Guangzhou: long-term care insurance system for the benefit of the people

Guangzhou, Guangdong Province, based on local reality, steadily and pragmatically promote the long-term care insurance system pilot work. Pilot for more than a year, the system runs smoothly, the protection effect is obvious, by the local people praise.
2016, with the recommendation of the Guangdong Provincial Human Resources and Social Security Department and the approval of the Ministry of Human Resources and Social Security, Guangzhou became the first pilot city of the country's long-term care insurance system, and the long-term care insurance system was officially piloted on August 1, 2017. Over the past year, Guangzhou long-term nursing insurance system covers the city's 7.07 million employees health insurance participants, a total of 4335 cases of long-term care needs assessment applications, after assessment of 3,707 people can enjoy long-term care insurance treatment, the pass rate of 85.5 The fund paid a total of 40.415 million yuan, the number of people entitled to treatment 3,311 people, the average person paid 2202.8 yuan, the situation of the ineconseurable persons in the past relying on retirement wages and child support as a source of nursing expenses has been improved.
system coverage is advanced in stages, and the simultaneous exploration of disability and mental retardation is made. The city in accordance with the first coverage of workers insured people, and then gradually expanded to urban and rural residents of health insurance insured personnel and other personnel of the path, and finally achieve full coverage of the system. The pilot phase to assess the daily activity capacity of the insured person (Barthel index assessment scale) is not higher than 40 points to judge the state of severe disability, while exploring the mentally ill moderately inseconcable persons into the scope of protection;
the payment method classification setting, the payment standard level is ahead. The city divides the types of treatment into two categories: living care and medical care, which is paid by the average daily cost limit, which is settled by the service package, and which is paid on a project-by-project scale and monthly limits to prevent misuse of funds. To formulate payment standards that match the level of economic development of the city, in which the payment limits for life care and medical care are 115 yuan to 120 yuan per person per day and 1000 yuan per month, respectively; In accordance with the principles of medical and health integration, mutual exclusion of risks, implementation of compliance, treatment linkage set up long-term care services, developed the environment and safety, life care, assisted feeding, assisted medication, sleeper care, excretion care, psychological comfort 7 categories of a total of 31 basic life care services, as well as including sputum care, diabetic foot care, drug exchange and other 19 basic medical care projects, to ensure the accuracy of services, to ensure the basic needs of long-term care.
The city also to "urgent use first" as the principle, relying on the Guangzhou Medical Insurance Management Information System platform, with reference to the medical insurance information system business framework, successfully developed a set of identification and evaluation management, treatment payment management, fixed-point agency management, statistical decision-making management and other multi-functional long-term care insurance core information system; (Health News)