Author: Hindsight Source: Network Submission Add Date: 14 Dec 16
Huang Huabo, deputy director of the Social Insurance Business Management Center of the Ministry of Human Resources and Social Security, introduced on the 13th that China will basically realize the national network of medical insurance at the end of 2016, and at the same time start the cross-provincial resettlement of retired personnel in hospitalization and medical expenses direct settlement work. (December 13 - Xinhua)
The realization of the national network of health insurance and direct settlement across the country, not to say imminent, at least imperative. To this end, the author first suggests the establishment of a green channel for the reimbursement of retirees' medical expenses. In the case of off-site settlement can not be one-step, the part of the health insurance can be changed from the patient advances to hospital advances, medical insurance advances, and then by the insured medical insurance commitment, and finally complete the settlement, and effectively reduce the burden on them, to provide convenience.
Secondly, in order to solve the problem of cross-location settlement, it is recommended that the relevant ministries and commissions of the central government jointly issue a document to unify the reimbursement policy of health insurance in different places, including reimbursement standard ratio, reimbursement of drug catalog, and specific settlement methods. The first step is to establish and improve the national-level settlement platform for different places, and then gradually connect it with the settlement systems of different places in different provinces, so as to realize the direct settlement of cross-provincial medical expenses.
Once again, it is recommended that the level of medical insurance coordination be gradually raised. The government should speed up the work progress, increase the integration efforts, expand the scope of integration, as soon as possible from the municipal level to the provincial level to promote the integration, the provinces to achieve effective docking between the settlement system of medical insurance. At the same time to ensure that the health insurance fund is full, there is enough capacity to pay, do not let the hospitals have to worry about.
Fourth, it is recommended that after the national network of health insurance, the settlement of medical expenses in a different place is not limited to hospitalization costs, but also should be included in the outpatient costs, according to the policy provisions of the settlement, the convenience of patients with medical treatment in a different place.
Fifth, it is recommended that after the national network of health insurance, the settlement of patients, not only the insured urban workers and urban residents, should also include the majority of rural insured farmers. The government should continue to increase the publicity of health insurance policy, encourage all farmers to consciously participate in the agricultural insurance, to buy an insurance policy for their own health.