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    Home > Medical News > Medical World News > Shanghai's first medical insurance electronic payment landing the key is health insurance, health care two departments join forces

    Shanghai's first medical insurance electronic payment landing the key is health insurance, health care two departments join forces

    • Last Update: 2020-07-09
    • Source: Internet
    • Author: User
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    TextsJianwen Wu Weijust yesterday, eight o'clock Jianwen a colleague encountered a little troubleA family member's health insurance card is missing, the whole family at home to turn over the box, small card, usually do not feel, once used but not all over the search, it will be very crazysuch a thing, it won't happen again any time soonBecause, health insurance electronic payments have just taken a substantial step forward in ShanghaiOn June 4,, at 21:28, Shanghai's first invoice generated through the electronic voucher for medical insurance was born at the Seven Bao Community Health Services Center in Yihangthis means that in the near future, without a health insurance card, only with a mobile phone, you can go through the way of medical insurance settlement, to the hospital to see a doctor, in the pharmacy to buy medicine, the whole process only need to sweep the code to pay, do not need to queue to the windowAnd once combined with the Internet hospital, but also to achieve online consultations, drug couriers to homeThe Health Insurance E-voucher is a dynamic QR code that is refreshed every 60 seconds and can be used by patients like a physical cardOn November 24, 2019, the national medical insurance electronic voucher launch ceremony was held in Jinan, Shandong Province, when only in some cities, now the whole country can be activated, but in most places, for the time being only empty there is a two-dimensional code, the real landing use is not muchaccording to the eight-point health information, by the end of June, all public hospitals in the district will be accessto the electronic medical insurance vouchers, by the end of August, expanded to the whole city of Shanghaicard-free medical treatment is only the first step of medical insurance electronic vouchers, but also for the direct settlement of medical treatment in different places and the future Internet medical, pharmaceutical e-commerce, online insurance development, has laid a very good foundationand in the eyes of an official in Shanghai's health care system, the significance of this is the realization of the cooperation between the health care department and the health care department"We mentioned the 'three medical linkage' for so many years, and now it seems that the combination of medicine and medical care is going a long way, but the combination of health care and medical care is only within the walls of the system, and there is no real access to the common people's applicationThe health-care e-voucher may seem like an internal clearing system, but what really matters is the combination of the two departments "
    mentioned to the Sanjia hospital to see a doctor, I believe that most people's minds will emerge the first scene will be the queue, especially in front of the payment window of the great view of the team, register once, check once, take medicine once, this is the patient who is unwell, if they go to complete these steps, really some suffering later online appointments, registration began to become popular, but the online payment of health insurance card has not been realized , an official in Shanghai's health care system, told The Eighth News that he has repeatedly called for a real-time online settlement for health insurance However, the medical insurance data itself is high complexity, different regions of the insured, different drugs corresponding to different reimbursement ratio, special major illness also involves secondary reimbursement This worries Health Care, which, once accessed by all hospital data, does not guarantee the stability of operations, thereby endangering the security of health care funds until this year, changes have taken place after the outbreak, in order to reduce the frequency of patients to hospital, public hospitals have introduced a number of such as online remote consultation, slow disease remote prescription, sent home functions "The Internet construction of public hospitals has paid off, which has driven the opening of health insurance ports and real-time settlement of online health insurance," the officialsaid said in accordance with the requirements of the Shanghai Municipal Government, the Municipal Health and Health Commission led, together with the Municipal Health Insurance Bureau, Shenkang Center, the city's large data center to vigorously promote the medical payment "one thing" process optimization initial pilot requirements were in three hospitals in the Yihang District, and then Vice Mayor Zong Ming requested to be expanded to six districts, with a total of about 12 hospitals being carried out simultaneously The first to complete the plan is the initial mention of the Seven Bao Health Service Center, the center is the largest community health service center in Yihang District, covering a center, a sub-center and nine service sites, the annual outpatient volume of about 1 million from the beginning of the task, leaving the seven treasure community health center director Yu Feng time is not much, "before and after less than a month of time." And the reason why the area is relatively fast, because before the city to undertake the "interconnection mutual recognition" of the pilot work, before the end of December last year, the hospitalundered by the Yihang District all completed the upgrading of the medical system, unified a supplier, and the health care system data interface docking up, it is relatively fast Yufeng introduced