Notice on Doing a Good Job in Medical Security for Pneumonia Infection in novel coronavirus (Excerpt)
In order to conscientiously implement the requirements of the CPC Central Committee and the State Council, relevant matters are hereby notified as follows:
First, fully understand the importance of prevention and control in novel coronavirus. Doing a good job in epidemic prevention and control is of great significance for ensuring the health of the insured, maintaining social harmony and stability, and ensuring that the people have a stable and peaceful Spring Festival. Medical insurance and financial departments at all levels should attach great importance to it and resolutely implement the relevant arrangements of the CPC Central Committee and the State Council with a highly responsible attitude towards people's health. Where there is an epidemic in the province, the main responsible comrades of the provincial medical insurance department should take the lead, establish a special working mechanism, cooperate with health departments and actively do a good job in joint prevention and control.
Second, ensure that patients are not affected by the cost problem.
First, the medical expenses incurred by the patients diagnosed with pneumonia in novel coronavirus shall be subsidized by the finance after the payment of basic medical insurance, serious illness insurance and medical assistance according to the regulations, and comprehensive protection shall be implemented.
Second, the patients who have been diagnosed with novel coronavirus should be treated first and then settled, and reimbursement should not be reduced.
Third, the drugs and medical services used by patients with pneumonia in novel coronavirus are in line with the diagnosis and treatment plan for pneumonia in novel coronavirus formulated by the health department, and can be temporarily included in the scope of medical insurance fund payment.
Third, ensure that the hospital is not affected by the payment policy. For medical institutions that treat more patients, medical insurance agencies can prepay part of the funds to reduce the pressure on medical institutions to advance. Medical insurance agencies should adjust the total budget indicators of relevant medical institutions in a timely manner, and budget the medical expenses of patients with pneumonia in novel coronavirus separately. Medical insurance agencies at all levels should ensure timely settlement with medical institutions to ensure the smooth progress of treatment.
Fourth, ensure the smooth and orderly holiday work. Medical insurance and financial departments at all levels should strengthen the duty on duty during the Spring Festival holiday, improve the duty system, and implement all policy tasks to the letter. Local medical insurance agencies should be equipped with sufficient personnel to ensure uninterrupted service during the Spring Festival holiday. Do a good job in dynamic monitoring and statistical analysis of fund revenue and expenditure. The medical insurance bureaus of all provinces (autonomous regions and municipalities) will submit the number of patients infected with pneumonia, medical expenses, medical insurance and medical assistance fund expenditures in novel coronavirus to the National Medical Insurance Bureau before work from every Friday 1.