According to the National Medical Insurance Administration WeChat official account on June 8, the National Medical Insurance Administration, together with the Ministry of Finance and the State Administration of Taxation, issued the "Notice on Providing Basic Medical Security for Urban and Rural Residents in 2021" (Medical Insurance Issued by Editor Hu Ling)
[2021] No. 32, hereinafter referred to as the "Notice"), implement the relevant requirements of the "Opinions of the Central Committee of the Communist Party of China and the State Council on Deepening the Reform of the Medical Security System" and the 2021 "Government Work Report", and further improve the quality of urban and rural residents in 2021
Arrangements have been made for medical security work.
The "Notice" makes it clear that the financing standards for basic medical insurance for urban and rural residents will continue to be improved and the level of medical security will be steadily improved.
In 2021, the per capita financial subsidy standard for resident medical insurance will be increased by 30 yuan, reaching no less than 580 yuan per person per year; the individual payment standard will also be increased by 40 yuan, reaching 320 yuan per person per year.
Strengthen the connection between the three security systems of basic medical insurance, critical illness insurance and medical assistance, and give full play to the comprehensive security function.
Efforts will be made to implement the outpatient medication guarantee policy for the "two diseases" of hypertension and diabetes, improve the medical insurance and assistance system for major and serious diseases, and standardize the waiting period for benefits.
The "Notice" emphasizes the need to consolidate and expand the achievements of poverty alleviation through medical insurance and effectively connect with the rural revitalization strategy.
Gradually achieve a smooth transition from concentrating resources to support poverty alleviation to coordinating the normalization of the three systems.
Strictly implement the "four non-extraction" requirements, maintain the overall stability of the main support policies for medical security, implement various medical security benefits for people who have been lifted out of poverty in a classified manner, determine treatment standards based on facts, ensure smooth connection of policies and sustainability of the system, and establish a system to prevent and resolve the return to poverty due to illness.
Establish a long-term mechanism for poverty alleviation and coordinate and improve the basic support measures.
The "Notice" proposes to promote the reform of medical insurance payment methods, carry out centralized and mass procurement of drugs on a regular basis, strengthen the supervision of medical insurance funds, and continuously improve the efficiency of the use of residents' medical insurance funds.
Promote actual payment in DRG and DIP pilot cities, and improve the negotiated drug implementation monitoring mechanism.
We will implement the centralized procurement of pharmaceutical consumables organized by the state, and establish a pharmaceutical price and procurement credit evaluation system.
We will do a good job in implementing the Regulations on the Supervision and Management of the Use of Medical Security Funds.
Consolidate and improve the level of coordination, fully implement municipal and prefecture-level coordination, and actively and steadily promote provincial-level coordination.
The "Notice" requires strengthening medical insurance public service management services, strengthening service awareness, and optimizing service methods.
Continue to settle the medical expenses of COVID-19 patients and settle COVID-19 vaccine and vaccination expenses in a timely manner.
Comprehensively implement the list of government service matters and enhance the service capabilities of grassroots medical security public services.
Improve outpatient fee direct settlement services across provinces.
Adhere to the parallel innovation of traditional service methods and smart service methods, improve the level of online services suitable for aging people, optimize offline service models, and better provide the people with fair, accessible, convenient, efficient, warm and comfortable medical security services.
The full text of the notice is as follows: Notice of the National Medical Insurance Administration, the Ministry of Finance, and the State Administration of Taxation on Providing Basic Medical Security for Urban and Rural Residents in 2021 Medical Insurance Issue [2021] No. 32 All provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps Medical Insurance Bureau and Finance Department (Bureau)
, The taxation bureaus of all provinces, autonomous regions, municipalities and cities under separate state planning under the State Administration of Taxation: In order to implement the "Opinions of the Central Committee of the Communist Party of China and the State Council on Deepening the Reform of the Medical Security System" and the 2021 "Government Work Report" decision-making arrangements, improve the unified urban and rural
The residents’ basic medical insurance system (hereinafter referred to as “resident medical insurance”) and the critical illness insurance system have effectively provided medical protection for urban and rural residents. The relevant work is hereby notified as follows: 1. Continue to improve the financing standards for urban and rural residents’ medical insurance to support the consolidation and improvement of residents’ medical insurance benefits.
level, gradually expand the scope of medical insurance payment, and continue to improve the financing standards for resident medical insurance in 2021.
The per capita financial subsidy standard for resident medical insurance has been increased by 30 yuan, reaching no less than 580 yuan per person per year.
At the same time, the individual payment standard for resident medical insurance will be increased by 40 yuan, reaching 320 yuan per person per year.
The central government provides subsidies to local governments in different levels in accordance with regulations. The western and central regions are subsidized at a rate of 80% and 60% respectively, and the provinces in the eastern region are subsidized at a certain proportion.
Local finance departments at all levels must arrange financial subsidy funds in full and in full as required and allocate them in a timely manner.
The household registration restrictions for participating in basic medical insurance will be further relaxed. For those who hold a residence permit to participate in local residents’ medical insurance, finance at all levels must provide subsidies according to the same standards as local residents.
It is necessary to reasonably determine the financial subsidies and individual payment standards for resident medical insurance as required, and optimize the financing structure.
Based on the operation status of urban and rural residents' critical illness insurance (hereinafter referred to as "critical illness insurance") funds, and on the basis of ensuring that the existing financing level does not decrease, overall consideration will be given to determining the financing standards for critical illness insurance.
Improve the medical assistance classification subsidy and insurance policy, and refine the subsidy and insurance standards based on actual conditions.
To adapt to economic and social development, explore and establish a sound and sustainable financing mechanism for resident medical insurance.
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