Multi-test water online medical reimbursement "Internet plus medical" crack to see a doctor difficult

"Internet plus" health insurance payments will take online, offline consistent reimbursement policy, online medical reimbursement from the beginning of outpatient slow special diseases ... Recently, the National Health Insurance Administration issued a guidance to clarify the "Internet plus" health insurance payment scope. At the same time, at present, many places have begun to actively test water online medical reimbursement.In the eyes of industry experts, this means that "Internet plus" health insurance payments have entered the real world.

the scope of "Internet plus" health insurance payments to determine the Internet medical welcome "explosion of the new year"?This year, in the special context of the outbreak, the public demand for Internet medical treatment has exploded, and some people call 2020 the "first year of the outbreak" of Internet medical treatment.Data disclosed by the National Health And Wellness Commission in March this year showed that during the outbreak, the number of Internet consultations at the national health care commission's hospitals increased 17-fold compared with the same period last year. At the same time, the number of consultations on some third-party Internet service platforms has increased more than 20 times over the same period, and the number of prescriptions has increased nearly tenfold.On October 28 this year, at a press conference held by the State Health Andy Administration, the National Health and Safety Commission revealed a set of latest figures: At present, China has 900 Internet hospitals, telemedican cooperation network covers all the city more than 24,000 medical institutions, more than 5,500 hospitals above the second level can provide online services.As more and more medical institutions embrace the Internet, the "Internet Plus" medical package is also stepping up to keep up. Since the second half of this year, there have been several major documents at the national level on Internet health care.In July, the National Development and Reform Commission and 13 other departments jointly issued the Opinions on Supporting the Healthy Development of the New Industry Model to Activate the Consumer Market and Promote Employment Expansion, proposing to include the cost of eligible "Internet Plus" medical services in the scope of medical insurance payments.Since then, the General Office of the State Council has issued "on the further optimization of the business environment to better service market subjects of the implementation of the opinion", once again referred to the health care policy "untied" issue.Earlier this month, the State Health Insurance Administration issued "guidance on actively promoting the "Internet Plus" medical service medical insurance payments, clearly eligible Internet medical institutions can be through the physical medical institutions on which they rely, voluntary "contract" into the scope of medical insurance fixed-point, "Internet Plus" medical insurance payments will take online and offline consistent reimbursement policy.It is worth mentioning that the Guidance will also address the new coronary pneumonia outbreak during the patients with chronic diseases to re-diagnose the relevant experience of drug treatment practices, into the normal work, clear "Internet plus" health insurance payment scope and mode.For example, the scope of the "Internet plus" medical insurance payment is the needs of the patient's slow special illness and other follow-up, the insured person in the co-ordination area "Internet plus" fixed-point medical institutions to follow up and prescribe the cost of diagnosis and medicine, can be paid in accordance with the local medical insurance provisions. The burden of medical insurance shall be settled directly by the local medical insurance agency and the entity's fixed-point medical institutions and fixed-point retail pharmacies.Ma Guanglei, deputy secretary-general of the China Pharmaceutical Business Association and general manager of easy-to-re-diagnose, told reporters that the new policy proposes that health insurance should strengthen the support of Internet diagnosis and treatment, and further clearly the scope of reimbursement for this new type of medical behavior, including diagnosis and treatment behavior, re-diagnosis and purchase of medicines and extended prescriptions, is a very perfect guidance document.“ It can be said that the 'Internet plus' health insurance payment has entered the practical level, the health insurance payment reform has a very great guiding significance. Ma Guanglei said.

