By the end of this year, Shenyang will start the reform of medical insurance payment.

Hello! Recently, Ministry of Human Resources and Social Security held a teleconference on national networking of basic medical insurance and direct settlement of medical treatment in different places. Vice Minister You Jun made a comprehensive plan to promote the direct settlement of medical expenses in different provinces and places. Ministry of Human Resources and Social Security signed letters of responsibility with the first batch of 22 provinces including Beijing, which applied for nationwide networking of basic medical insurance and direct settlement of medical treatment in different provinces.

National networking and cross-provincial medical treatment in different places

List of provinces directly settled

1. Beijing Municipal Bureau of Human Resources and Social Security

2. Tianjin Human Resources and Social Security Bureau

3. Hebei Provincial Department of Human Resources and Social Security

4. Shanxi Provincial Department of Human Resources and Social Security

5. Liaoning Provincial Department of Human Resources and Social Security

6. Jilin Provincial Department of Human Resources and Social Security

7. Heilongjiang Provincial Department of Human Resources and Social Security

8. Jiangsu Provincial Department of Human Resources and Social Security

9. Zhejiang Provincial Department of Human Resources and Social Security

10. Anhui Provincial Department of Human Resources and Social Security

1 1. Shandong Provincial Department of Human Resources and Social Security

12. Henan Provincial Department of Human Resources and Social Security

13. Hubei Provincial Department of Human Resources and Social Security

14. guangdong provincial department of human resources and social security

15. Hainan Provincial Department of Human Resources and Social Security

16. Chongqing Municipal Bureau of Human Resources and Social Security

17. Sichuan Provincial Department of Human Resources and Social Security

18. Yunnan Provincial Department of Human Resources and Social Security

19. Shaanxi Provincial Department of Human Resources and Social Security

20. Department of Human Resources and Social Security of Ningxia Hui Autonomous Region

2 1. Department of Human Resources and Social Security, Xinjiang Uygur Autonomous Region

22. Xinjiang Production and Construction Corps Human Resources and Social Security Bureau

Seize the key time node

Highlight key areas and tasks.

Vice Minister You Jun emphasized that it is the overall arrangement of the CPC Central Committee and the State Council to accelerate the nationwide networking of basic medical insurance and direct settlement of hospitalization expenses across provinces, and the State Council and the National People's Congress have listed this work as the key task and supervision content this year. Speeding up the nationwide network settlement of medical insurance and ensuring the completion of the objectives and tasks on schedule are important measures for us to implement the central decision, an inevitable requirement for firmly establishing the four consciousnesses, and a concrete embodiment of keeping consistent with the CPC Central Committee in ideological and political practice.

Vice Minister You Jun pointed out that the launch of the national settlement system for medical treatment in different places and the promulgation of the Notice on Doing a Good Job in Direct Settlement of Medical Expenses for Inpatients in Different Provinces of Basic Medical Insurance marked that the direct settlement of medical treatment in different provinces has officially shifted from the stage of policy formulation and system formulation to the new stage of policy implementation, and the system has entered a critical stage of concentrating its efforts on fighting tough battles. Time is tight and the task is heavy. It is necessary to adhere to the goal orientation and problem orientation, seize the three key time nodes at the end of this year, the two sessions next year and the end of next year, highlight key areas where medical treatment is concentrated, such as Beijing-Tianjin-Hebei, Shanghai and Guangzhou, and highlight key tasks such as personnel filing, system docking, advance payment, and social security card. It is necessary to reverse the time, concentrate on tackling key problems, and do all the preparatory work before construction to ensure the completion of the target tasks as scheduled. It is necessary to fully consider the complexity and systematicness of medical treatment settlement in different places, grasp the relationship between medical treatment management and expense settlement in different places, pay attention to the combination with the construction of graded diagnosis and treatment system, grasp the relationship between medical treatment management in different places and the management of insured places, and grasp the integration of national medical insurance networking project and local handling management to ensure efficient, smooth, stable and safe medical treatment in different places.

Grab the key and keep in touch.

Vice Minister You Jun emphasized that the direct settlement of medical treatment in different provinces involves many contents, such as policy measures, management system, standards and norms, operation mechanism and information system construction. , and whether the personnel flow, business flow, capital flow and information flow can be unblocked, and which link has problems will directly affect the realization of the overall function. We must earnestly improve our understanding of the importance, urgency, systematicness and complexity of this work. We must not relax our focus on the objectives, grasp the key points, be insensitive to key issues, especially those related to the demands of the masses, and avoid possible problems and difficulties. We must stress the overall situation, politics, science and dedication to ensure that all tasks are completed on schedule.

Vice Minister You Jun pointed out that there are great differences in economic and social development, medical technology level, medical insurance policy norms, management and service capabilities, and information technology level. Policy formulation should be compatible with local differences, the handling process should be efficient and convenient, and information transmission should seek a balance between accuracy and efficiency. People's social departments at all levels should unify their thoughts and actions with a high sense of responsibility and mission to the central decision-making and deployment. It is necessary to clarify the time node, pay attention to supervision, promote implementation, implement supervision responsibilities, strengthen supervision and assessment, improve execution, and ensure that tasks land. It is necessary to improve the ability of handling management and service, pay attention to standardization construction, and gradually unify the national medical settlement code. It is necessary to carry out risk assessment simultaneously, pay attention to summing up the problems found in the direct settlement of medical treatment in different places, study and solve measures and report them in time. We should do a good job in publicity through multiple channels and angles, create a good atmosphere, guide reasonable expectations in time, and strive for understanding and support. All localities should reverse the progress according to the established tasks and focus on tackling key problems, greeting the successfully convening of the 19th National Congress of the CPC with excellent achievements.

Clear policies and responsibilities.

Ensure that the target task is completed.

Director Tang of the Social Security Center made a policy interpretation, demanding to adhere to the principles of standardization, convenience, step by step, orderly medical treatment and unified management, and promote the direct settlement of medical expenses for hospitalization in different provinces. Clear personnel and payment scope, treatment policy, advance payment policy, liquidation policy, information transmission requirements, management policy, and clear responsibilities at ministerial level, provincial level and municipal level. To ensure the direct settlement of inter-provincial hospitalization expenses.

By the end of 20 16, the nationwide networking will be basically realized, and the direct settlement of hospitalization medical expenses for retirees in different places will be initiated; 20 17 gradually solve the direct settlement of hospitalization expenses for retirees resettled in different places across provinces, and expand it to the direct settlement of hospitalization expenses for those who meet the referral conditions at the end of the year. Combined with the reform of local household registration and residence permit system, long-term residents and permanent residents in different places will be gradually included in the direct settlement of hospitalization medical expenses in different places.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.