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According to the press conference held by the Information Office of the Shenyang Municipal Government on August 10, in order to further solve the problem of "urgency, difficulty and hope" encountered by people in cross-provincial medical settlement settlements, the Shenyang Municipal Medical Insurance Bureau is accelerating the promotion of cross-provincial direct medical expenses for general outpatient clinics.
On the basis of settlement, carry out the pilot work of cross-provincial direct settlement of outpatient chronic and special disease-related treatment costs in Shenyang
.
On the basis of settlement, carry out the pilot work of cross-provincial direct settlement of outpatient chronic and special disease-related treatment costs in Shenyang
.
According to Fan Lijuan, director of the Shenyang Medical Security Affairs Service Center, outpatient chronic and special diseases generally refer to diseases with long treatment periods, serious damage to health , heavy cost burden and suitable for outpatient treatment
.
Fan Lijuan said that at present, the number of people with hypertension and diabetes in China has exceeded 400 million, and chronic diseases account for nearly 90% of deaths caused by various factors every year
.
With the increasing burden of medical expenses for chronic diseases and the increasing frequency of population movement, the demand for direct settlement of outpatient clinics across provinces continues to increase
.
At the same time, due to the large differences in the policies of outpatient chronic and special diseases in different regions, it is difficult to directly settle the outpatient chronic and special diseases across provinces
.
It is urgent to solve the problem of cross-provincial direct settlement of outpatient chronic and special disease-related treatment costs
.
.
Fan Lijuan said that at present, the number of people with hypertension and diabetes in China has exceeded 400 million, and chronic diseases account for nearly 90% of deaths caused by various factors every year
.
With the increasing burden of medical expenses for chronic diseases and the increasing frequency of population movement, the demand for direct settlement of outpatient clinics across provinces continues to increase
.
At the same time, due to the large differences in the policies of outpatient chronic and special diseases in different regions, it is difficult to directly settle the outpatient chronic and special diseases across provinces
.
It is urgent to solve the problem of cross-provincial direct settlement of outpatient chronic and special disease-related treatment costs
.
It is reported that in the past three years, the state has carried out three consecutive pilot projects in the direct settlement of medical treatment in different places, and Shenyang has become a pilot city
.
In 2020, the self-service direct settlement service for off-site medical treatment will be opened; in 2021, the cross-provincial direct settlement service of outpatient expenses will be opened; in 2022, the cross-provincial direct settlement service of outpatient chronic and special disease-related treatment expenses will be opened
.
.
In 2020, the self-service direct settlement service for off-site medical treatment will be opened; in 2021, the cross-provincial direct settlement service of outpatient expenses will be opened; in 2022, the cross-provincial direct settlement service of outpatient chronic and special disease-related treatment expenses will be opened
.
At present, there are a total of 44 types of chronic and special diseases in Shenyang outpatient clinics, and the first batch of 5 types of diseases for which outpatient chronic and special disease-related treatment costs have been determined for cross-provincial and non-local medical treatment services
.
As a place for medical treatment, 13 designated medical institutions have been opened
.
As of the end of July, 257 outpatients for chronic and special diseases in Shenyang were directly settled for cross-provincial and remote medical treatment
.
.
As a place for medical treatment, 13 designated medical institutions have been opened
.
As of the end of July, 257 outpatients for chronic and special diseases in Shenyang were directly settled for cross-provincial and remote medical treatment
.
Fan Lijuan said that in view of the complexity, specificity and uncertainty of the outpatient treatment process for chronic and special disease patients, Shenyang Medical Insurance has carefully studied, repeatedly demonstrated, optimized the process, and formulated a Shenyang-specific treatment policy for outpatient chronic and special diseases.
It has the characteristics of extensive service groups, convenient settlement methods, humanized treatment, and diversified filing methods
.
It has the characteristics of extensive service groups, convenient settlement methods, humanized treatment, and diversified filing methods
.
