CCTV news:
In order to do a good job in the normal monitoring and assistance of rural low-income population, further improve the accuracy and timeliness of assistance, and effectively prevent and resolve the risk of poverty due to illness, the National Medical Insurance Bureau and relevant departments issued the "About Resolute Keep the bottom line of preventing large-scale return to poverty and improve the long-term mechanism for preventing and resolving poverty due to illness.
The "Notice" specifies specific requirements such as ensuring that all should be guaranteed, steadily promoting policy convergence, strengthening risk early warning and monitoring, implementing comprehensive assistance on a regular basis, strengthening departmental work coordination and information sharing, etc. "Board and risk prevention", and make overall arrangements for firmly guarding the bottom line of preventing large-scale return to poverty due to illness.
The "Notice" requires that the comprehensive protection of the triple system of basic medical insurance, serious illness medical insurance, and medical assistance be implemented in an overall manner, and the classified assistance policy be implemented according to the category of their difficult status.
For those whose expenses are still relatively heavy after being guaranteed by the triple system, the departmental linkage assistance responsibility shall be clarified.
The medical insurance departments in various places promptly push the information on the burden of patients' expenses to the big data platform for monitoring the prevention of returning to poverty at the same level. Donations and other assistance measures to ensure the basic life of patients with high expenses among the poor.
The "Notice" aims at the bottom-line task of "insurance should be guaranteed", requiring that the insurance participation rate of low-income rural population and poverty-stricken population in all regions should not be lower than 99%, and requires improving the accuracy of subsidy insurance policies, standardizing insurance participation management services, and promoting the convergence of subsidy policies .
According to monitoring, since 2021, the insurance participation rate of the rural low-income population and the population out of poverty has stabilized at more than 99%, basically achieving all coverage.
Under the comprehensive protection of the triple system, the level of hospitalization reimbursement for the rural low-income population has a smooth transition, and the treatment should be enjoyed to the fullest.
The "Notice" clarifies that during the transition period, fixed-rate subsidies will be given to the needy people who are included in the scope of monitoring to prevent returning to poverty due to illness; to guide areas severely affected by the new crown pneumonia epidemic to provide medical assistance to those who are unable to pay the medical insurance premiums for urban and rural residents who are in trouble due to the epidemic and illness Temporary funding for marginalized groups.
Encourage localities to explore ways to help rural low-income populations participate in insurance and pay fees through charitable assistance, public welfare donations, village collective economic income, or asset income from poverty alleviation projects, and take active measures to increase the willingness of the masses to participate in insurance.
To prevent patients from returning to poverty due to high medical expenses, it is necessary to improve the monitoring and early warning mechanism for preventing and resolving poverty due to illness.
The "Notice" requires that monitoring and early warning of patients with high medical expenses should be done well to ensure early detection, early intervention, and early resolution of risks.
The "Notice" proposes to rely on the national unified medical insurance information platform to guide all regions to do a good job in the monitoring of patients with high cost burden among the rural low-income population and those out of poverty, and encourage qualified places to expand the scope of high cost burden monitoring to cover all insurance participants people.
Clearly take the overall planning area as the unit, refer to a certain proportion of the per capita disposable income of local residents in the previous year, and set the monitoring threshold reasonably by category. By dynamically tracking the patient's enjoyment of medical insurance benefits, personal expense burden, and medical service utilization, etc., timely discover and push risk information.
(CCTV)