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A few days ago, the General Office of the State Council issued the "Guiding Opinions on Establishing and Improving the Employee Basic Medical Insurance Outpatient Mutual Aid Guarantee Mechanism".
By including the outpatient expenses in the payment scope of the employee medical insurance pooling fund, the employee medical insurance personal account was reformed and established.
Improve the mutual aid guarantee mechanism in outpatient clinics.
By including the outpatient expenses in the payment scope of the employee medical insurance pooling fund, the employee medical insurance personal account was reformed and established.
Improve the mutual aid guarantee mechanism in outpatient clinics.
This is a reform involving the vital interests of more than 300 million insured persons.
Is there less "money" in your personal account? Who can spend the "money" in a personal account? Why do you have to spend your "money" for others? At a press conference held by the State Council Information Office on the 22nd, the heads of relevant departments responded.
Is there less "money" in your personal account? Who can spend the "money" in a personal account? Why do you have to spend your "money" for others? At a press conference held by the State Council Information Office on the 22nd, the heads of relevant departments responded.
Is there less "money" in your personal account?
According to the opinion, the personal accounts of employees are included in the basic medical insurance premiums paid by individuals, and the accounting standard is in principle controlled at 2% of the insurance payment base, and all the basic medical insurance premiums paid by the unit are included in the overall planning fund.
"By adjusting the personal account crediting method, the part of the unit payment will no longer be credited to the personal account.
" Chen Jinfu, deputy director of the National Medical Insurance Bureau, said that basically new credits to personal accounts will be reduced, but the reduction of new credits to personal accounts does not mean that The overall protection function is reduced.
" Chen Jinfu, deputy director of the National Medical Insurance Bureau, said that basically new credits to personal accounts will be reduced, but the reduction of new credits to personal accounts does not mean that The overall protection function is reduced.
Chen Jinfu said that the reduction of personal accounts does not mean that personal protection will be lost, but it is placed in the "big pool" of mutual aid protection to form a new protection mechanism.
The effectiveness of the new guarantee mechanism will be significantly enlarged, and the law of large numbers will be used to resolve the risks of social groups.
The effectiveness of the new guarantee mechanism will be significantly enlarged, and the law of large numbers will be used to resolve the risks of social groups.
Some people have also asked whether the government can increase the payment input for outpatient protection.
“You can’t go fishing in order to increase welfare.
” Chen Jinfu said that the insurance department can propose to pay more to the unit and let the individual pay more, but every additional payment will reduce the income of employees and increase the burden of the unit.
It is not conducive to social and economic development.
” Chen Jinfu said that the insurance department can propose to pay more to the unit and let the individual pay more, but every additional payment will reduce the income of employees and increase the burden of the unit.
It is not conducive to social and economic development.
Who can spend the "money" in a personal account?
The opinion is clear that the personal account can be used to pay for medical expenses incurred by the insured person, his spouse, parents, and children in the designated medical institution for medical treatment, and for the purchase of drugs , medical equipment , and medical consumables in designated retail pharmacies .
Personally borne expenses.
Personally borne expenses.
"Family mutual aid is for personal accounts.
" Fan Weidong, head of the Treatment Protection Department of the National Medical Security Administration, said that after this reform, the scope of use of personal accounts for employees will be expanded.
The main use is the "small pool" of personal accounts.
Said it is "small mutual aid.
"
" Fan Weidong, head of the Treatment Protection Department of the National Medical Security Administration, said that after this reform, the scope of use of personal accounts for employees will be expanded.
The main use is the "small pool" of personal accounts.
Said it is "small mutual aid.
"
Chen Jinfu said that the broadening of the scope of use of stock funds in personal accounts does not mean that individuals can use it at will or expand the scope indefinitely.
He said that personal accounts should not be used for expenditures that are not covered by basic medical insurance, such as public health expenses, sports fitness or health care consumption.
He said that personal accounts should not be used for expenditures that are not covered by basic medical insurance, such as public health expenses, sports fitness or health care consumption.
Why do you have to spend your "money" for others?
"Outpatient mutual aid guarantee will help the insured to realize the risk of intergenerational transfer.
" Chen Jinfu said, the insured is not sick when he is young, and tends to get sick when he is old, but only relying on personal accumulation is limited, and social accumulation can be solved in a wider range.
Public treatment needs.
" Chen Jinfu said, the insured is not sick when he is young, and tends to get sick when he is old, but only relying on personal accumulation is limited, and social accumulation can be solved in a wider range.
Public treatment needs.
"Outpatient mutual aid can also further release the effectiveness of medical insurance funds.
