National Health Insurance Bureau: implement 7 new measures of "green channel" and fight the key battle of epidemic prevention!

The novel coronavirus General Secretary of the CPC Central Committee and the State Council should implement the policy of medical insurance in the period of epidemic prevention and control, so as to ensure that patients do not receive medical treatment due to cost problems, and ensure that hospitals are not affected by payment policies, and that is not affected by the payment policy The notice on relevant matters is as follows: 1 Do a good job in handling medical security services during epidemic prevention and control Medical security departments at all levels should effectively improve their political positions, take winning the battle of prevention and control of epidemic as the current major political task in the spirit of putting people's life safety and physical health first, conscientiously do a good job in handling medical security during the period of epidemic prevention and control, refine the handling measures and clarify the process, Reduce work links, innovate service methods, do a good job in cost pre allocation, optimize settlement methods, strengthen fund guarantee, improve the efficiency of implementation of epidemic treatment guarantee policies, ensure that the insured people enjoy all medical insurance benefits in a timely manner, and ensure the smooth and orderly development of handling services 2、 Vigorously innovate the service mode, realize the "do not meet" medical security departments at all levels should actively propose and guide the working masses and units to implement the "do not meet" work, timely release the "do not meet" handling proposal, announcement or notice to the society, and clarify the name, handling method, application materials and handling process of the "do not meet" handling items Vigorously promote non-contact handling methods such as "online", "handheld", "telephone" and "mail" and explore the trial implementation of acceptance of defects and subsequent supplementary delivery of materials, so as to timely handle insurance registration, treatment declaration, remote medical record, special and slow identification, adjustment of designated medical institutions and payment base verification, personnel increase and decrease, and modification of insurance information for the masses and units To reduce the safety risk of epidemic spread caused by the movement of people Novel coronavirus, easy access to the "green channel", and easy access to the "green channel" for the treatment of pneumonia in patients with new coronavirus infection The green channel, which is the agreement of the medical institutions, the establishment of fixed points, the allocation of funds and settlement, will be dealt with in accordance with the principles of special duties and urgent affairs It will provide high-quality, efficient and convenient medical care management services for medical institutions Three 4、 Actively support the "long prescription" and realize that the medical security departments at all levels of the "convenience office" should take the epidemic prevention and control as the first priority and issue the corresponding convenience measures During the epidemic period, implement the "long prescription" reimbursement policy, support medical institutions to reasonably increase the single prescription dosage according to the actual situation of patients, and reduce the number of patients to medical institutions for dispensing; for patients with chronic diseases such as hypertension and diabetes, support to relax the prescription dosage to 3 months after the evaluation of doctors in the diagnosis and treatment hospital, and ensure the long-term drug demand of the insured patients 5、 Relax the time limit for handling medical security related businesses, and realize "extension" for those who are unable to pay basic medical insurance fees on time due to the impact of the epidemic, all localities may consult with relevant departments to reasonably extend the time limit for payment, and allow the supplementary payment after the end of the epidemic, without affecting the benefits of the insured According to the actual situation, all localities may extend the time limit for submitting the monthly medical and pharmaceutical expense statement of designated medical institutions, and the medical security agencies may settle and allocate according to the system data in advance, so as to reduce the pressure on medical institutions to advance funds and staff to run errands Appropriately extend the reimbursement time limit of medical insurance service window for medical expenses in 2019, and reduce the flow of personnel during the epidemic Six, do a good job in handling the site protection work, to achieve the "safe to do" All localities shall, in strict accordance with the requirements of the state for the prevention and control of epidemic situation in public service places, conscientiously do a good job in the indoor ventilation, health testing, cleaning and disinfection of the medical security operation hall, eliminate the potential epidemic situation in the operation place, and provide the insured with a safe and clean service environment; strengthen the care and care of the front-line operation staff, equip with necessary protective equipment; guide the operation group People wear masks and consciously accept body temperature test, avoid cross infection, protect the health and safety of the working people and the handling staff, and let the people handle affairs at ease 7、 To strengthen the organization and guarantee of medical security agencies at all levels, we should strengthen the organization and leadership The main responsible comrades should rely on the former command, shoulder the responsibility, give full play to the vanguard and exemplary role of the majority of Communist Party members, reasonably allocate personnel, especially party cadres, to enrich the medical security agency services, and let the party flag fly high in the fight against the epidemic We need to fully consolidate responsibilities, increase business guidance to the medical security agencies at all levels, and ensure that all requirements are implemented If there are problems such as inadequate implementation of responsibilities, ineffective work, prevarication and evasion of responsibilities, we will be held accountable We should strengthen emergency management, formulate emergency plans, and do a good job in risk prevention and control It is necessary to strengthen on duty and ensure the uninterrupted service of various medical security agencies We should strengthen agreement management and guide designated medical institutions to adhere to the law-abiding and compliant operation We should do a good job in policy publicity and interpretation, ensure that the relevant spirit and requirements are timely and accurately transmitted to the designated medical institutions under the agreement management, so that patients can enjoy medical security treatment and services in a timely manner Do a good job in data monitoring and information reporting, and report important matters in time On February 2, 2020, the responsible editor of the office of the State Medical Security Bureau made a statement: "this article is the reprinted content of yaozhi.com, and the copyright belongs to the original author The purpose of reprinting is to transmit more information, which does not represent the view of this platform." 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