Health care will change dramatically from 2021!

Recently, the State Health Insurance Administration and other three departments issued "guidance on strengthening and improving the participation of basic medical insurance" (hereinafter referred to as "Opinions").
"Opinion" put forward that from 2021, the national insurance information will achieve connectivity, dynamic update, real-time query, the quality of insured information significantly improved;
The main tasks assigned in accordance with the documents include setting reasonable targets for the expansion of insurance, implementing the policy of insurance contributions, bridging the treatment of cross-system insurance participation, orderly cleaning up of duplicate insurance, improving the mechanism of individual insurance contribution services, and strengthening the management of financial assistance funds.
according to the author combing, there are mainly the following highlights.
Workers' medical insurance, residents' medical insurance switching interruption payment can be seamlessly connected in which the cross-system coverage treatment bridge, clearly the insured has been for 2 consecutive years (including 2 years) or more to participate in basic medical insurance, due to employment and other personal status changes in the employee health insurance and residents' medical insurance to switch between the insurance relationship, and the interruption of payment time is not more than 3 months, after payment can normally enjoy treatment, to ensure that the insured treatment seamlessly.
the interruption of payment period of more than 3 months, each co-ordination area may set a waiting period of not more than 6 months for treatment according to its own circumstances, and suspend the original insurance relationship after the waiting period expires.
An orderly clean-up of the repeated insurance coverage of health insurance refers to the same insured person repeatedly participate in the same basic medical insurance system (re-participation in the system) or repeated participation in different basic medical insurance system (cross-system repeated participation), as shown in the same period of time the same insured person has two or more insurance contribution status normal insurance information records.
principle, duplicate participation is not permitted.
It is understood that there are currently three main types of repeated insurance coverage phenomenon is more common: first, for migrant workers who participate in urban and rural residents' health insurance, to participate in urban workers' basic medical insurance after employment in urban areas;
in the industry's view, repeated coverage, on the one hand, to the insured to add an additional contribution burden of health insurance, on the other hand, will add pressure to the financial, resulting in the waste of subsidies.
For the case of repeated participation in insurance, the Opinions clearly state that those who repeatedly participate in the medical insurance of employees shall, in principle, retain the relationship of participation in the employment place of insurance;
to improve the weak link of insurance, the Opinion clearly, to strengthen the improvement of key groups of people to participate in insurance payment services, improve the weak link of insurance.
includes the establishment of a file card for the poor, students, newborns, payment interruption personnel and other insured objects, according to the actual situation, the classification of targeted policies to ensure reasonable treatment.
the same time, we will continue to strengthen the publicity of the insurance policy, raise the level of facilitation of the insurance payment service, ensure that the insured persons enjoy basic medical security treatment in accordance with the law, and enhance the public's sense of access.
adhere to technical support to improve quality.
relying on the basic information management subsysys system of the national medical security information platform to clean up invalid, false and duplicate data, identify the status of the insured person's insurance contributions in real time, and improve the quality of insurance coverage.