" Chen Jinfu said that in 2020, according to the relevant statistics of the overall fund and personal accounts, the cumulative balance of personal accounts was 1 trillion yuan.
Before the reform, this money was not available to others.
The new guarantee mechanism is generally a balanced transfer of funds, which is used for the actual purchase of medical services, which is conducive to the mutual aid of crowd funds and is also conducive to the sustainable development of the system.
" Chen Jinfu said that in 2020, according to the relevant statistics of the overall fund and personal accounts, the cumulative balance of personal accounts was 1 trillion yuan.
Before the reform, this money was not available to others.
The new guarantee mechanism is generally a balanced transfer of funds, which is used for the actual purchase of medical services, which is conducive to the mutual aid of crowd funds and is also conducive to the sustainable development of the system.
This will also have a collective effect on optimizing the allocation of primary-level medical resources, improving primary-level service capabilities, and ensuring the general outpatient services for the masses.
For primary medical institutions, the mutual aid guarantee mechanism directly pays not only the medical expenses, but also the investment in primary medical services to achieve full mutual aid and financial guarantee for primary medical services.
This will have a direct system dividend for the insured.
Some diseases of insured persons can be diagnosed and treated in primary medical institutions, thereby reducing the cost of medical treatment.
This will have a direct system dividend for the insured.
Some diseases of insured persons can be diagnosed and treated in primary medical institutions, thereby reducing the cost of medical treatment.
Where will the money from the pooling fund be used?
The opinion puts forward that general outpatient clinics cover all insured employees of employee medical insurance, and the payment ratio within the policy range starts from 50%.
As the medical insurance fund's capacity increases, the level of protection is gradually increased, and the payment of benefits can be appropriately tilted to retirees.
As the medical insurance fund's capacity increases, the level of protection is gradually increased, and the payment of benefits can be appropriately tilted to retirees.
"Preliminary estimates suggest that this system can reduce the burden of outpatient expenses for retirees by nearly 100 billion yuan.
" Fan Weidong said.
" Fan Weidong said.
Chen Jinfu introduced the establishment of general outpatient clinics, and gradually included frequently-occurring and common diseases in outpatient clinics into the medical insurance pool reimbursement; strengthened the outpatient protection for chronic and special diseases, and gradually included the outpatient expenses for diseases with high costs and long treatment cycles into the medical insurance pool fund.
range.
At the same time, in addition to seeing a doctor at designated medical institutions, insured persons can settle and purchase medicines at designated retail pharmacies with prescriptions outside the hospital , and those that meet the regulations will be included in the payment scope of the overall planning fund, and the corresponding designated retail pharmacies will also be included.
range.
At the same time, in addition to seeing a doctor at designated medical institutions, insured persons can settle and purchase medicines at designated retail pharmacies with prescriptions outside the hospital , and those that meet the regulations will be included in the payment scope of the overall planning fund, and the corresponding designated retail pharmacies will also be included.
Chen Jinfu said that all localities must combine local conditions, refine policies and regulations, and achieve reform goals through a transition period of about three years.
A few days ago, the General Office of the State Council issued the "Guiding Opinions on Establishing and Improving the Employee Basic Medical Insurance Outpatient Mutual Aid Guarantee Mechanism".
By including the outpatient expenses in the payment scope of the employee medical insurance pooling fund, the employee medical insurance personal account was reformed and established.
Improve the mutual aid guarantee mechanism in outpatient clinics.
By including the outpatient expenses in the payment scope of the employee medical insurance pooling fund, the employee medical insurance personal account was reformed and established.
Improve the mutual aid guarantee mechanism in outpatient clinics.
This is a reform involving the vital interests of more than 300 million insured persons.
Is there less "money" in your personal account? Who can spend the "money" in a personal account? Why do you have to spend your "money" for others? At a press conference held by the State Council Information Office on the 22nd, the heads of relevant departments responded.
Is there less "money" in your personal account? Who can spend the "money" in a personal account? Why do you have to spend your "money" for others? At a press conference held by the State Council Information Office on the 22nd, the heads of relevant departments responded.
Is there less "money" in your personal account?
According to the opinion, the personal accounts of employees are included in the basic medical insurance premiums paid by individuals, and the accounting standard is in principle controlled at 2% of the insurance payment base, and all the basic medical insurance premiums paid by the unit are included in the overall planning fund.
"By adjusting the personal account crediting method, the part of the unit payment will no longer be credited to the personal account.
" Chen Jinfu, deputy director of the National Medical Insurance Bureau, said that basically new credits to personal accounts will be reduced, but the reduction of new credits to personal accounts does not mean that The overall protection function is reduced.
