First, the Regulations on the Supervision and Administration of the Use of Medical Insurance Funds was officially implemented on May 1st; The second is to constantly improve the employee's basic medical insurance outpatient service economic security system, broaden the scope of application of personal account assets, and relieve the people's knowledge of relevant regulations and other aspects. Because this content includes the supplement and optimization of the past medical security system, many people call it "the new medical insurance policy in 221". Important spiritual essence of the Regulations on the Supervision and Administration of the Use of Medical Insurance Funds

According to the decision of the State Council, the Regulations on the Supervision and Administration of the Use of Medical Insurance Funds can be officially implemented from May 1, 221. At this stage, all medical insurance departments are trying to learn the important spiritual essence of the regulations and lay the foundation for the implementation of the regulations through gradual training. So what does this regulation include?

First, hospitals designated by medical insurance should not overtreatment. It is clearly stipulated in the regulations that the designated hospitals for medical insurance and their staff should not go against the clinical guidelines for over-diagnosis, over-medical treatment, dissolving prescriptions, taking drugs in excess, taking drugs repeatedly, not charging repeatedly, exceeding the standard of fees, and charging for dissolving items.

Second, defrauding medical insurance assets will be punished. From May 1st, all medical insurance departments will severely investigate and deal with criminal offences of defrauding medical insurance funds. If the circumstances are light, they may be fined about 2 times and less than 5 times, but if the circumstances are serious, they need to bear criminal responsibility.

Third, the insured cannot enjoy medical treatment repeatedly. The social medical insurance in our country is divided into two categories: urban workers' medical insurance and urban and rural residents' medical commercial insurance, which are fundamentally two different medical insurances. However, in practice, some people not only participated in the medical commercial insurance for urban and rural residents, but also participated in the medical insurance for urban employees. When they were sick, they could enjoy the medical insurance reimbursement salary for employees and the medical insurance reimbursement salary for residents. From May 1st onwards, this practice will be completely avoided, or the indoor space that has been out of control.

Fourth, you can't use the medical insurance account to sell drugs for profit. In the past, many small partners saved a lot of money because of their personal medical insurance accounts, so they rarely took medicine or went to see a doctor. Therefore, according to the form of falsely reporting medicine, they transferred it to the staff in need and obtained illegal profits from it. From May 1st, it will also be severely punished. Not only will it be punished, but its personal account may be terminated.

Fifth, you can't lend the medical insurance account to others for application. In real life, many designated medical insurance hospitals do not seriously check the identity of users when reviewing medical insurance, which leads to the application of some medical insurance cards between different people, such as borrowing medical insurance cards from relatives and friends to buy medicines. After the promulgation of the new medical insurance regulations on May 1st, all kinds of designated medical insurance hospitals must verify the identity of the users and avoid using medical insurance cards under false pretenses. Introduction to personal medical insurance

First, the proportion of employees' personal medical insurance accounts will be reduced. In the past, employees' personal account funds included two parts. All the 2% paid by them were credited to personal accounts, and the part paid by enterprises was credited to personal accounts according to 3%. After that, the part paid by enterprises will not be credited to personal accounts, and only the remaining 2% will be credited to personal accounts, but retired employees will still be classified according to the approved proportion.

Second, it can reimburse part of outpatient fees. Because 3% of the enterprise's payment will no longer be classified as personal account, this part of the key customer's outpatient fee reimbursement is also called outpatient fee to ensure overall rules and regulations, and outpatient fee reimbursement is implemented according to the 5% starting method.

the third is to establish the rules and regulations for the application of social security card personal accounts to families. If the balance of funds in my social security card is large, I can't spend it all. I can let my family use the personal account assets in the social security card through the form of family economic application, but it can only be applied after filing in a certain form. For example, after filing the names and ID numbers of the main family members, the money from the personal social security card can also be used as the medical expenses collected by the main family members in the pharmacy, the hospital or the settlement of hospitalization expenses.

Generally speaking, medical insurance is related to the hard-earned money of the broad masses of the people. Only when the hard-earned money is controlled can everyone's medical insurance benefits be better guaranteed. In all kinds of new policies, some belong to the strengthening of management and control responsibilities, and some belong to the guarantee of their own treatment. We can fully grasp these contents, in fact, in order to better safeguard and pay the legitimate rights and interests of social security parties in the future.