It is still a big obstacle to realize the low level of overall planning for the settlement in different places in the province of medical insurance

Source: economic reference report 2017-01-04 medical insurance provincial settlement in different places has been fully realized According to the Ministry of human resources and social security, in 2016, 30 provinces in China realized the settlement of medical card in different places in the province At the same time, the reporter of the economic reference news learned that the goal of instant medical expenses settlement of new rural cooperative medical staff in different places in the province has also been achieved On this basis, the cross provincial medical settlement of medical insurance was launched The Ministry of human resources and social security continuously issued documents and held working meetings According to the schedule, by the end of 2016, most of the provincial-level remote medical settlement systems will be connected with the National Remote Medical settlement system, and the online trial operation will be started; in the first half of 2017, all the provincial-level remote medical settlement systems will be connected with the National Remote Medical settlement system; By the end of 2017, we will achieve a comprehensive docking of all co-ordinated areas, and support cross provincial resettlement of retirees and those who meet the referral requirements to directly settle their hospitalization expenses with social security cards "The theory of non local medical treatment is mainly aimed at the cross provincial non local placement of retirees and personnel who meet the referral requirements." Zhu Junsheng, professor and doctoral supervisor of the Financial Research Institute of the development research center of the State Council, believes that "bringing these two types of people into the direct settlement of non local medical treatment will bring real convenience to patients." In terms of the new rural cooperative medical system, the health and Family Planning Commission and other departments have formulated the implementation plan of the national new rural cooperative medical system remote medical networking report (hereinafter referred to as the implementation plan), 2016 By the end of the year, we will improve the national and provincial new rural cooperative medical information platforms, basically build a new rural cooperative medical information system in different places, realize the provincial remote medical networking report, and carry out the cross provincial fixed-point medical reporting pilot for new rural cooperative referral inpatients; by the end of 2017, we will basically achieve the national remote medical networking report for new rural cooperative referral inpatients As early as November 2016, the pilot project of new rural cooperative medical network report was officially launched Liaoning, Jilin, Heilongjiang, Hainan, Sichuan, Guizhou, Shaanxi and Gansu provinces signed the new rural cooperative medical insurance (urban and rural residents' medical insurance) inter provincial medical networking service agreement Patients in different places can be divided into five groups The first is that the retirees who are resettled in different places live in different places for a long time The second is the permanent population living in different places The third is formed into a system of migrant work groups The fourth is the patients who need emergency treatment for temporary travel Fifth, there are difficult and miscellaneous diseases, major patients need to be transferred to other places Li Zhong, a spokesman for the Ministry of human resources and social security, said that the Ministry of human resources and social security proposed three steps to solve the problem of settlement of medical treatment in different places: first, more than 60% of the problems of medical treatment in different places have been solved through the implementation of city level overall planning The second is to solve the problem of medical treatment in different places in the province, which accounts for 30% In addition, it is to solve the problem of cross provincial medical treatment, which involves only 10% of the insured, but it is also the most difficult problem to solve Chu Fuling, director of the China Social Security Research Center of the Central University of Finance and economics, told the economic reference that building a unified national settlement network is the basis for the nationwide roaming of medical insurance At the same time, local systems and technical standards should be linked up, and various procedures and procedures should also be linked up It should be noted that the low level of overall planning of the basic medical insurance system is still a major obstacle "Whether cross regional networking and settlement can be achieved or not is ostensibly a network problem, but actually a problem of policy inconsistency between regions." Experts suggest that we should coordinate medical insurance policies and standard treatment in all regions as soon as possible, improve the level of coordination, and overcome the influence of differentiation.