" Chen Jinfu, deputy director of the National Medical Insurance Bureau, said that basically new credits to personal accounts will be reduced, but the reduction of new credits to personal accounts does not mean that The overall protection function is reduced.
Chen Jinfu said that the reduction of personal accounts does not mean that personal protection will be lost, but it is placed in the "big pool" of mutual aid protection to form a new protection mechanism.
The effectiveness of the new guarantee mechanism will be significantly enlarged, and the law of large numbers will be used to resolve the risks of social groups.
The effectiveness of the new guarantee mechanism will be significantly enlarged, and the law of large numbers will be used to resolve the risks of social groups.
Some people have also asked whether the government can increase the payment input for outpatient protection.
“You can’t go fishing in order to increase welfare.
” Chen Jinfu said that the insurance department can propose to pay more to the unit and let the individual pay more, but every additional payment will reduce the income of employees and increase the burden of the unit.
It is not conducive to social and economic development.
” Chen Jinfu said that the insurance department can propose to pay more to the unit and let the individual pay more, but every additional payment will reduce the income of employees and increase the burden of the unit.
It is not conducive to social and economic development.
Who can spend the "money" in a personal account?
The opinion is clear that the personal account can be used to pay for medical expenses incurred by the insured person, his spouse, parents, and children in the designated medical institution for medical treatment, and for the purchase of drugs , medical equipment , and medical consumables in designated retail pharmacies .
Personally borne expenses.
Personally borne expenses.
"Family mutual aid is for personal accounts.
" Fan Weidong, head of the Treatment Protection Department of the National Medical Security Administration, said that after this reform, the scope of use of personal accounts for employees will be expanded.
The main use is the "small pool" of personal accounts.
Said it is "small mutual aid.
"
" Fan Weidong, head of the Treatment Protection Department of the National Medical Security Administration, said that after this reform, the scope of use of personal accounts for employees will be expanded.
The main use is the "small pool" of personal accounts.
Said it is "small mutual aid.
"
Chen Jinfu said that the broadening of the scope of use of stock funds in personal accounts does not mean that individuals can use it at will or expand the scope indefinitely.
He said that personal accounts should not be used for expenditures that are not covered by basic medical insurance, such as public health expenses, sports fitness or health care consumption.
He said that personal accounts should not be used for expenditures that are not covered by basic medical insurance, such as public health expenses, sports fitness or health care consumption.
Why do you have to spend your "money" for others?
"Outpatient mutual aid guarantee will help the insured to realize the risk of intergenerational transfer.
" Chen Jinfu said, the insured is not sick when he is young, and tends to get sick when he is old, but only relying on personal accumulation is limited, and social accumulation can be solved in a wider range.
Public treatment needs.
" Chen Jinfu said, the insured is not sick when he is young, and tends to get sick when he is old, but only relying on personal accumulation is limited, and social accumulation can be solved in a wider range.
Public treatment needs.
"Outpatient mutual aid can also further release the effectiveness of medical insurance funds.
" Chen Jinfu said that in 2020, according to the relevant statistics of the overall fund and personal accounts, the cumulative balance of personal accounts was 1 trillion yuan.
Before the reform, this money was not available to others.
The new guarantee mechanism is generally a balanced transfer of funds, which is used for the actual purchase of medical services, which is conducive to the mutual aid of crowd funds and is also conducive to the sustainable development of the system.
" Chen Jinfu said that in 2020, according to the relevant statistics of the overall fund and personal accounts, the cumulative balance of personal accounts was 1 trillion yuan.
Before the reform, this money was not available to others.
The new guarantee mechanism is generally a balanced transfer of funds, which is used for the actual purchase of medical services, which is conducive to the mutual aid of crowd funds and is also conducive to the sustainable development of the system.
This will also have a collective effect on optimizing the allocation of primary-level medical resources, improving primary-level service capabilities, and ensuring the general outpatient services for the masses.
For primary medical institutions, the mutual aid guarantee mechanism directly pays not only the medical expenses, but also the investment in primary medical services to achieve full mutual aid and financial guarantee for primary medical services.
This will have a direct system dividend for the insured.
Some diseases of insured persons can be diagnosed and treated in primary medical institutions, thereby reducing the cost of medical treatment.
This will have a direct system dividend for the insured.
Some diseases of insured persons can be diagnosed and treated in primary medical institutions, thereby reducing the cost of medical treatment.
Where will the money from the pooling fund be used?
The opinion puts forward that general outpatient clinics cover all insured employees of employee medical insurance, and the payment ratio within the policy range starts from 50%.
As the medical insurance fund's capacity increases, the level of protection is gradually increased, and the payment of benefits can be appropriately tilted to retirees.