Among them, in terms of widening the service population, after research by experts, combined with the development situation across the country, the scope of 5 types of chronic diseases in pilot outpatient clinics has been determined, namely: hypertension, diabetes , outpatient radiotherapy and chemotherapy for malignant tumors, uremia dialysis, organ Anti-rejection therapy after transplantation
.
It basically meets the medical needs of nearly 50% of long-term expatriates in different places for outpatient chronic diseases
.
.
It basically meets the medical needs of nearly 50% of long-term expatriates in different places for outpatient chronic diseases
.
In terms of the convenience of settlement methods, Shenyang Medical Insurance has adjusted the fixed settlement method of hypertension and diabetes to the limit payment method to support online settlement of insured persons
.
The insured can realize the direct settlement of medical treatment in different places with the electronic medical insurance certificate or the three media of the resident ID card and the social security card, avoiding the trouble and burden caused by the patients in the past paying cash in advance and then returning to the insured place for reimbursement
.
.
The insured can realize the direct settlement of medical treatment in different places with the electronic medical insurance certificate or the three media of the resident ID card and the social security card, avoiding the trouble and burden caused by the patients in the past paying cash in advance and then returning to the insured place for reimbursement
.
Fan Lijuan said that in the next step, Shenyang City will further do a good job in the direct settlement of outpatient treatment for chronic and peculiar diseases.
It will also continue to rely on the national settlement platform to speed up the construction of the medical security information system, and actively participate in various reforms organized by the state and the province.
On the basis of the first pilot, it will play a leading role as a demonstration benchmark, promote the high-quality development of medical insurance from "is there" to "is it good or not", so that the majority of insured personnel can share the results of medical insurance reform
.
(Finish)
It will also continue to rely on the national settlement platform to speed up the construction of the medical security information system, and actively participate in various reforms organized by the state and the province.
On the basis of the first pilot, it will play a leading role as a demonstration benchmark, promote the high-quality development of medical insurance from "is there" to "is it good or not", so that the majority of insured personnel can share the results of medical insurance reform
.
(Finish)
According to the press conference held by the Information Office of the Shenyang Municipal Government on August 10, in order to further solve the problem of "urgency, difficulty and hope" encountered by people in cross-provincial medical settlement settlements, the Shenyang Municipal Medical Insurance Bureau is accelerating the promotion of cross-provincial direct medical expenses for general outpatient clinics.
On the basis of settlement, carry out the pilot work of cross-provincial direct settlement of outpatient chronic and special disease-related treatment costs in Shenyang
.
On the basis of settlement, carry out the pilot work of cross-provincial direct settlement of outpatient chronic and special disease-related treatment costs in Shenyang
.
According to Fan Lijuan, director of the Shenyang Medical Security Affairs Service Center, outpatient chronic and special diseases generally refer to diseases with long treatment periods, serious damage to health , heavy cost burden and suitable for outpatient treatment
.
Fan Lijuan said that at present, the number of people with hypertension and diabetes in China has exceeded 400 million, and chronic diseases account for nearly 90% of deaths caused by various factors every year
.
With the increasing burden of medical expenses for chronic diseases and the increasing frequency of population movement, the demand for direct settlement of outpatient clinics across provinces continues to increase
.
At the same time, due to the large differences in the policies of outpatient chronic and special diseases in different regions, it is difficult to directly settle the outpatient chronic and special diseases across provinces
.
It is urgent to solve the problem of cross-provincial direct settlement of outpatient chronic and special disease-related treatment costs
.
health health disease disease high blood pressure high blood pressure.
Fan Lijuan said that at present, the number of people with hypertension and diabetes in China has exceeded 400 million, and chronic diseases account for nearly 90% of deaths caused by various factors every year
.
With the increasing burden of medical expenses for chronic diseases and the increasing frequency of population movement, the demand for direct settlement of outpatient clinics across provinces continues to increase
.
At the same time, due to the large differences in the policies of outpatient chronic and special diseases in different regions, it is difficult to directly settle the outpatient chronic and special diseases across provinces
.
