New regulations and policies for medical insurance in 2023: unified medical insurance reimbursement ratios, increased hospitalization reimbursement items, increased drug reimbursement ratios, strengthened reimbursement supervision, and changes in medical insurance payment methods.
1. Unified medical insurance reimbursement ratio: After the implementation of the new regulations, the medical insurance reimbursement ratio will be uniformly adjusted to 80, and the items covered mainly include hospitalization expenses, outpatient expenses, drug expenses, etc.
2. Increase hospitalization reimbursement items: After the implementation of the new regulations, medical insurance institutions will add large-scale equipment inspections, medical institution management expenses, etc. to hospitalization reimbursement items to better protect patients’ medical rights and interests.
3. Increase the drug reimbursement ratio: In order to better protect patients’ drug rights and interests, the new regulations will increase the drug reimbursement ratio to 90% and divide drugs into three categories. (Chronic disease drugs, conventional drugs, anti-infective drugs), different reimbursement ratios are set according to different types.
4. Strengthen reimbursement supervision: After the implementation of the new regulations, medical insurance institutions will strengthen supervision of reimbursement items. Any reimbursement applications that do not meet the medical insurance reimbursement standards will be reviewed in a timely manner and irresponsible persons will be held accountable. responsibility.
5. Changes in medical insurance payment methods: The traditional medical insurance payment method is mainly based on the price of medical service items. For example, the same treatment plan may be charged differently in different hospitals, resulting in unfair medical insurance payment. According to the new policy, treatment plans for the same disease should be charged the same in different hospitals, which can better ensure the fairness and rationality of medical insurance payment.