Serious illness insurance, city level co-ordination, treatment before payment for poor patients

Source: Xinhua News Agency on December 11, 2017, Zhejiang Province recently decided to implement the overall planning of serious illness insurance at the municipal level from January 1, 2018, and gradually include special drugs in the payment scope of serious illness insurance The poor patients with serious illness will be hospitalized in the medical institutions at the county level and pay after treatment, so as to further reduce the burden of medical expenses for patients with serious illness The notice on further improving the serious illness insurance system issued by Zhejiang Provincial Department of human resources and social security, Provincial Department of Finance and other departments points out that the serious illness insurance fund is raised together with the basic medical insurance fund for employees and the basic medical insurance fund for urban and rural residents, and the province implements the unified policy system, the unified financing standard and the unified treatment level with the cities divided into districts as the unit According to the notice, the compliance medical expenses above the threshold of payment for serious illness insurance shall be shared by the serious illness insurance fund and individuals In principle, the minimum payment proportion of medical expenses for serious illness insurance compliance shall not be less than 60% According to the expenditure structure of the medical expenses of the seriously ill patients and the bearing capacity of the seriously ill insurance fund, the districts and cities shall reasonably set up the proportion of the segmented payment of the seriously ill insurance At the same time, according to the changes of serious illness spectrum in Zhejiang Province, combined with the bearing capacity of serious illness insurance fund, through competitive open negotiations, special drugs necessary for treatment of serious illness, with clear clinical effect, strong public demand and high treatment cost are gradually included in the payment scope of serious illness insurance The catalogue of special drugs shall be formulated and implemented by the Provincial Department of human resources and social security together with relevant departments According to the notice, appropriate subsidies will be given to the medical expenses of the poor within the starting payment standard, and diagnosis and treatment will be carried out before payment The patients with serious diseases of the poor are hospitalized in the medical institutions in the county, and pay after diagnosis and treatment We will promote "one-stop" information exchange and real-time settlement of basic medical insurance, serious illness insurance and medical assistance, and the poor will pay for their own medical expenses when they leave hospital.