Hu Jinglin: pushing forward the reform and development of medical security at a new historical starting point

Health is an inevitable requirement to promote people's all-round development, and medical security is related to people's health and well-being Since the founding of new China, especially since the reform and opening up, the party and the government have always attached great importance to the construction of the people's health and medical security system, and the development of China's medical security has made remarkable achievements Entering the new era look far ahead from a high plane of vision by Comrade Xi Jinping, who is the core of the party, and has made a new plan for the development of medical security, and created a new era of medical security We should have succeeded in carrying out an assignment of Xi Jinping's new era and socialism with China as guidance, and promoted the high quality development of medical insurance in the new era Looking back, China's medical security industry has achieved rapid development Shortly after the founding of the people's Republic of China, China has provided initial medical security services for the masses of the people through labor insurance, public funded medical care and rural cooperative medical care Since the reform and opening up in 1978, the reform and exploration of the medical security system have been carried out simultaneously In 1994, the State Commission for restructuring and reform issued the "opinions on the pilot reform of the medical system for workers" and decided to carry out the pilot reform of the medical insurance for workers in Zhenjiang, Jiangsu Province and Jiujiang, Jiangxi Province In 1998, the State Council promulgated the decision on the establishment of the basic medical insurance system for urban employees, formally establishing the medical insurance system for urban employees, thus determining the social insurance mode of the basic medical insurance system in China, and the traditional public expense medical treatment and labor insurance medical treatment gradually withdrew from the historical stage In 2003, the State Council forwarded the opinions on the establishment of a new rural cooperative medical system, marking the formal establishment of the new rural cooperative medical system In 2007, according to the guiding opinions of the State Council on the pilot project of basic medical insurance for urban residents, the pilot project of medical insurance for urban residents was started in various regions, and the security system covering the urban non employed population was gradually established So far, the three main body system of basic medical insurance has taken shape At the same time, the state has established the urban and rural medical assistance system Since 2009, with the continuous progress of the new medical reform, China's medical security system has been developing and improving According to the report of the 18th National Congress of the Communist Party of China, China's universal health insurance is basically realized China has established the largest basic medical insurance network in the world in a relatively short time By the end of 2018, more than 1.35 billion people had participated in the three basic medical insurance programs, with a coverage rate of over 95% The basic medical insurance fund had a revenue of 2.1 trillion yuan, an expenditure of nearly 1.8 trillion yuan, and an accumulated balance of 2.3 trillion yuan The level of security has been constantly improved The proportion of hospitalization expenses reimbursed within the scope of residents' medical insurance policy has reached about 70%, and the proportion of employees' medical insurance reimbursed has reached more than 80% The management system has been continuously improved, the agreement management of medical institutions has been improved, the budget management has been fully implemented, the reform of payment mode has been deepened, and the direct settlement of medical and inpatient expenses across provinces has been realized The coverage of medical insurance in China has changed from small to large, the level of medical insurance has changed from low to high, and the management service has changed from rough to excellent China's medical security system has played an important role in maintaining social stability, promoting economic development and social equity, playing a positive role in improving people's health level, promoting the healthy development of medical services and medical industry, winning wide support from the masses and highly praised by the international community In the past eighteen years since the beginning of the new era, China has been armed with the mind of Xi Jinping's socialist ideology with Chinese characteristics, guiding practice and promoting the party's top two The Party Central Committee with Comrade Xi Jinping as the core attaches great importance to medical security, putting it in the important position of the overall situation of the party and state and making a series of important plans In the nineteen major reports of the party, general secretary Xi Jinping called for the establishment of a multi-level social security system covering the whole nation, urban and rural areas, clear responsibilities, and moderate and sustainable development in accordance with the requirements of "bottom line", "weaving network" and "building mechanism" General secretary Xi Jinping held many meetings at the Central Committee for deepening the reform committee, take care of the integration of the urban and rural residents' medical insurance system, the centralized procurement and use of drugs by state organizations, and the key medical reform of high value medical consumables General secretary Xi Jinping pointed out the direction of medical insurance reform in the new era, which is the guideline and fundamental guideline for the work of medical insurance in the new era One is to adhere to the people as the center, profoundly answer the "why" proposition, and integrate the original intention of the Communists into practice Medical security is the fundamental institutional arrangement to solve the people's worries and improve the people's health level It is the "ballast stone" to maintain social harmony and stability We must always put the people's sense of gain, happiness and security first, and take the people's satisfaction as the standard to measure the work Second, adhere to problem orientation, accurately grasp the current situation and deeply analyze the crux After more than 20 years of rapid development, the medical security work has made remarkable achievements At the same time, there are also problems such as system segmentation, weak supervision and high drug price, facing severe challenges of transformation and development In order to promote the work of medical security in the new era, it is necessary to reorganize the clothing and start again Third, we should adhere to the bottom line thinking, focus on doing our best and doing what we can, and find the right orientation and direction for our work As an important project for people's livelihood, the government's medical insurance is mainly to ensure basic and wide coverage, with the focus on delivering carbon in time We must strictly abide by our position, do a good job in building inclusive, basic and bottom-up people's livelihood, and solve the most immediate and realistic problems that the people care most about In March 2018, the Party Central Committee with Comrade Xi Jinping as the core took the opportunity to take the whole situation into consideration and take the overall situation into consideration We should focus on promoting the reform of medical care, medical insurance and medicine "three medical linkage" in an all-round way so as to better protect the sick and have a doctor The establishment of the national medical security bureau is conducive