How to realize the national network of medical insurance Author: Hindsight Source: Online submission Date added: December 14, 2016 Huang Huabo, deputy director of the Social Insurance Management Center of the Ministry of Human Resources and Social Security, introduced on the 13th that my country will basically realize medical insurance by the end of 2016 Networking across the country, and at the same time starting the direct settlement of hospitalization medical expenses for retirees resettled in different places across provinces.
(December 13 - Xinhuanet) The realization of national network of medical insurance and direct settlement in different places is not to say imminent, but at least imperative.
To this end, the author first recommends establishing a green channel for retiree medical expense reimbursement.
When off-site settlement cannot be completed in one step, the medical insurance part can be changed from advance payment by the patient to advance payment by the hospital, advance payment by the medical insurance in the place of treatment, and then payment by the medical insurance in the insured place, and finally complete the settlement, effectively reducing their burden and providing convenience.
Secondly, in order to solve the problem of settlement in different places, it is recommended that relevant central ministries and commissions jointly unify local medical insurance reimbursement policies, including reimbursement standard ratios, reimbursed drug catalogs, and specific settlement methods.
First establish and improve a national-level off-site medical settlement platform, and then gradually connect it with the provincial out-of-region medical settlement systems to achieve direct settlement of cross-provincial out-of-region medical expenses.
Thirdly, it is recommended to gradually improve the level and level of medical insurance co-ordination.
The government should speed up the work progress, increase coordination efforts, expand the scope of coordination, advance from municipal-level coordination to provincial-level coordination as soon as possible, and achieve effective docking between provincial medical insurance settlement systems.
At the same time, it ensures that the medical insurance fund is sufficient and has sufficient payment ability, so that the hospital will not have any worries.
Fourth, it is recommended that after the national network of medical insurance, medical expenses settled in other places are not limited to hospitalization expenses, but also outpatient expenses should be included and settled according to policy regulations to facilitate patients seeking medical treatment in other places.
Fifth, it is recommended that after the national network of medical insurance, patients settled in different places should not only include insured urban employees and urban residents, but also include the majority of insured farmers in rural areas.
The government should continue to increase the publicity of medical insurance policies, encourage all farmers to voluntarily participate in rural cooperative insurance, buy an insurance for themselves, and protect their own health.