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    Home > Active Ingredient News > Blood System > Internet hospitals may rely on physical medical institutions to settle medical insurance in accordance with the provisions

    Internet hospitals may rely on physical medical institutions to settle medical insurance in accordance with the provisions

    • Last Update: 2021-03-10
    • Source: Internet
    • Author: User
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    On January 8th the State Administration of Medical Security issued Order No. 2 of the State Administration of Medical Security, and the Interim Measures for the Administration of Medical Security In Medical Security in Medical Institutions will come into effect on February 1, 2021. Article 5 of the measures states:
    "Internet hospitals may apply for supplementary agreements on the basis of their physical medical institutions, and the related expenses arising from the medical services provided by them in accordance with the scope of medical insurance payment shall be settled in accordance with the provisions of the entity medical institutions on which they rely." article
    "Article 5 Medical institutions that have obtained a medical institution's license to practise or a Chinese medicine clinic for the record, as well as military medical institutions with qualifications for serving the people with the approval of the competent military departments, may apply for medical insurance fixed-point: (1) general hospitals, Traditional Chinese medicine hospitals, Chinese and Western medicine combined hospitals, ethnic medicine hospitals, specialized hospitals, rehabilitation hospitals; Health care centers; (3) community health service centers (stations), central health centers, township hospitals, street health hospitals, outpatient clinics, clinics, health clinics (stations), village health rooms (houses) ;(4) independently set up emergency centers; (5) peaceful treatment centers, hemodialysis centers, nursing homes; and (6) medical institutions in old-age institutions.
    Internet hospital may apply for a supplementary agreement on the basis of its entity medical institutions, and the related expenses arising from the medical services provided by it in accordance with the scope of medical insurance payment shall be settled in accordance with the provisions of the entity medical institutions on which it relies.
    , medical and other non-essential medical institutions do not accept fixed-point applications for medical insurance.
    Article 12 If a medical institution has one of the following circumstances, it shall not accept a fixed-point application: (1) the medical beauty, assisted reproduction, life care, dental implantation and other non-essential medical services as the main scope of practice; (2) the basic medical service has not implemented the medical price policy formulated by the administrative department of medical security; (3) has not fulfilled its administrative penalty responsibility according to law; (4) applied for a fixed-point by improper means such as fraud, and has not been released from the medical insurance agreement for 3 years since the date of discovery; (5) Or have not fully fulfilled the legal liability for administrative punishment for 3 years; (6) have been discharged from the agreement for a serious violation of the provisions of the medical insurance agreement for not more than one year or have not fully fulfilled their liability for breach of contract; (7) the legal representative, the principal person in charge or the actual controller have been discharged from the medical insurance agreement at the original point due to serious violations of the law, not more than 5 years; (8) the legal representative, the principal person in charge or the actual controller has been included in the list of breach of trust;
    In short, medical institutions medical security fixed-point management adhere to the people's health as the center, basic protection, grass-roots village health rooms (institutes) can apply for medical insurance, medical beauty, assisted reproduction, life care, dental implantation (oral cavity) and other non-essential medical services as the main scope of practice of medical institutions will not accept applications for medical insurance; Side reform, Internet hospital medical services can be in accordance with the provisions of medical insurance settlement, to provide appropriate medical services for the insured personnel, to improve the people's medical payment to create favorable conditions, look forward to medical insurance can promote the high-quality development of medical services, so that the people "optimistic about the sick, good to see a doctor, not expensive to see a doctor", the people in the future more sense of access, happiness, security.
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