As the medical insurance fund's capacity increases, the level of protection is gradually increased, and the payment of benefits can be appropriately tilted to retirees.
"Preliminary estimates suggest that this system can reduce the burden of outpatient expenses for retirees by nearly 100 billion yuan.
" Fan Weidong said.
" Fan Weidong said.
Chen Jinfu introduced the establishment of general outpatient clinics, and gradually included frequently-occurring and common diseases in outpatient clinics into the medical insurance pool reimbursement; strengthened the outpatient protection for chronic and special diseases, and gradually included the outpatient expenses for diseases with high costs and long treatment cycles into the medical insurance pool fund.
range.
At the same time, in addition to seeing a doctor at designated medical institutions, insured persons can settle and purchase medicines at designated retail pharmacies with prescriptions outside the hospital , and those that meet the regulations will be included in the payment scope of the overall planning fund, and the corresponding designated retail pharmacies will also be included.
range.
At the same time, in addition to seeing a doctor at designated medical institutions, insured persons can settle and purchase medicines at designated retail pharmacies with prescriptions outside the hospital , and those that meet the regulations will be included in the payment scope of the overall planning fund, and the corresponding designated retail pharmacies will also be included.
Chen Jinfu said that all localities must combine local conditions, refine policies and regulations, and achieve reform goals through a transition period of about three years.
A few days ago, the General Office of the State Council issued the "Guiding Opinions on Establishing and Improving the Employee Basic Medical Insurance Outpatient Mutual Aid Guarantee Mechanism".
By including the outpatient expenses in the payment scope of the employee medical insurance pooling fund, the employee medical insurance personal account was reformed and established.
Improve the mutual aid guarantee mechanism in outpatient clinics.
By including the outpatient expenses in the payment scope of the employee medical insurance pooling fund, the employee medical insurance personal account was reformed and established.
Improve the mutual aid guarantee mechanism in outpatient clinics.
This is a reform involving the vital interests of more than 300 million insured persons.
Is there less "money" in your personal account? Who can spend the "money" in a personal account? Why do you have to spend your "money" for others? At a press conference held by the State Council Information Office on the 22nd, the heads of relevant departments responded.
Is there less "money" in your personal account? Who can spend the "money" in a personal account? Why do you have to spend your "money" for others? At a press conference held by the State Council Information Office on the 22nd, the heads of relevant departments responded.
Is there less "money" in your personal account?
Is there less "money" in your personal account? According to the opinion, the personal accounts of employees are included in the basic medical insurance premiums paid by individuals, and the accounting standard is in principle controlled at 2% of the insurance payment base, and all the basic medical insurance premiums paid by the unit are included in the overall planning fund.
Standard Standard Standard "By adjusting the personal account crediting method, the part of the unit payment will no longer be credited to the personal account.
" Chen Jinfu, deputy director of the National Medical Insurance Bureau, said that basically new credits to personal accounts will be reduced, but the reduction of new credits to personal accounts does not mean that The overall protection function is reduced.
" Chen Jinfu, deputy director of the National Medical Insurance Bureau, said that basically new credits to personal accounts will be reduced, but the reduction of new credits to personal accounts does not mean that The overall protection function is reduced.
Chen Jinfu said that the reduction of personal accounts does not mean that personal protection will be lost, but it is placed in the "big pool" of mutual aid protection to form a new protection mechanism.
The effectiveness of the new guarantee mechanism will be significantly enlarged, and the law of large numbers will be used to resolve the risks of social groups.
The effectiveness of the new guarantee mechanism will be significantly enlarged, and the law of large numbers will be used to resolve the risks of social groups.
Some people have also asked whether the government can increase the payment input for outpatient protection.
“You can’t go fishing in order to increase welfare.
” Chen Jinfu said that the insurance department can propose to pay more to the unit and let the individual pay more, but every additional payment will reduce the income of employees and increase the burden of the unit.
It is not conducive to social and economic development.
” Chen Jinfu said that the insurance department can propose to pay more to the unit and let the individual pay more, but every additional payment will reduce the income of employees and increase the burden of the unit.
It is not conducive to social and economic development.
Who can spend the "money" in a personal account?
Who can spend the "money" in a personal account? The opinion is clear that the personal account can be used to pay for medical expenses incurred by the insured person, his spouse, parents, and children in the designated medical institution for medical treatment, and for the purchase of drugs , medical equipment , and medical consumables in designated retail pharmacies .
Personally borne expenses.
Medicines Medicines Medicines Medical Devices Medical Devices Medical DevicesPersonally borne expenses.
"Family mutual aid is for personal accounts.
