This reform is an objective need to adapt to the development stage of my country's medical insurance and improve the medical insurance treatment of the masses.
Before the reform, there was a unified fund to cover hospitalization and personal accounts to cover outpatient services. It appeared that the insured employees "cannot use it if they are not sick, and not enough if they are sick." On the one hand, the balance of the personal medical insurance account of the insured employees who are in good health is lying around.
On the other hand, if retired and sick employees don’t have enough money, they will have to pay out of their own pockets.
In particular, long-term employee medical insurance participants are eager to establish a general outpatient pool, reimburse general outpatient medical expenses through the medical insurance pool fund, and reduce the medical burden of general outpatients.
The establishment of an outpatient financial security mechanism is to make full use of the limited medical insurance funds, so that healthy people can help sick people and young people can help old people, so as to truly bring into play the role of insurance mutual aid and financial aid, and put money into full play.
Use it on people who really need medical treatment.
The reform will implement innovations in payment. First, it will support patients with external prescriptions to settle and dispense prescriptions at designated retail pharmacies, enjoy the same reimbursement treatment as in medical institutions, and give full play to the role of designated retail pharmacies in providing convenience and accessibility to the people.
The second is to explore the inclusion of qualified "Internet +" medical services into the scope of protection to improve the convenience of enjoying benefits.
The third is to explore and promote the circulation of electronic prescriptions to better solve the need for settlement of drug purchases.
In addition, the Medical Insurance Bureau stated that it will also cooperate with relevant departments to further improve support measures in terms of family doctor contract services, primary medical and health institutions and designated drugstores dispensing linkages.