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    Home > Medical News > Medical World News > The country's first medical insurance electronic certificate is here, and the National Medical Insurance Bureau has a strong top-down layout

    The country's first medical insurance electronic certificate is here, and the National Medical Insurance Bureau has a strong top-down layout

    • Last Update: 2019-11-25
    • Source: Internet
    • Author: User
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    On the morning of November 24, walking into Shungeng hall in Jinan, Shandong Province, you can see three slogans on the glass wall on the second floor: "one yard in hand, no worries about medical insurance", "no card for medical treatment, only medical insurance code", "medical insurance, do it on the code" The red background and white characters are short and powerful They refine the main idea of the launching ceremony of the national medical insurance e-Voucher properly, and can also reveal the style of work of the medical insurance bureau - speed and hard work At the climax of the conference, Yang Liping, a citizen of Jinan, obtained the first medical insurance electronic certificate in China At the same time, the National Medical Insurance Bureau launched the national medical insurance electronic voucher system At present, it is piloted in some cities in seven provinces (cities) of Hebei, Jilin, Heilongjiang, Shanghai, Fujian, Shandong and Guangdong In the future, it will be extended to the whole country and realize the inter provincial medical communication Among them, Shandong is to Jinan, Qingdao, Zibo, Yantai, Weihai, Rizhao, Linyi, Liaocheng City and the provincial level nine overall planning areas, as a pilot In Shandong Provincial Hospital, Jinan Central Hospital and Jinan No.1 People's Hospital, medical insurance electronic voucher has been used for inter clinic settlement, remote diagnosis and treatment, slow disease continuation, and express delivery In 576 designated retail pharmacies in the city, code scanning purchase has been realized The era of health insurance entity card, or will finally say goodbye One person, one code, to solve online identity authentication, medical insurance payment, but also for the future Internet hospital, medical e-commerce and other online business development, laying a solid foundation And the good news of medical insurance electronic voucher was reported by news broadcast last night He was praised by Kang Hui, a famous host of CCTV, in the program of "the anchor said that it's out of bounds" He also pointed out that one of the core reasons for the convenience of mobile payment is that there are many online and offline businesses On the one hand, online payment is smooth, and offline medical resources should also be connected online Let information run more, medical reimbursement will run less O2o (combination of online and offline) is really finished Medical insurance electronic voucher is the electronic identity certificate of insured people It is issued by the National Health Insurance Bureau In fact, it is a dynamic two-dimensional code It can be applied through three channels such as APP, Alipay and WeChat, which are used for medical reimbursement, drug purchase settlement, medical insurance inquiries, insurance registration and other businesses Eight points Jianwen learned that other third-party payment channels, under the condition of reliable security certification, will also have opportunities to open in the future, such as Ping An, UnionPay and so on In the pilot cities that have been opened up, they can be activated through the app of the National Health Insurance Bureau: You can also search Alipay and WeChat for "my medical insurance" WeChat official account or WeChat city service to activate the electronic certificate of insurance In addition to convenience, the application scenarios of medical insurance electronic voucher are rich In the hospital, it can realize the "one code universal brush" of medical insurance expense settlement In designated drugstores, medical insurance electronic vouchers can be used for drug purchase settlement, for example, there are more than 500 pilot drugstores in Jinan; in the medical insurance service hall, the insured can directly handle personal business by brushing two-dimensional code and face; patients with chronic diseases can register at home for consultation, online payment and delivery home "The medical insurance electronic voucher does not rely on the physical card, and there is no problem of missing replacement and charging After the implementation of medical insurance e-Voucher, the common people can continue to use the original way, can also use mobile phones for settlement, or even do not need to bring anything, and can also achieve registration, medical treatment, settlement, query and other services by brushing their faces " Qiu Bingyu, deputy director of Shandong Medical Insurance Bureau Shi Zihai, deputy director of the State Medical Insurance Bureau, pointed out that the medical insurance electronic voucher is generally used in the whole country It is generated by the national medical insurance information platform in a unified way, with unified standards across the country and cross regional mutual recognition Based on this, the insured can handle relevant medical insurance business in the whole country And it is more secure Through real name and real person authentication, using domestic encryption algorithm, data encryption transmission, dynamic two-dimensional code display, it ensures the security of personal information and medical insurance fund In order to prevent insurance fraud, two technologies are used in medical insurance electronic voucher One is the dynamic QR code, according to an industry person That is to say, after the voucher is generated, it will be refreshed every minute Use dynamic technology to prevent lending vouchers to others The other is GPS positioning For example, people are in Shanghai, but they go to brush the medicine of hospitals in other provinces Through GPS positioning and big data analysis, we immediately know that there is fraud Since its establishment in May last year, the National Health Insurance Bureau has been preparing to build a unified national health insurance information system The layout of medical insurance electronic voucher began a year ago On June 27, the window of "dynamic maintenance of medical insurance business coding standard" of the State Medical Insurance Bureau was put into trial operation People's Daily reported that it is expected that the nationwide insured residents will gradually use the nationwide unified medical insurance electronic voucher and provide the third-party payment platform interface At the same time, it will be more convenient to query personal medical insurance information, transfer and follow-up of medical insurance participation relationship, and settlement of medical treatment in different places This vision will come true in five months "Over the past year, the informatization construction of medical insurance standardization has progressed