many water test water online medical reimbursement, medical treatment does not have to run the hospitalWhile positive policy signals are being released at the national level, many places have already "tested water" ahead of time.In April this year, Qingdao Municipal Health Insurance Bureau explored innovative services for medical insurance payments in physical hospital Internet hospitals.   Re-diagnosis patients can choose the municipal hospital Internet hospital through WeChat public number "Qingdao Health Insurance", through video or video to consult with the doctor online.   Online doctors in the examination of the patient's re-diagnosis status, the prescription for re-diagnosis, through a third-party prescription transfer service platform to send the prescription to the patient, the patient received a text message can choose the health insurance fixed-point pharmacy, the pharmacy received the order, the drug together with the overall reimbursement settlement document, pharmaceutical Service single delivery of medicine door-to-door, patients receive drugs, can choose health insurance payment, the real realization of patients can stay at home to consult, continue, purchase drugs, medical insurance payment reimbursement of one-stop diagnosis and treatment services closed, breaking the "drug treatment" problem.   In Beijing, some hospitals' "cloud clinics" can also be registered for real-time health insurance settlement. In October this year, the Capital Institute of Pediatrics through the "Internet Plus" medical insurance qualification audit, became the first medical service charges in Beijing real-time settlement, medicine, inspection and inspection of offline medical insurance settlement of pediatric hospitals. This time the Internet medical system upgrade, but also opened the inspection application form, hospital certificate issued and online appointment offline number source and other functions.   According to data released by the Capital Institute of Paediatrics, as of October 23, the number of patients who completed Internet consultations through the "Beijing Medical Communication" platform was 4,022, with the number of visits increasing by 59.1% month-on-month in September, 73.1% in foreign patients and 26.9% in local patients.   In Shanghai, at present, the Yangtze River Delta eco-green integrated development demonstration area of the Internet hospital has opened medical insurance off-line settlement, the demonstration area of three insured personnel can be through the Internet hospital, the use of mobile phones to complete the re-diagnosis and disinfuration and online payment.   With the local pilot, the medical insurance policy on Internet diagnosis and treatment is also being standardized and perfected.   For example, this month, the "Tianjin "Internet Plus" medical service payment management measures (trial) began to be formally implemented.   According to the administrative measures, the Internet consultation and treatment services provided by designated medical institutions for insured patients shall not exceed the scope of their Internet medical treatment subjects within the scope of their offline physical medical institutions, and shall be limited to the return of common and chronic diseases that can be completed independently online. If the Internet consultation and treatment services provided by designated medical institutions for insured patients limit the types of medical insurance payments, and meet the scope of medical insurance payments, the medical insurance funds shall pay according to the provisions.

is Internet health care regulated? Experts: The number of visits to health care institutions nationwide increased from 7.69 billion to 8.72 billion in 2015-19, the average number of visits by residents increased from 5.6 to 6.2, and the number of hospitalizations increased from 21.53 million to 26.596 million, according to official data released by the Ministry of Health.   The public demand for quality medical resources is increasing, and the problem of "difficult to see" and "overcrowded hospitals" has also come. The "Internet Plus" medical service will undoubtedly be a breakthrough in solving these problems.   Recently, the "Recommendations of the CPC Central Committee on the Formulation of the 14th Five-Year Plan for National Economic and Social Development and the Vision for 2035" was officially published, which also explicitly stated that "support social medical treatment and promote telemedicthing".   But as a new thing, will the regulatory pressure on health-care funds increase as "Internet Plus" medical payments move forward? How can regulatory efficiency be improved? What are the future development paths for different types of platforms? These have become the most important concerns of the outside world.   Ma Guanglei in the interview analysis, the recent new health insurance policy repeatedly stressed the importance of protocol management, in the application for "Internet plus" medical services medical insurance supplementary agreement basic conditions, clearly proposed to retain the patient's medical records, electronic prescriptions, drug purchase records and other information, to achieve diagnosis and treatment, prescription, distribution and other full traceability, so it will promote health insurance, hospitals, prescription transfer platforms or pharmacies to sign a joint transfer agreement, which requires a joint supervision.   He stressed that multi-party co-regulation first needs to achieve information connectivity, real-time sharing. It is necessary to break the information island between medical treatment, medicine and medical insurance, establish a "three-doctor linkage" supervision mechanism, and at the same time ensure the safety of patients' drug use, realize the full traceability of diagnosis and treatment, prescription, drug distribution, etc., and ensure the safe use of medical insurance funds.   Fu Hongqiao, an associate researcher at Peking University's School of Public Health, said that the new "Internet Plus" health care regulations recently issued by the State Administration of Health Insurance do not discriminate between hospitals and third-party platforms, and clarify the path to the realization of medical insurance payments for third-party Internet medical platforms that rely on physical medical institutions.   Fu Hongqiao said that this reflects that as long as it is in line with the provisions of the Internet medical institutions, the health care sector will be treated equally, to promote online and offline fair competition, and further promote the "Internet plus" medical services industry development. “ The whole industry is still in the initial stage, many related policies are still being explored, the recognition of ordinary people still need to cultivate the process, over time, the short board will gradually make up. Fu Hongqiao said. (China News Network)