01
Advance prepaid The medical insurance funds of fixed-point medical institutions
According to the medical insurance services, agreement implementation and operation of fixed-point medical institutions, two months of medical insurance funds advanced to the relevant fixed-point medical institutions will not be included in the scope of liquidation in the year 2022 for the time being; for the fixed-point medical institutions that have real difficulties in their operation, an additional one-month advance of the funds for medical insurance can be allocated after application and consent. The implementation of the fixed-point medical institutions to treat patients with pneumonia infected with the new coronavirus medical costs into the basic medical insurance, major disease insurance and medical assistance and other policy coverage, to further reduce the pressure on the insured patients, fixed-point medical institutions to advance funds.02
Timely establishment of anti-epidemic drugs and consumables green procurement channel
Actively docked with the provincial procurement department, the national health sector to formulate the "diagnosis and treatment of pneumonia infected by new coronavirus" and the State Council's Joint Prevention and Control Mechanism Comprehensive Group announced the "new coronavirus". The medicines (medical consumables) involved in the "Guidelines for Home Treatment of People Infected with the New Coronavirus" published by the Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council will be listed in the green network channel, and those in line with the sunshine listing policy will be listed as soon as they are reported and will be made available for procurement and use by the medical institutions in the first time. Establishment of key supply enterprises communication and liaison mechanism, real-time monitoring of the provincial platform procurement and supply situation, to ensure timely delivery of drugs (medical supplies) in place.03
To do a good job of protecting the new crown vaccine and vaccination costs
Standing good job of protecting the new crown vaccine and vaccination costs, timely uploading and full payment of funds for the procurement of the new crown vaccine, timely and efficient settlement of costs, to protect the first line of the work of vaccination to help speed up the work of the new crown vaccine. The new crown vaccination of the elderly to promote the work.04
Efficiently promoting the "no-meeting" online processing of health insurance business
Relying on the national health insurance information system, the Yangtze River Delta "one network" platform, the "one network" platform, the "one network" platform, the "one network" platform, the "one network" platform, the "one network" platform, the "one network" platform, the "one network" platform, the "one network" platform, the "one network" platform, the "one network" platform, the "one network" platform and the "one network" platform. Yancheng City Medical Insurance Bureau website), 12393 medical insurance service hotline, self-service all-in-one machine and other types of medical insurance public **** service platform at all levels, to promote the realization of all medical insurance service matters "online, palm to do, self-help to do" and other "do not meet" for full coverage. Coverage.05
In-depth development of offline services for medical insurance business "close to the office"
The full application of the medical insurance "one map" platform, guiding the medical insurance business "one map clear" platform, the medical insurance business "one map clear" platform, the medical insurance business "one map clear" platform, the medical insurance business "one map clear" platform, the medical insurance business "one map clear" platform. The company's "One Map" platform, which guides the health insurance business "close to do", relying on the "15-minute health insurance service circle" handling system, carefully sorted out the insured objects in the jurisdiction, and implemented the help and handling service for the elderly, weak, mobility impaired, and people suffering from serious basic diseases. We have simplified the service process, strengthened the training of grass-roots service outlets, broadened the scope of the "city-wide" business operations, and handled the business by telephone, fax, mail and other means to ensure that all types of service recipients enjoy efficient and convenient health insurance services.06
Continuing to implement the policy of "long prescription" for chronic diseases
Supporting fixed-point medical institutions to appropriately increase the amount of outpatient chronic disease prescriptions according to the actual situation of the insured patients, effectively reducing the number of outpatient chronic disease prescriptions. The insured people to hospitals to dispense medication and the frequency of round trips. For patients suffering from hypertension, diabetes and other chronic diseases, after assessment by the treating doctor, the amount of a single prescription can be relaxed to three months, so as to effectively meet the basic medication needs of special populations.07
Actively implement the "Internet +" medical services support policy
Encourage qualified designated medical institutions to provide " Internet+" medical services for insured patients suffering from common diseases and chronic illnesses to provide outpatient medical services with clear clinical paths, clear technical specifications, and substantial effects on the diagnosis and treatment of diseases. The "Internet+" medical service programs of designated medical institutions are subject to the same catalogs, medical insurance payment categories and payment standards as offline medical services. Timely settlement of "Internet+" medical service fees with designated medical institutions and supervision and monitoring work.