2021-04-30

Qinghai Province issued a new policy to establish a multi-level medical security system

By yqqlm yqqlm

China News Service, Xining, April 30th (Sun Rui) The reporter learned from the Qinghai Provincial Medical Security Bureau on the 30th that in order to speed up the establishment of Qinghai Province covering all people, urban and rural planning, fairness and unity, clear powers and responsibilities, moderate security, and To continue the multi-level medical security system, the Qinghai Provincial Party Committee and Government issued the “Implementation Opinions on Deepening the Reform of the Medical Security System in Qinghai Province” (hereinafter referred to as the “Implementation Opinions”).

Wu Shiwen, a member of the Party Leadership Group and Deputy Director of the Qinghai Medical Security Bureau, introduced that the reform of the medical security system in Qinghai Province has clarified 30 specific tasks in seven aspects, mainly including “establishing a unified medical security system throughout the province. , Improve the fair and appropriate treatment guarantee mechanism, improve the sound and sustainable financing operation mechanism, establish an effective and efficient medical insurance payment mechanism, improve the strict and powerful fund supervision mechanism, coordinate the promotion of the reform of the medical service supply side, and optimize the public management service of medical security”, etc. .

Qinghai Province issued a new policy to establish a multi-level medical security system

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p >The picture shows the scene of the mobilization and deployment work meeting for deepening the reform of the medical security system in Qinghai Province. Photo courtesy of Qinghai Provincial Medical Insurance Bureau

The “Implementation Opinions” set the goals of the two-stage reform. That is, by 2025, achieve provincial-level overall planning of basic medical insurance for urban and rural residents and employees, improve the medical insurance and relief system for major diseases; build a unified medical insurance information system across the province, and realize direct settlement of outpatient and hospitalization expenses in different places nationwide; basic Complete the reform tasks in important mechanisms such as treatment guarantee, fund-raising operation, medical insurance payment, fund supervision, and medical service supply and medical insurance management services. By 2030, everyone will enjoy medical insurance, the medical insurance system for urban and rural residents and employees will be sound and perfect, the treatment guarantee will be fair and appropriate, the fund operation will be stable and continuous, the management services will be optimized and convenient, and the modernization of medical insurance will be significantly improved; basic medical insurance, critical illness insurance, and medical care Relief policies are seamlessly connected, standardized, and mature; a multi-level medical security system with basic medical insurance as the main body, medical assistance as the base, supplementary medical insurance, commercial medical insurance, charitable donations, and mutual medical assistance has been established in an all-round way. Continuously enhance the people’s sense of gain, happiness, and security.

“The “Implementation Opinions” also proposed to establish a dynamic adjustment mechanism for the medical insurance catalog, based on the affordability of funds, adapting to the basic medical needs of the people, and in accordance with the unified national deployment and regulations, to improve the catalog of medical insurance drugs, diagnosis and treatment items and medical consumables And other six measures. And put forward specific reform measures in terms of fund supervision mechanism, coordinated promotion of medical service supply-side reform measures, and optimization of medical security public management services.” Wu Shiwen said.

Kuang Yong, vice governor of Qinghai Province, said that in recent years, the reform of the medical insurance system in Qinghai Province has achieved initial results. However, as the people’s demand for health and well-being is increasing, the development of the medical insurance field is unbalanced and insufficient. The problems have gradually become prominent, and there is an urgent need to further improve the institutional system, improve the level of medical insurance governance, and effectively relieve the public from the worries of medical care for diseases. To this end, it is necessary to accelerate the establishment of a unified medical insurance system across the province, improve and improve the four mechanisms of treatment guarantee, financing operation, medical insurance payment, and fund supervision, and coordinate the two key tasks of promoting the reform of the medical service supply side and optimizing medical insurance public management services. Efforts will be made to promote the high-quality and coordinated development of medical security and medical services to ensure that various decisions and deployments of the medical insurance system reform are effective. (End)