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    Home > Medical News > Latest Medical News > National Medical Insurance Administration: Establishing a sound medical insurance outpatient mutual aid guarantee mechanism

    National Medical Insurance Administration: Establishing a sound medical insurance outpatient mutual aid guarantee mechanism

    • Last Update: 2021-05-09
    • Source: Internet
    • Author: User
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    Medical Network, April 26.
    At the State Council’s policy briefing held recently by the State Council Information Office, Chen Jinfu, deputy director of the National Medical Insurance Administration, stated that the State Council’s executive committee had previously reviewed and approved the “Regarding the Establishment and Improvement of the Employee Basic Medical Insurance Outpatient Mutual Aid Guarantee Mechanism "Guiding Opinions", the document has been issued by the General Office of the State Council.
    The National Medical Insurance Bureau will complete this system transition in three years.
     
    The main policy arrangement of the reform is to establish an outpatient mutual aid guarantee mechanism.
    One is to establish an overall plan for general outpatient clinics, and gradually include frequently-occurring and common diseases in outpatient clinics into the medical insurance overall plan for reimbursement.
    These expenses were basically solved by personal accounts.
    The second is to strengthen the outpatient protection for chronic diseases and special diseases , and gradually include the outpatient expenses for diseases with high costs and long treatment cycles into the scope of outpatient protection.
    For some outpatients, chronic diseases, and serious illness related treatments, they are seen in the outpatient clinic, but they are managed according to the hospitalization policy.
    Third, in addition to attending designated medical institutions, insured persons can settle and purchase medicines at designated retail pharmacies with prescriptions outside the hospital .
    Those who meet the regulations will be included in the payment scope of the overall planning fund, and the corresponding designated retail pharmacies will also be included in such a designated scope of protection.
     
    Reform employee medical insurance personal accounts.
    One is to reform the accounting method.
    The part of the personal contributions paid by employees is still included in their personal accounts, and will be included in their personal accounts at 2% of their payment base.
    Because retirees do not pay personally, their personal accounts will be allocated by the pooling fund according to the fixed amount, and the amount will be based on the basic amount of the year of the reform.
    2% of the average pension.
    The second is to appropriately broaden the scope of use and allow family members to mutually aid each other in using personal accounts.
    The third is to improve and improve personal account use management methods.
    Including personal accounts must not be used for fitness, public health and other expenses, and at the same time severely crack down on fraudulent insurance, maintain the security of the fund, and protect the rights and interests of participating in the insurance.
      Medical Network, April 26.
    At the State Council’s policy briefing held recently by the State Council Information Office, Chen Jinfu, deputy director of the National Medical Insurance Administration, stated that the State Council’s executive committee had previously reviewed and approved the “Regarding the Establishment and Improvement of the Employee Basic Medical Insurance Outpatient Mutual Aid Guarantee Mechanism "Guiding Opinions", the document has been issued by the General Office of the State Council.
    The National Medical Insurance Bureau will complete this system transition in three years.
     
      The main policy arrangement of the reform is to establish an outpatient mutual aid guarantee mechanism.
    One is to establish an overall plan for general outpatient clinics, and gradually include frequently-occurring and common diseases in outpatient clinics into the medical insurance overall plan for reimbursement.
    These expenses were basically solved by personal accounts.
    The second is to strengthen the outpatient protection for chronic diseases and special diseases , and gradually include the outpatient expenses for diseases with high costs and long treatment cycles into the scope of outpatient protection.
    For some outpatients, chronic diseases, and serious illness related treatments, they are seen in the outpatient clinic, but they are managed according to the hospitalization policy.
    Third, in addition to attending designated medical institutions, insured persons can settle and purchase medicines at designated retail pharmacies with prescriptions outside the hospital .
    Those who meet the regulations will be included in the payment scope of the overall planning fund, and the corresponding designated retail pharmacies will also be included in such a designated scope of protection.
     
      Reform employee medical insurance personal accounts.
    One is to reform the accounting method.
    The part of the personal contributions paid by employees is still included in their personal accounts, and will be included in their personal accounts at 2% of their payment base.
    Because retirees do not pay personally, their personal accounts will be allocated by the pooling fund according to the fixed amount, and the amount will be based on the basic amount of the year of the reform.
    2% of the average pension.
    The second is to appropriately broaden the scope of use and allow family members to mutually aid each other in using personal accounts.
    The third is to improve and improve personal account use management methods.
    Including personal accounts must not be used for fitness, public health and other expenses, and at the same time severely crack down on fraudulent insurance, maintain the security of the fund, and protect the rights and interests of participating in the insurance.
      Medical Network, April 26.
    At the State Council’s policy briefing held recently by the State Council Information Office, Chen Jinfu, deputy director of the National Medical Insurance Administration, stated that the State Council’s executive committee had previously reviewed and approved the “Regarding the Establishment and Improvement of the Employee Basic Medical Insurance Outpatient Mutual Aid Guarantee Mechanism "Guiding Opinions", the document has been issued by the General Office of the State Council.
    The National Medical Insurance Bureau will complete this system transition in three years.
     
      The main policy arrangement of the reform is to establish an outpatient mutual aid guarantee mechanism.
    One is to establish an overall plan for general outpatient clinics, and gradually include frequently-occurring and common diseases in outpatient clinics into the medical insurance overall plan for reimbursement.
    These expenses were basically solved by personal accounts.
    The second is to strengthen the outpatient protection for chronic diseases and special diseases , and gradually include the outpatient expenses for diseases with high costs and long treatment cycles into the scope of outpatient protection.
    For some outpatients, chronic diseases, and serious illness related treatments, they are seen in the outpatient clinic, but they are managed according to the hospitalization policy.
    Third, in addition to attending designated medical institutions, insured persons can settle and purchase medicines at designated retail pharmacies with prescriptions outside the hospital .
    Those who meet the regulations will be included in the payment scope of the overall planning fund, and the corresponding designated retail pharmacies will also be included in such a designated scope of protection.
    Disease disease disease hospital hospital hospital pharmacy pharmacy pharmacy
     
      Reform employee medical insurance personal accounts.
    One is to reform the accounting method.
    The part of the personal contributions paid by employees is still included in their personal accounts, and will be included in their personal accounts at 2% of their payment base.
    Because retirees do not pay personally, their personal accounts will be allocated by the pooling fund according to the fixed amount, and the amount will be based on the basic amount of the year of the reform.
    2% of the average pension.
    The second is to appropriately broaden the scope of use and allow family members to mutually aid each other in using personal accounts.
    The third is to improve and improve personal account use management methods.
    Including personal accounts must not be used for fitness, public health and other expenses, and at the same time severely crack down on fraudulent insurance, maintain the security of the fund, and protect the rights and interests of participating in the insurance.
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