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10 years of medical insurance: write a new answer sheet for medical insurance

 Last Update: 2022-10-19
 Source: Internet
 Author: User

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Establish a long-term mechanism for preventing and resolving poverty caused by illness and returning to poverty

Poverty reduction and poverty prevention is not only the original mission of establishing a universal medical insurance system, but also an important content and long-term task
of deepening the reform of the medical insurance system in the new era.
The National Health Insurance Administration regards the medical security of the poor as its central task, constantly improves the world's largest institutional arrangements for medical insurance prevention and resolution of the risk of poverty reduction due to illness, comprehensively consolidates and expands the achievements of medical security in poverty alleviation, and effectively connects with the rural revitalization strategy
.

Medical insurance under epidemic prevention and control

Since the outbreak of the new crown pneumonia epidemic, the national medical insurance system has resolutely implemented the decision-making and deployment of the Party Central Committee and the State Council, regarded the protection of people's lives and health as the primary political task, and contributed medical insurance forces
to the major strategic results of the fight against the epidemic from the overall situation of epidemic prevention and control and socio-economic development.

Improve the dynamic adjustment mechanism of medical insurance catalog

The list of medical insurance drugs concerns all insured persons
.
In order to bring more tangible protection to the masses, after the establishment of the National Medical Insurance Bureau, it continued to optimize and adjust the rules, integrated the national consumption for price negotiations, greatly improved the efficacy level of drugs in the medical insurance catalogue, and achieved international synchronization
with drug protection in most treatment areas.

Normalize and institutionalize the collective procurement of drug consumption

Giving full play to the strategic purchasing role of medical insurance to win more cost-effective pharmaceutical consumables, so that the people can use higher quality products at relatively low prices, is the original intention and mission
of centralized procurement reform.
Through open, transparent, fair and just competition, collective procurement has gradually improved the market-led price formation mechanism in the pharmaceutical field, and enabled the pharmaceutical industry to enter the track
of high-quality development through innovation-driven and quality assurance.

The reform of medical insurance payment methods has deepened

The medical insurance payment mechanism is a key link to ensure that the public can obtain high-quality medical services and improve the efficiency of fund use, and is an important lever
to give play to strategic purchase and guide the allocation of medical resources.
The National Medical Insurance Bureau has improved the total budget method of the medical insurance fund, deeply explored the diversified and composite medical insurance payment method based on payment by disease type, combined with capitation and bed day payment, further gave play to the basic role of medical insurance in medical reform, and continued to develop
towards the true realization of mutual benefit and win-win results among medical insurance patients.

Keep the people's "life-saving money"

The medical insurance fund is the "life protection money" of the people and the material basis for
the sustainable operation of the medical insurance system.
As soon as the National Medical Insurance Bureau was established, it regarded the maintenance of fund security as the primary task, and under the great attention and decision-making and deployment of the Party Central Committee and the State Council, it continued to weave a tight institutional cage for the supervision of medical insurance funds and escort the high-quality development of
medical insurance.

Informatization empowers medical insurance in the new era

"Let the people run less errands and more data" is the unremitting pursuit and goal
of medical insurance people.
The National Medical Insurance Bureau adheres to the people-centered development ideology, pays close attention to the construction of information platforms, business coding applications, intelligent service improvement and other work, "palm office", "online office" and "code office" are more popular, and the level of "Internet +" medical insurance services has been significantly improved
.

Continue to improve the direct settlement of medical treatment in different places

Promoting the direct settlement of medical expenses in different places under basic medical insurance is an important measure
to improve the medical insurance system and address the outstanding concerns of the public.
The National Medical Insurance Bureau continues to improve relevant management policies and working methods to solve the pain points and difficulties of insured people seeking medical treatment in different places, so that "errands" and "advances" have become history
.

Strengthen public health care services

High-quality medical insurance public services are an important source of enhancing the sense of gain and happiness of the insured people, and handling business is the main window and channel
for the medical insurance department to serve the masses.
In order to provide more convenient and efficient medical security services for the majority of insured people, and strive to achieve "the masses do not seek people, at most only run once", the National Medical Insurance Bureau has deeply promoted the reform of "decentralization, management and service", and constantly broadened the breadth of services, upgraded the speed of services, and improved the service temperature
.

Further promote the pilot of long-term care insurance

Optimize maternity insurance policies

（ZGYB-2022.
10）

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