Consolidate and improve the medical insurance benefits for urban and rural residents.
According to the notice, in order to adapt to the increase of medical expenses and the increase of basic medical needs, according to the national regulations and requirements, combined with the reality of our province, the financing standard of basic medical insurance for urban and rural residents in our province will be determined in 2022, and the per capita financial subsidy standard will be raised in 30 yuan, reaching not less than 6 10 yuan per person per year, and the individual payment standard will be raised in 30 yuan, reaching 350 yuan per person per year.
On the basis of raising the financing standard, our province will continue to consolidate and improve the medical insurance treatment level of urban and rural residents. The "Notice" clarifies that our province will give full play to the comprehensive guarantee efficiency of the triple system of basic medical insurance, serious illness insurance and medical assistance, and scientifically and reasonably determine the level of basic medical insurance. We will improve outpatient support measures, continue to do a good job in providing medical insurance for residents with hypertension and diabetes, and improve outpatient support for chronic diseases and special diseases.
According to the actual situation, the overall planning area can reasonably improve the medical security level of residents' maternity medical expenses and the payment standard of the overall planning fund for female workers' hospitalization and childbirth who participate in maternity insurance, effectively support the three-child birth policy, reduce the burden of maternity medical expenses, and promote the long-term balanced development of the population.
02
Ensure the needy people
All insurance should be guaranteed and all capital should be used.
In order to effectively grasp the bottom line of people's livelihood security, the notice requires that we continue to do a good job in mobilizing poor people to participate in insurance. On the basis of fully subsidizing poor people, low-income people and people returning to poverty, family members of unstable poverty-stricken households, marginal poverty-prone households and households with sudden serious difficulties identified by rural revitalization departments will participate in individual contributions to residents' medical insurance in 2023, with reference to low-income people, giving fixed subsidies to ensure full coverage and full funding.
03
Centralized procurement of high-dose and high-value drugs
Basically achieve full coverage
The "Notice" requires that all localities should continue to strengthen the management of medical insurance drug lists, do a good job in the "dual-channel" management of drugs, continue to promote the reform of medical insurance payment methods, and continue to promote the reform of DRG/DIP payment in accordance with the requirements of the three-year action plan for the reform of medical insurance payment methods in our province. On the basis of achieving full coverage of overall planning areas and diseases, the coverage rate of medical institutions and medical insurance funds in all overall planning areas in the province should reach more than 50% by the end of 2022.
All localities should strengthen centralized procurement and price management of pharmaceutical consumables, and continue to improve the centralized procurement work pattern of multi-party linkage and complementary advantages. In 2022, there will be no less than 100 kinds of drugs and no less than100 kinds of medical consumables, which will basically achieve full coverage of large-dose and high-value drugs.
Strengthen the comprehensive management of the selected results, and prevent medical institutions and medical personnel from using high-priced non-centralized products or centralized products to replace centralized products. Each provincial city will conduct a price adjustment evaluation during the year. If the trigger criteria are met, the price adjustment will be started according to the procedure.