echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Medical News > Latest Medical News > By the end of 2022, Hebei's original transfer of Class B drugs will be all transferred out of Beijing, Tianjin and Fujian to achieve health insurance synergy.

    By the end of 2022, Hebei's original transfer of Class B drugs will be all transferred out of Beijing, Tianjin and Fujian to achieve health insurance synergy.

    • Last Update: 2020-10-05
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com
    On August 11, Hebei Provincial Party Committee and provincial government issued the Implementation Opinions on Deepening the Reform of the Medical Security System, proposing to speed up the construction of a multi-level medical security system covering the whole people, urban and rural areas, with clear rights and responsibilities, ensuring a moderate and sustainable level of medical security, and doing its best and doing its best to promote the coordinated development of high-quality medical security and medical services, Hebei Daily reported.
    main objectives are: by 2025, the basic completion of treatment security, financing operation, medical insurance payments, fund supervision and other important mechanisms and medical services supply, health insurance management services and other key areas of reform tasks, medical security system more mature and stereotyped.
    to 2030, we will fully establish a medical security system with basic medical insurance as the main body and medical assistance as the base, supplement medical insurance, commercial health insurance, charitable donations, and mutual medical assistance and common development, so as to achieve the goal of better safeguarding medical treatment.
    March 5, 2020, the State issued the Implementation Opinions on Deepening the Reform of the Medical Security System, Hebei took the lead in implementing the follow-up to the reform of the provincial-level deepening of the medical insurance system.
    31 articles, the specific content is as follows: First, the overall requirements (i) guiding ideology.
    Fully implement the spirit of the Second, Third and Fourth Plenary Sessions of the 19th National Congress and the 19th Central Committee of the Communist Party of China, implement the deployment of the 9th and 10th Plenary Sessions of the 9th Provincial Committee, adhere to the people's health as the center, speed up the construction of a multi-level medical security system covering the whole people, urban and rural areas, clear rights and responsibilities, ensure moderate and sustainable security, do our best and do our best to promote the coordinated development of high-quality medical security and medical services, promote the health of Hebei and promote the people's sense of well-being.
    (ii) the main objectives.
    to 2025, the basic completion of treatment security, financing operation, medical insurance payment, fund supervision and other important mechanisms and medical services supply, medical insurance management services and other key areas of reform tasks, medical security system more mature and stereotyped.
    to 2030, we will fully establish a medical security system with basic medical insurance as the main body and medical assistance as the base, supplement medical insurance, commercial health insurance, charitable donations, and mutual medical assistance and common development, so as to achieve the goal of better safeguarding medical treatment.
    , improve policy measures, improve fair and moderate treatment guarantee mechanism (iii) improve the basic medical insurance system.
    to adhere to and improve the basic medical insurance system and policy system covering the whole people and participating in accordance with the law, the classification and protection of workers and urban and rural residents, treatment and payment linked, the fund set up accounts, accounting.
    reasonably set the proportion of hospitalization reimbursement for different levels of medical institutions, appropriately raise the proportion of reimbursement for primary medical institutions, and the proportion of reimbursement within the policy of primary medical institutions for basic medical insurance shall not be less than 90% in principle.
    The difference between the proportion of reimbursement within the policy scope of primary and secondary medical institutions for urban and rural residents and workers is not less than 10% and 3%, respectively, and the difference between the proportion of reimbursements within the policy scope of secondary and third-level medical institutions is not less than 15% and 5%, respectively.
    improve the system of outpatient co-ordination of common security and reform the personal accounts of basic medical insurance for employees.
    (iv) strictly implement the national list system of medical security treatment.
    In accordance with the requirements of the national medical security treatment list system, regulate the government's decision-making authority, strictly implement the basic system, basic policies, fund payment items and standards, without approval, all localities may not issue policies beyond the scope of the list authorization, to ensure the smooth flow of decrees.
    (v) improve the unified and standardized medical assistance system.
    Establish a timely and accurate identification mechanism for aid objects with cross-sectoral, multi-level and information sharing, fully implement the policy of payment for the participation of key assistance objects, improve the policy of medical assistance for serious and serious diseases, and scientifically determine the scope of assistance according to the affordability of medical assistance funds.
    establish long-term mechanisms to prevent and resolve disease-caused poverty and return to poverty.
    to reduce the cost of medical care, increase the annual limit of medical assistance, reasonable control of the poor people within the policy of out-of-the-money ratio.
    (vi) to establish a guarantee mechanism for the cost of medical treatment in major outbreaks.
    in an emergency such as an outbreak, medical institutions first treat, then charge, for which more patients are treated, medical insurance can advance part of the funds.
    to implement the national special groups, specific diseases medical expenses exemption system, targeted exemption from the medical insurance directory, payment limits, drug use and other restrictive provisions.
    use of medical security funds and public health service funds to increase the proportion of payments to primary health care institutions.
    (7) to speed up the construction of a multi-level medical security system.
