Four ministries and commissions jointly issued a document to review medical insurance within two and a half years. The signal sent by this move is first to verify insurance fraud, and secondly to verify whether the social security bureaus in major cities strictly follow the corresponding reimbursement ratios. Reimbursement, in addition, it is to verify whether various drugs included in the scope of medical insurance reimbursement have been reimbursed in accordance with the law, and in addition, it is to analyze the specific data of people seeking medical treatment. It is necessary to explain and analyze the four ministries and commissions jointly issuing a document to review medical insurance within two and a half years from the following four aspects. What specific signals does this release?

1. Check for insurance fraud

First of all, it is necessary to check for insurance fraud. This is because the current medical insurance system is not perfect enough and there may be corresponding reimbursement loopholes, so It is necessary to comprehensively check the corresponding reimbursement data to prevent some insurance fraud. If discovered, it will be dealt with in a targeted manner.

Second, check whether the social security bureaus in major cities reimburse strictly in accordance with the corresponding reimbursement ratios

The second is to verify whether the social security bureaus in major cities reimburse strictly in accordance with the corresponding reimbursement ratios , this is also to verify whether the social security bureau staff at each level have implemented the specific reimbursement ratios issued by the National Human Resources and Social Security Bureau to protect the interests of the people.

3. Verify whether all types of drugs included in the scope of medical insurance reimbursement have been reimbursed in accordance with the law

The second step is to verify whether all types of drugs included in the scope of medical insurance reimbursement have been reimbursed in accordance with the law. After all, the reason why many domestically produced drugs are included in the corresponding medical insurance coverage is not only to support domestic pharmaceutical companies, but also to allow ordinary people to use more cost-effective drugs.

4. Analyze specific data on people’s medical treatment

The other is to analyze the specific data on people’s medical treatment, by analyzing the hospital grade data where patients seek medical treatment, medical expenses after reimbursement, and selected treatment drugs. , treatment cycle, etc. to comprehensively analyze the medical treatment habits of the Chinese people, in order to launch a structurally optimized medical service system.

Notes that social security bureaus at all levels should do:

They should actively respond to the call and actively cooperate with the above policies.