to fundamentally rationalizing the medical insurance management system, strengthening the supervision of medical insurance funds from the source, and accelerating the reform of the medical and health system from the key links This is an important measure to deepen the modernization of national governance system and governance capacity, marking a new historical chapter of China's medical security Since its establishment at the end of May 2018, the State Medical Insurance Bureau has been adhering to the general requirements of "ensuring basic, sustainable, relieving people's worries and promoting reform", focusing on targeted poverty alleviation of medical insurance, promoting tax reduction and price reduction of anticancer drugs, launching pilot drug centralized procurement and use organized by the state, resolutely cracking down on fraudulent insurance, accelerating the integration of urban and rural residents' medical insurance system, and promoting medical insurance informatization Construction The face of medical security has changed significantly, the pace of development has continued to accelerate, and the dividend of institutional reform has initially appeared The year 2019 is the 70th anniversary of the founding of the people's Republic of China, the key year to win the victory of building a moderately prosperous society in an all-round way, and the first year for the overall development of medical security work in the new era Guided by Xi Jinping's socialist ideology with Chinese characteristics, we will comprehensively implement the Central Committee's decision making plan, adhere to the people centered development concept, deepen the reform of China's China's medical insurance system, and work hard to solve the outstanding problems of the masses Steadily improve treatment We will establish a dynamic adjustment mechanism for the medical insurance catalogue, and focus on the inclusion of non-medical insurance varieties in basic drugs, drugs for treatment of major diseases such as cancer and rare diseases, drugs for treatment of chronic diseases such as hypertension and diabetes, drugs for children and drugs for emergency rescue in 2019 We will fight a tough battle to lift medical insurance out of poverty, achieve full coverage of dynamic insurance participation, and continue to manage excessive security To study the guarantee measures of hypertension and diabetes outpatient service and improve the reimbursement rate of outpatient medication A unified medical insurance system for urban and rural residents will be completed by the end of the year We will strengthen regulatory oversight We will introduce a list system of medical insurance benefits, standardize decision-making authority, and keep the policies in place Consolidate the situation of cracking down on fraud and high-pressure insurance, and realize the full coverage of supervision and inspection of designated medical institutions and retail pharmacies across the country We will increase the frequency of spot checks and flight inspections, and increase public exposure Carry out special inspection on the quality of accounting information of pharmaceutical enterprises, and conduct "through" supervision on sales links, so as to lay a good foundation for thoroughly rectifying the circulation chaos We will study and issue regulations on the supervision and administration of the use of medical insurance funds, and promote the supervision of medical insurance funds to be governed by law We will promote key reforms We will conscientiously implement the reform plan on the treatment of high-value medical consumables, which was deliberated and adopted at the meeting of the Central Committee for comprehensively deepening reform, and strive to promote the implementation of relevant reforms so that the people can see and benefit from it Adhere to the integration of quantity procurement and bidding procurement, and on the basis of seriously summarizing the experience of the "4 + 7" pilot project, timely and comprehensively push forward the pilot project of centralized procurement and use of drugs organized by the state, so as to effectively reduce the burden of drug costs on the masses Actively promote DRG payment national pilot, promote the rational allocation of medical resources, promote the optimization of hospital management, and standardize diagnosis and treatment behavior We will deepen the reform of medical service prices, promote the establishment of a dynamic adjustment mechanism for medical service prices, and give full play to the role of price leverage Improve service level We will accelerate the development of major information business codes, form a national "common language", and build a national unified, efficient, compatible, convenient and safe medical insurance information system as soon as possible We will improve the policy of direct settlement of medical treatment in different places and continue to improve the rate of online direct settlement We will promote pilot projects for direct settlement of outpatient fees in key regions such as Beijing, Tianjin, Hebei and the Yangtze River Delta We will optimize the designated management and service of medical insurance and support the development of social medical services In line with the mission, we will build a loyal and clean high-quality medical insurance team According to the deployment of institutional reform, medical insurance departments at all levels have been set up and are gradually on the right track We must consolidate the responsibility of overall and strict governance of the party, build a team of high-quality medical insurance cadres who are loyal and clean, and make the Party Central Committee rest assured and the people satisfied We will carry out in-depth education on the theme of "never forget your original intention and keep your mission in mind." We should thoroughly study and implement the spirit of the important speech of general secretary Xi Jinping in the conference on the theme of "never forget his mind and remember his mission", improve political standing, maintain political sobriety, strengthen political responsibility and enhance political consciousness We must persist in reading the original works, learning the principle of the original and realizing the principles, and strive to grasp the consistent stand, viewpoints and methods of Marx throughout China We should arm our minds and push forward the work with Xi Jinping's new socialist ideology with Chinese characteristics Adhere to the problem orientation, carry out learning and education, investigation and research, inspection of problems, and implementation of rectification throughout, so as to make sure that the investigation is accurate, verified, understood and implemented We will continue to improve our entrepreneurial skills General secretary Xi Jinping stressed the importance of being politically competent and highly competent Facing the new situation and performing new duties, medical insurance cadres at all levels must strengthen learning, create a strong atmosphere of being good at learning and brave in practice, and increase their ability in practice We need to maintain an enterprising spirit, be good at planning and promoting work in combination with the actual situation, and be good at using Internet technology and information technology We should strengthen the concept and consciousness of the rule of law, adhere to the principle of "there is a law, there must be a basis", and be good at using the rule of law to carry out work We need to strengthen our ability to implement, adhere to the principle of seeking truth from facts, offering practical solutions and seeking actual results, combine vigorous and vigorous practices with long-term efforts, be brave to overcome difficulties, and do a good job in all aspects with the spirit of nailing Continue to promote party conduct and clean government