smoothly and achieved important phased results." At that day's speech, Shi Zihai's tone was not turbulent He then stated that 15 medical insurance business standard codes had been released and entered the data maintenance and test application stage The design of 14 subsystems was carried out according to the plan In particular, the research and development of medical insurance electronic voucher was basically completed, the management system had been completed, and the application test had been carried out in 7 provinces first At present, the basic data of medical insurance has been collected in 7 provinces in the first test, and the electronic certificate of medical insurance for 220 million insured persons has been generated, and 16 cities have completed the application test The results show that the medical insurance electronic voucher has the conditions of popularization and application And a person in charge of the local medical insurance bureau, mentioning the preparation of medical insurance electronic voucher, said without hesitation, "it's too difficult!" The National Health Insurance Bureau was established only last year It has been established from scratch within one year It needs the support of hardware to get through the network, online security, develop the system and improve the data quality "The whole country needs to issue standards and norms in a unified way, and local governments can no longer go their own way as before This process is consistent, and only one year has passed since its establishment Vertically, it is a national, provincial and municipal linkage Horizontally, it needs to be linked with pharmacies and hospitals The workload is very large and the technical difficulty is also very large " Another technical director who participated in the e-Voucher project also said that the e-Voucher was generated by the national health insurance information platform The information of 1.4 billion insured people in the country should be collected to the national unified platform for identity verification and activation "In this process, we will encounter many problems if we want to get through all the hospitals and pharmacies and upgrade them." Before that, the exploration of medical insurance payment by wire has been carried out all over the country For example, when Alibaba gets through Quzhou online payment, Tencent also has a pilot in Shenzhen After the reunification of the country, the above-mentioned technologists said that public services and big data analysis in medical insurance can be personalized and can be done on a platform at the provincial and municipal level But electronic voucher, mobile payment and core business handling all need to be unified in the whole country "We need to take into account the business operations of all regions and ensure that the network is used without interruption, so we still need to deploy data at the national and provincial levels." In the process of implementing medical insurance electronic certificate, the State Medical Insurance Bureau plays a very important role in the unified standard "This time, the medical insurance e-Voucher is quite thorough, different from the traditional way - that is, each place builds its own, and then comes back to connect after it is built But in the process of connecting, some of the stronger provinces will not necessarily follow the national requirements " An industry person pointed out that this time, the informatization of the national health insurance bureau is a unified standard and deployment, and the local government must follow the national norms, otherwise it is equivalent to no way to "play together" In the face of many difficulties, medical insurance electronic certificate still emerges What kind of chess is the National Health Insurance Bureau playing? "In the future, every one of the 1.4 billion insured people in China will have an electronic medical insurance voucher They will no longer rely on physical cards for medical treatment, medical treatment and drug purchase They can handle all medical insurance businesses through mobile phones." According to an industry personage, the significance of medical insurance electronic voucher is not only to solve the problem of offline entity card, but to lay a very good foundation for the future development of Internet medicine, medicine e-commerce and online insurance Equivalent to solving the most critical technical problem in the payment closed-loop After that, the embeddedness of Internet enterprises, medical e-commerce and payment platform depends on the business ability and security guarantee ability of enterprises themselves One person, one yard, national connectivity, is conducive to cross provincial health insurance payment But cross regional is not only a technical problem, but also involves the different payment proportion of each province To this end, the people involved in the project explained that there are many contents in the whole plan of the national health insurance information platform, which will be gradually released in the next 1-2 years Electronic voucher is a part of it Next, it will also build a cross provincial settlement platform to complete cross provincial payment and settlement, etc The application of electronic voucher involves the development of business in different regions To a certain extent, it provides a national and fair competitive market for the participation of enterprises "Tencent and Alipay, which are connected by means of payment, are advancing side by side At present, the amount of Alipay electronic credential activation and usage exceeds WeChat, and WeChat should also exert force in the latter stage Chen Qiulin, deputy director of the Research Center for health industry development of the Chinese Academy of Social Sciences, said that in the short term, medical insurance electronic voucher is conducive to the realization of a unified information platform for medical insurance, improving efficiency and laying an information foundation for further promoting equity Because a unified platform requires a unified information platform on the one hand and a unified user end on the other In the long run, it is conducive to promoting effective electronic health records Guiding unified, comprehensive and dynamic health records through medical insurance payment may be the starting point of the health blockchain Before the emergence of medical insurance electronic voucher, there were electronic social security card, electronic health card and other products At present, the electronic social security card has been officially launched in 364 cities for more than a year It is issued by the Ministry of human resources and social security, and is related to endowment insurance, work-related injury insurance, unemployment insurance, medical insurance and other insurance The national health and Health Commission is popularizing electronic health cards One card is universal and records all medical information of each person in different regions and hospitals Today, the health care bureau issues electronic certificates.
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