It is urgent to solve the problem of cross-provincial direct settlement of outpatient chronic and special disease-related treatment costs
.
It is reported that in the past three years, the state has carried out three consecutive pilot projects in the direct settlement of medical treatment in different places, and Shenyang has become a pilot city
.
In 2020, the self-service direct settlement service for off-site medical treatment will be opened; in 2021, the cross-provincial direct settlement service of outpatient expenses will be opened; in 2022, the cross-provincial direct settlement service of outpatient chronic and special disease-related treatment expenses will be opened
.
.
In 2020, the self-service direct settlement service for off-site medical treatment will be opened; in 2021, the cross-provincial direct settlement service of outpatient expenses will be opened; in 2022, the cross-provincial direct settlement service of outpatient chronic and special disease-related treatment expenses will be opened
.
At present, there are a total of 44 types of chronic and special diseases in Shenyang outpatient clinics, and the first batch of 5 types of diseases for which outpatient chronic and special disease-related treatment costs have been determined for cross-provincial and non-local medical treatment services
.
As a place for medical treatment, 13 designated medical institutions have been opened
.
As of the end of July, 257 outpatients for chronic and special diseases in Shenyang were directly settled for cross-provincial and remote medical treatment
.
.
As a place for medical treatment, 13 designated medical institutions have been opened
.
As of the end of July, 257 outpatients for chronic and special diseases in Shenyang were directly settled for cross-provincial and remote medical treatment
.
Fan Lijuan said that in view of the complexity, specificity and uncertainty of the outpatient treatment process for chronic and special disease patients, Shenyang Medical Insurance has carefully studied, repeatedly demonstrated, optimized the process, and formulated a Shenyang-specific treatment policy for outpatient chronic and special diseases.
It has the characteristics of extensive service groups, convenient settlement methods, humanized treatment, and diversified filing methods
.
It has the characteristics of extensive service groups, convenient settlement methods, humanized treatment, and diversified filing methods
.
Among them, in terms of widening the service population, after research by experts, combined with the development situation across the country, the scope of 5 types of chronic diseases in pilot outpatient clinics has been determined, namely: hypertension, diabetes , outpatient radiotherapy and chemotherapy for malignant tumors, uremia dialysis, organ Anti-rejection therapy after transplantation
.
It basically meets the medical needs of nearly 50% of long-term expatriates in different places for outpatient chronic diseases
.
tumor tumor.
It basically meets the medical needs of nearly 50% of long-term expatriates in different places for outpatient chronic diseases
.
In terms of the convenience of settlement methods, Shenyang Medical Insurance has adjusted the fixed settlement method of hypertension and diabetes to the limit payment method to support online settlement of insured persons
.
The insured can realize the direct settlement of medical treatment in different places with the electronic medical insurance certificate or the three media of the resident ID card and the social security card, avoiding the trouble and burden caused by the patients in the past paying cash in advance and then returning to the insured place for reimbursement
.
.
The insured can realize the direct settlement of medical treatment in different places with the electronic medical insurance certificate or the three media of the resident ID card and the social security card, avoiding the trouble and burden caused by the patients in the past paying cash in advance and then returning to the insured place for reimbursement
.
Fan Lijuan said that in the next step, Shenyang City will further do a good job in the direct settlement of outpatient treatment for chronic and peculiar diseases.
It will also continue to rely on the national settlement platform to speed up the construction of the medical security information system, and actively participate in various reforms organized by the state and the province.
On the basis of the first pilot, it will play a leading role as a demonstration benchmark, promote the high-quality development of medical insurance from "is there" to "is it good or not", so that the majority of insured personnel can share the results of medical insurance reform
.
(Finish)
It will also continue to rely on the national settlement platform to speed up the construction of the medical security information system, and actively participate in various reforms organized by the state and the province.
On the basis of the first pilot, it will play a leading role as a demonstration benchmark, promote the high-quality development of medical insurance from "is there" to "is it good or not", so that the majority of insured personnel can share the results of medical insurance reform
.
(Finish)