to the eight-point health care "medical insurance electronic voucher" specific use of the use: when patients go to the hospital, open Shanghai Health Cloud, Alipay, WeChat and other APPS, you can search for their own health insurance card electronic vouchers, through verification can be completed binding The Health Insurance E-voucher is a dynamic QR code that is refreshed every 60 seconds Patients can use this electronic voucher online as a physical card to achieve registration, payment, reporting and other entity card functions, but also through this medical insurance electronic voucher for admission and other services is currently realizing the first step of off-card payment, and then will be based on this further realization of the clinic payment, credit payment, that is, the patient in the doctor's room at the end of the treatment activities at the same time, on the completion of the payment (medical insurance part of the direct settlement, as to the out-of-pocket part, there is a credit line can be directly without Sense payment, no credit line through the sweep code with WeChat or Alipay payment), and do not need to go to the registered charge office in line to pay the fee, after the end of the treatment activities can go directly to the pharmacy to pick up medicine or directly to the auxiliary department to do the corresponding inspection, the payment process directly in the mobile phone side operation completed Yufeng believes that the use of medical insurance e-voucher is a re-engineering of traditional medical habits and processes, and after its function is constantly improved, it will greatly reduce the number of queues and paying times for community patients, and improve the efficiency of community health service centers "With electronic health insurance vouchers, the future can achieve the integration of payment functions and Internet hospital service model, through online payment, directly the drug distribution to the patient's home, really let the people can enjoy the family doctor online medical services, " Yu Feng said, "through a variety of payment methods to change to really achieve the 'data more running, patients walk less' goal." in addition to the convenient payment function, application refund, query medical history, laboratory examination report and medical expenses and electronic voucher inquiry, appointment offline and online family doctor clinic, appointment nursing services, long-term insurance services and other functions, also need to be gradually added Another benefit of Medicare e-vouchers for patients is increased transparency and ease of inquiry costs "It used to be an invoice printed out, and the next time I didn't know where to run, and (The Medicare e-voucher) could go back a long time for Medicare payments," the official said these above, are the convenience of the patient side, then, the hospital has the motivation to promote the health insurance electronic vouchers? Who pays for the upgrade? the official introduced, this time mainly the health care information system upgraded to the five-phase health care system, and the medical institutions have the basic preparation of the hospital information system, only need to do some modifications, can access the health insurance system, the cost of the hospital to bear, "also tens of thousands, hundreds of thousands, basically did not spend any big money "
    hospitals are very motivated Yu Feng's community hospital, specially set up volunteers and nurses in the pre-diagnosis desk to promote and assist patients to use the medical insurance electronic vouchers, "at the hospital level, we are very motivated to promote the use of health insurance electronic vouchers." official in Shanghai's health care system also thinks the hospital is willing to push On the one hand, reduce overcrowding and speed up the movement of people On the other hand, the hospital will save a lot of fee window settings and human resources costs, "the drug zero rate and so on these reforms make the profitability of the hospital more and more weak, improve efficiency and reduce costs, in order to really get some benefits." He believes that more hospitals will become Internet hospitals, especially the hospital, just prescribe drugs, do not check patients, through the Internet service model, hospitals can have more time to do surgery, really do some difficult things, will not re-diagnosis of patients and patients with mixed problems and an industry analyst also has a motivation, "perhaps public hospitals want a smoother settlement, so that the money from health care will be smoother, the settlement cycle is shorter." the promotion of electronic vouchers for medical insurance is one of the key tasks of the National Health Insurance Administration in 2020 And no card medical treatment is only the first step, a feature of the electronic certificate of medical insurance is the national common, the national health insurance information platform unified generation, the standard of national unity, cross-regional mutual recognition, which has laid a foundation for the settlement of medical treatment in different places the Central Committee of the Communist Party of China and the State Council issued the Opinions on Deepening the Reform of the Medical Security System, Hu Jinglin, Director of the State Administration of Health Insurance, published an article in the 4th issue of Banner magazine in 2020, in which he published an article entitled "Launching the electronic voucher for medical insurance and gradually realizing the medical treatment without a card", and then wrote: "To improve the medical insurance service system adapted to the flow of people, simplify the procedures for the filing of direct settlement of medical treatment in different places, and promote the pilot of direct settlement of medical clinics in different places."
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