    Strengthen the triple protection functions of basic medical insurance, major illness (large) insurance and medical assistance, improve the residents' insurance for major illnesses, large medical expenses subsidies for workers, medical insurance for civil servants and supplementary medical insurance for enterprises, and study and establish a multi-level medical security system in the light of the existing social assistance methods.
    to speed up the development of commercial health insurance, enrich the supply of health insurance products, strengthen product design, sales, compensation and other key links of supervision, make full use of personal income tax policy.
    encourages social charitable donations, mobilizes charitable medical assistance and supports the orderly development of mutual medical assistance.
    implement the national drug protection policy for rare diseases.
    , strengthen the fund collection and management, improve the sound and sustainable fund-raising operation mechanism (8) in-depth implementation of the national insurance plan.
    to further find out the bottom number of urban and rural insurance coverage, formulate the implementation plan of the universal insurance plan, and continuously improve the participation rate of basic medical insurance.
    strengthen the responsibilities of the municipal and county Party committees and the government, enhance the awareness of the whole people to participate in insurance, and ensure that all insurance should be guaranteed.
    (9) strengthen the collection of basic medical insurance funds.
    employed persons to participate in basic medical insurance shall be paid jointly by employers and individuals.
    non-employed persons to participate in basic medical insurance by individual contributions, the Government shall grant subsidies in accordance with the provisions.
    establish a basic medical insurance benchmark rate system, standardize the payment base approved, reasonably determine the rate, and implement dynamic adjustment.
    to increase financial investment in medical assistance, and play a complementary role in financing channels such as social donations.
    (10) to do the basic medical insurance city-level co-ordination.
    to achieve municipal-level co-ordination of basic medical insurance for urban and rural residents by 2020 and municipal co-ordination of basic medical insurance for workers by 2021, and encourage the simultaneous implementation of basic medical insurance for urban and rural residents.
    to promote vertical management of medical security departments below the municipal level in accordance with the unified deployment of the central and provincial governments.
    promote provincial co-ordination in due course.
    to steadily improve the overall level of medical assistance, and achieve coordination with the basic medical insurance co-ordination level.
    (11) strengthen the budget performance management of the health care fund.
    scientific norms to prepare the budget of the medical security fund revenue and expenditure, explore and carry out cross-provincial fund budget with Beijing and Tianjin and other provinces (cities).
    strengthen the fund's medium- and long-term actuarial and fund operation monitoring and analysis, implement the whole process of fund operation performance management, improve risk assessment, early warning mechanism.
    , improve the efficiency of the fund, establish a well-functioning and efficient medical insurance payment mechanism (12) to strengthen the management of the medical insurance catalogue.
    improve the dynamic adjustment mechanism of the medical insurance catalogue, strictly implement the national medical insurance drug catalogue, and all localities shall not make their own catalogues or adjust the scope of payment for medical insurance drugs.
    the end of 2022, the province's original increase of Class B drugs all transferred out.
    according to the affordability of the medical insurance fund, regulate the medical insurance diagnosis and treatment projects, medical supplies catalog.
    (13) strengthen the management of agreements between medical insurance fixed-point pharmaceutical institutions.
    to revise and improve the agreement management methods of medical insurance fixed-point medical institutions, to include medical institutions with good technology, excellent service, low price and reasonable regional layout into the fixed-point medical insurance, and to support the development of new service models such as "Internet plus medical care".
    the proportion of drugs, medical treatment items and medical supplies used in the medical insurance catalogue of designated medical institutions.
    to formulate measures for the implementation of the agreement by fixed-point pharmaceutical institutions, and improve the exit mechanism for fixed-point pharmaceutical institutions.
    (14th) to further promote the reform of health care payment methods.
    to revise the budget for the total amount of the health insurance fund.
    to the close-knit medical association, in accordance with the medical association service object to implement the head packaging payment.
    comprehensive consideration of drugs, medical supplies centralized belt procurement and other factors, scientific calculation of packaging payment standards, strengthen supervision and assessment, balance retention, reasonable overspend sharing.
    to promote the reform of health insurance payment methods by disease diagnosis, by disease type, by bed day, by head of person, etc.
    the establishment of a prepaid work capital system, medical insurance agencies to the secondary and above not included in the medical association of fixed-point medical institutions and medical personnel in the township (town) health hospitals to allocate the work capital.
    (15th) to deepen the coordinated development of medical security in Beijing, Tianjin and Fujian.
    promote the beijing-Tianjin-Hebei medical insurance fixed-point mutual recognition, medical expenses reimbursement, inspection and inspection results mutual recognition, and actively promote the medical institutions in our province into the Beijing-Tianjin medical insurance fixed-point scope.
    to steadily promote the Beijing-Tianjin-Hebei off-site outpatient expenses direct settlement pilot.
    Xiong'an New Area as an independent medical insurance co-ordination area to provide medical security for the orderly undertaking of Beijing non-capital functional personnel dredging.
