Medicare Policy Reform New Deal 2022 has expanded the scope of the centralized procurement of drugs and consumables, pushed forward the reform of the price of medical services, the implementation of the multi-faceted and composite medical insurance payment method, and promoted the development of a multi-level medical security system.
1, expanding the scope of drugs and consumables collection and procurement: the task is clear, continue to carry out centralized banded procurement of drugs and consumables, and expand the scope of procurement, and strive to each province of the national and local procurement of drugs in the number of generic names combined more than 350. This means that the centralized procurement of drugs will continue to expand the scope, further squeezing the space of drug banding sales, and expanding the benefit of the people.
2, promote medical service price reform: medical service price is an important livelihood price. The task is clear, the provinces issued by the end of June 2022 to establish a dynamic adjustment mechanism for medical service prices related documents, before the end of the year, the price of medical services will be transferred out of the cost monitoring and price hearing catalog.
3, the implementation of multi-compound health insurance payment method: in order to promote the high-quality development of health insurance, the task is clear, the implementation of the multi-compound health insurance payment method based on the payment by the type of disease.
More than 40% of the coordinated areas nationwide have carried out reforms of payment by Diagnosis-Related Grouping (DRG) or by DIP, and the proportion of DRG or DIP payment to all eligible inpatient hospitalization medical insurance fund expenditures has reached 30%.
4. Promoting the development of a multi-level medical insurance system: China has basically built a multi-level medical insurance system with basic medical insurance as the mainstay, medical assistance as the backbone, and supplemental medical insurance, etc.
4. In 2022, commercial insurance organizations will continue to be supported in the development of commercial health insurance products that are compatible with basic medical insurance, so that costs not covered by the basic medical insurance can be better covered.
Medicare Introduction
Medicare refers to social medical insurance. Social health insurance is a social insurance system established by the state and society in accordance with certain laws and regulations to provide protection to workers covered by the insurance for their basic medical needs in case of illness.
Reference: Baidu Encyclopedia - Medical Insurance