" Fan Weidong, head of the Treatment Protection Department of the National Medical Security Administration, said that after this reform, the scope of use of personal accounts for employees will be expanded.
The main use is the "small pool" of personal accounts.
Said it is "small mutual aid.
"
" Fan Weidong, head of the Treatment Protection Department of the National Medical Security Administration, said that after this reform, the scope of use of personal accounts for employees will be expanded.
The main use is the "small pool" of personal accounts.
Said it is "small mutual aid.
"
Chen Jinfu said that the broadening of the scope of use of stock funds in personal accounts does not mean that individuals can use it at will or expand the scope indefinitely.
He said that personal accounts should not be used for expenditures that are not covered by basic medical insurance, such as public health expenses, sports fitness or health care consumption.
He said that personal accounts should not be used for expenditures that are not covered by basic medical insurance, such as public health expenses, sports fitness or health care consumption.
Why do you have to spend your "money" for others?
Why do you have to spend your "money" for others? "Outpatient mutual aid guarantee will help the insured to realize the risk of intergenerational transfer.
" Chen Jinfu said, the insured is not sick when he is young, and tends to get sick when he is old, but only relying on personal accumulation is limited, and social accumulation can be solved in a wider range.
Public treatment needs.
" Chen Jinfu said, the insured is not sick when he is young, and tends to get sick when he is old, but only relying on personal accumulation is limited, and social accumulation can be solved in a wider range.
Public treatment needs.
"Outpatient mutual aid can also further release the effectiveness of medical insurance funds.
" Chen Jinfu said that in 2020, according to the relevant statistics of the overall fund and personal accounts, the cumulative balance of personal accounts was 1 trillion yuan.
Before the reform, this money was not available to others.
The new guarantee mechanism is generally a balanced transfer of funds, which is used for the actual purchase of medical services, which is conducive to the mutual aid of crowd funds and is also conducive to the sustainable development of the system.
" Chen Jinfu said that in 2020, according to the relevant statistics of the overall fund and personal accounts, the cumulative balance of personal accounts was 1 trillion yuan.
Before the reform, this money was not available to others.
The new guarantee mechanism is generally a balanced transfer of funds, which is used for the actual purchase of medical services, which is conducive to the mutual aid of crowd funds and is also conducive to the sustainable development of the system.
This will also have a collective effect on optimizing the allocation of primary-level medical resources, improving primary-level service capabilities, and ensuring the general outpatient services for the masses.
For primary medical institutions, the mutual aid guarantee mechanism directly pays not only the medical expenses, but also the investment in primary medical services to achieve full mutual aid and financial guarantee for primary medical services.
This will have a direct system dividend for the insured.
Some diseases of insured persons can be diagnosed and treated in primary medical institutions, thereby reducing the cost of medical treatment.
This will have a direct system dividend for the insured.
Some diseases of insured persons can be diagnosed and treated in primary medical institutions, thereby reducing the cost of medical treatment.
Where will the money from the pooling fund be used?
Where will the money from the pooling fund be used? The opinion puts forward that general outpatient clinics cover all insured employees of employee medical insurance, and the payment ratio within the policy range starts from 50%.
As the medical insurance fund's capacity increases, the level of protection is gradually increased, and the payment of benefits can be appropriately tilted to retirees.
As the medical insurance fund's capacity increases, the level of protection is gradually increased, and the payment of benefits can be appropriately tilted to retirees.
"Preliminary estimates suggest that this system can reduce the burden of outpatient expenses for retirees by nearly 100 billion yuan.
" Fan Weidong said.
" Fan Weidong said.
Chen Jinfu introduced the establishment of general outpatient clinics, and gradually included frequently-occurring and common diseases in outpatient clinics into the medical insurance pool reimbursement; strengthened the outpatient protection for chronic and special diseases, and gradually included the outpatient expenses for diseases with high costs and long treatment cycles into the medical insurance pool fund.
range.
At the same time, in addition to seeing a doctor at designated medical institutions, insured persons can settle and purchase medicines at designated retail pharmacies with prescriptions outside the hospital , and those that meet the regulations will be included in the payment scope of the overall planning fund, and the corresponding designated retail pharmacies will also be included.
Hospital hospital hospital pharmacy pharmacy pharmacyrange.
At the same time, in addition to seeing a doctor at designated medical institutions, insured persons can settle and purchase medicines at designated retail pharmacies with prescriptions outside the hospital , and those that meet the regulations will be included in the payment scope of the overall planning fund, and the corresponding designated retail pharmacies will also be included.
Chen Jinfu said that all localities must combine local conditions, refine policies and regulations, and achieve reform goals through a transition period of about three years.
