700,000 injections of high-priced medicines enter medical insurance", saying that the medical insurance negotiation is to ensure that To find a reasonable balance between the safety of medical insurance funds, meeting the reasonable needs of patients for basic medication and promoting the innovative development of the pharmaceutical industry "Usage" and negotiate with enterprises to achieve a win-win situation for patients, medical insurance, and enterprises.
China Youth Daily, China Youth Daily reporter Liu Changrong Source: China Youth Daily