yes.

Medical and Social Security Bureau, Civil Affairs Bureau, Finance Bureau, Health and Wellness Commission, Poverty Alleviation Office, Banking Insurance Supervision Branch (including Jiyuan Supervision Group), Jiyuan Human Resources and Social Security Bureau, and relevant commercial insurance institutions:

In order to further improve the serious illness supplementary insurance system, consolidate the responsibilities of all parties, improve the supervision mechanism, and do a good job in supplementary medical insurance for people in need (hereinafter referred to as serious illness supplementary insurance).

1. Improve the dynamic adjustment mechanism of the security object

Before April 1th of each year, the county-level medical insurance department will take the lead in approving the list of local needy people and related information with the poverty alleviation, civil affairs, finance, health and health departments at the same level. After the needy people go through the insurance payment procedures, the county-level medical insurance department will mark their identities, household registration types and poverty-stricken people's poverty alleviation status in the medical insurance information system for urban and rural residents in time.

according to the notice of the office of the leading group for tackling poverty in Henan province on further standardizing the labeling of "stable poverty alleviation" in the whole province (Yu Poverty Alleviation Office [217] No.17) and the notice of Henan Insurance Regulatory Bureau of Henan Provincial Health and Health Committee of Henan Provincial Department of Human Resources and Social Security on further implementing the medical security treatment for poor people (Yu People's Social Affairs Office [218] No.129), the rural filing is adjusted quarterly. Before the 1th day of the first month of each quarter, the county-level medical insurance department will take the lead in conjunction with the poverty alleviation, finance, health and health departments at the same level to approve the list of newly identified stable poverty-stricken people (hereinafter referred to as "quitters") and the newly-added poverty-stricken people who have been insured and set up files and cards (hereinafter referred to as "newly-added people") and related information. At the same time, the county-level medical insurance department should promptly identify the newly-added people in the medical insurance information system for urban and rural residents, and add poverty-stricken people with files and cards in the "protection category". The newly-added personnel enjoy the supplementary insurance policy for serious illness and the preferential policies for basic medical insurance and serious illness insurance in the current year after their identity is verified by the poverty alleviation department, and the medical expenses incurred before will not be reimbursed retroactively. The exit personnel shall adjust the identification of poverty-stricken people who set up a file in the "guarantee category". If the exit personnel are also poor relief recipients, urban and rural minimum living security recipients, children in distress and other categories of people in need, the "guarantee category" shall be revised to the corresponding type; If the quitters only belong to the poverty-stricken population category, they will no longer enjoy the serious illness supplementary insurance policy and the preferential policy of basic medical insurance and serious illness insurance from the date of quitting, but the medical expenses that have occurred but have not been reimbursed can continue to be reimbursed through the system.

Second, improve the fund-raising method

The supplementary insurance for serious illness will continue to carry out differentiated fund-raising. According to the actual expenditure of supplementary insurance for serious illness, the increase of medical expenses, the adjustment of policies and the expenditure of funds in all areas as a whole, the fund-raising standard for supplementary insurance for serious illness in 219 will be 13 yuan, 11 yuan, 9 yuan and 7 yuan (see annex for details). Before January 2th of each year, the provincial finance department will pre-allocate the provincial burden funds to the provincial financial accounts according to the number of supplementary insurance guarantees for serious illness in the previous year and the financing standards in the previous year. When the number of guarantees is determined, the financial departments at all levels will share the funds in a timely and full manner to the provincial financial accounts according to the number of serious illness supplementary insurance guarantees and financial sharing standards approved by the provincial medical insurance agencies. The funds needed for new personnel in the year shall be raised by the governments at all levels when raising funds in the next year.

iii. strengthening the responsibility of risk sharing

from 219, the profitability (including operating costs) of commercial insurance institutions undertaking major illness supplementary insurance is consistent with the profitability of undertaking major illness insurance for urban and rural residents, and is controlled within 3% of the total amount of funds raised in that year. If the surplus of supplementary insurance funds for serious illness in the current year exceeds the prescribed profit rate, the excess will be transferred to the provincial financial account for use. Losses in that year shall, in principle, be borne by commercial insurance institutions. If the cost overruns are really caused by the adjustment of the payment scope and treatment standard, the commercial insurance institutions shall submit audit reports, which shall be submitted to the Provincial Medical Insurance Bureau after the provincial medical insurance agencies verify the cost overruns, and the Provincial Medical Insurance Bureau shall put forward a fund solution in consultation with the Provincial Department of Finance, and after being approved by the provincial government, the financial departments at all levels shall give subsidies according to regulations.

IV. Continue to promote graded diagnosis and treatment

According to the guiding opinions of the general office of the State Council on promoting the construction of graded diagnosis and treatment system (Guo Ban Fa [215] No.7) and the implementation opinions of the general office of Henan Provincial People's Government on promoting the construction of graded diagnosis and treatment system (Yu Zheng Ban [216] No.53), health departments at all levels should continuously improve the capacity of primary health care services and integrate and promote regional medical resources. Medical insurance departments at all levels should further promote the reform of medical insurance payment methods, improve the incentive and restraint mechanism of medical insurance to standardize medical behavior and control medical expenses, improve the enthusiasm of medical institutions at all levels to actively control fees, improve the overall system of medical insurance outpatient service for urban and rural residents, and the differential payment policy of medical insurance for hospitalization expenses in different levels of medical institutions. The deductible line can be calculated continuously for the hospitalized patients who meet the requirements, so as to guide the patients to choose primary treatment, standardize referral and seek medical treatment in an orderly manner.

V. Improve the supervision mechanism

Establish a linkage working mechanism between the medical insurance department, the health and wellness department, the banking insurance supervision department and the relevant commercial insurance institutions, and work closely together to form a joint force to strengthen the supervision of medical service behavior. Under the leadership of medical insurance agencies, commercial insurance institutions, while reviewing and inspecting the use of supplementary insurance funds for serious illness, undertake the responsibility of reviewing and inspecting the occurrence of corresponding medical expenses, the payment of basic medical insurance and serious illness insurance funds, and strengthen the key verification of fraudulent insurance and irregular medical services by medical institutions. Medical insurance departments at all levels and banking insurance supervision departments should improve the evaluation mechanism of commercial insurance institutions, and urge commercial insurance institutions to strengthen supervision over the use of medical insurance funds while improving their service management efficiency. Health departments at all levels should strengthen industry guidance and supervision, improve the long-term supervision mechanism of medical institutions and their medical staff's diagnosis and treatment behavior and internal management, and standardize medical service behavior.

VI. Establishing a long-term mechanism of medical insurance to help the poor

Medical insurance departments at all levels should focus on the special poor groups and the weak links of medical insurance in the "two worries and three guarantees" and give full play to the role of basic medical insurance, serious illness insurance, serious illness supplementary insurance and medical assistance. All levels of medical insurance, finance, health, poverty alleviation, civil affairs and other departments should strengthen coordination and cooperation, accurately grasp all kinds of local self-developed medical security policies, combine the treatment standards of the poor, and ensure that they are in place in strict accordance with the existing payment scope and established standards, and do not blindly raise standards, raise appetite, and prevent excessive medical security commitments from being divorced from reality. Establish a long-term mechanism to prevent and resolve poverty caused by illness and return to poverty due to illness. Before the end of 22, all kinds of existing medical security policies will be smoothly incorporated into the four-fold security system framework of basic medical insurance, serious illness insurance, serious illness supplementary insurance and medical assistance in our province.