    , maintain the safety of the fund, improve the strict and strong fund supervision mechanism (16) to strengthen the fund supervision capacity-building.
    strengthen the supervision and management of medical insurance funds, improve the efficiency of use, reform the regulatory system, improve law enforcement mechanisms to ensure the safety of funds.
    the municipal and county party committees, government territory responsibilities and regulatory responsibilities, in accordance with the rules and regulations in accordance with the law serious accountability.
    fund supervision into the prevention and resolution of major risks.
    strengthen the construction of internal control institutions for medical insurance operations, and implement the responsibilities of agreement management, cost monitoring and auditing.
    audit organs at all levels should strengthen audit supervision and include medical insurance funds, medical insurance agencies and regulatory agencies in the annual audit plan.
    establish an internal audit system for health insurance funds.
    (17) innovative fund supervision.
    , according to the National Medical Security Fund flight inspection method to study and develop our province's medical security fund flight inspection program.
    strengthen process monitoring of medical behavior.
    through government purchase of services, and actively introduce third-party regulatory power to improve regulatory effectiveness.
    establish an information disclosure system, strengthen social supervision, and improve the fraud insurance reporting reward system.
    (18) shall be held responsible for fraud and insurance fraud in accordance with the law.
    to formulate and improve the province's health insurance fund supervision related regulations.
    establish a credit system for medical security.
    improve the joint conference system for the supervision of medical insurance funds, make comprehensive use of agreements, administration, justice and other means, seriously investigate the fraud and fraud units and individuals responsible, and investigate criminal responsibility for suspected crimes in accordance with the law.
    , deepen the "four-doctor linkage" and jointly promote the reform of the supply side of medical services (19) and actively promote the centralized procurement and use of medicines and medical supplies.
    basis of medical insurance payment, the provincial drug centralized procurement platform is established, which is integrated into bidding, procurement, transaction, settlement and supervision.
    implement the results of the national organization's centralized procurement of medicines.
    to carry out the centralized procurement of non-consistent evaluation drugs in our province in an orderly manner.
    promote cooperation with Beijing,800, "Sanming" procurement alliance.
    the medical insurance fund balance shall be returned annually during the procurement cycle for medicines in the medical insurance catalogue purchased centrally by the state and provincial organizations.
    the direct settlement of medical insurance funds and pharmaceutical enterprises, and improve the coordination mechanism between medical insurance payment standards and centralized procurement prices.
    (20) to improve the price formation mechanism of medicines and medical supplies.
    to improve the drug, medical supplies hanging network policy, the establishment of market-oriented drugs, medical supplies price formation mechanism.
    establish an early warning mechanism for monitoring abnormal changes in drug prices, and adopt means such as inquiry and interview, public exposure and suspension of the Internet to promote the regulation of price management by operators and medical institutions.
    (21) to improve the dynamic adjustment mechanism of medical service prices.
    to gradually increase the value of technical services to reflect the price of medical services, reduce the proportion of equipment consumption high inspection and treatment prices of large-scale equipment.
    the country and the province well-known experts, pilot personalized, differentiated medical service price policy.
    to reduce costs, diagnosis and treatment effect of obvious medical service price items, open a green channel for audit, other provinces have been announced and have obvious clinical advantages of the price of medical services actively included.
    (22) to enhance access to medical services.
    strengthen the assessment of regional medical service capacity, rationally plan the distribution of various types of medical resources, promote the sharing and utilization of resources, accelerate the development of social medical treatment, and standardize the development of new service models such as "Internet plus medical care".
    to promote the construction of close medical associations, and effectively improve the coverage of medical associations.
    development of telemedic services and promote the sinking of high-quality medical resources of experts at the grass-roots level.
    comprehensive implementation of integrated rural management, solidly promote family doctors contract services, and continuously improve the quality of performance.
    in principle, each administrative village has at least one village health room and one village doctor to ensure full coverage of basic public health services, basic medical services and health management in each administrative village.
    strengthen the management of rural doctors' practice and the supervision of service quality, implement the 24-hour on-duty consultation system, and speed up the construction of medical call systems for the elderly, such as indulestion and semi-disabling in rural areas, widowhood and loneliness.
    efforts to deepen the reform of public hospitals and speed up the establishment of a modern hospital management system.
    strengthen the configuration and use management of large-scale medical equipment in public hospitals to ensure that it is adapted to functional positioning and clinical service needs, and strictly control the abnormal over-provisioning.
    , pediatrics, geriatrics, psychiatric and other shortage of medical services short board.
    to support the development and use of high-quality generic drugs and promote generic drug substitution by improving medical insurance payment standards and drug tendering and procurement mechanisms.
    establish a four-level drug shortage monitoring and early warning mechanism and a provincial and municipal response mechanism.
    (23) to improve the training and use of incentive mechanisms for general practitioners.
    the number of general professional enrollment strive to reach that year's resident standardized training of 20% of the total enrollment plan, increase targeted free training, on-the-job personnel continue to education and training efforts to improve the capacity of primary general medical services.
    promote the basic medical and health institutions general practitioners' salary level and the local county-level general hospital equivalent conditions of clinicians' salary level.
    (24) regulate the medical institutions and medical personnel's medical treatment behavior.
    implement the core system of medical quality and safety and strengthen it.
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.