Shandong Province plans to realize the province's medical insurance networking within three years, to solve the problem of medical insurance can not be instant reimbursement, to facilitate the settlement of urban and rural residents. It is reported that Qingdao City plans to realize the unified indoor networking settlement before the end of the year, and constantly improve the basic medical insurance system at night.
In this year's basic realization of the integrated area within the instant settlement of medical expenses on the basis of the next year, China will fully start the provinces within the province of the instant settlement of medical work, in order to gradually solve the masses of prominent reimbursement of medical insurance expenses "errand" and "advance
The so-called so-called "so-called" medical insurance is a new way of life.
The so-called instant settlement of medical insurance expenses means that insured persons only pay for the medical expenses they are personally liable for when they seek medical treatment, and do not need to advance other expenses before reimbursing them to social security institutions, but have them settled directly by medical insurance agencies and medical institutions.
According to the working arrangement of the Ministry of Human Resources and Social Security, before the end of this year, more than 80% of the integrated areas within the provinces and districts should realize the instant settlement of hospitalization, major illnesses and outpatient expenses within the scope of the designated medical institutions; next year, start the instant settlement of medical treatment within the provinces; during the period of the Twelfth Five-Year Plan, we will gradually solve the problem of instant settlement of cross-provincial medical expenses, which is the first step to solve the problem. The instant settlement of cross-provincial medical expenses will be gradually resolved during the 12th Five-Year Plan period.
When it comes to the instant settlement of medical expenses in different places within provinces to be launched next year, Hu Xiaoyi, vice minister of the Ministry of Human Resources and Social Security, said, "Firstly, we will solve the problem of settlement of hospitalization expenses, and then extend it to outpatient services when conditions are available; firstly, we will solve the problem of settlement of medical expenses of insured persons going to provincial capitals and big cities, and then solve the problem of interconnection between different cities of the whole province when conditions are available; at the initial stage, we can adopt the method of designating some medical institutions to settle medical expenses. can take the way of designating some medical institutions, and then gradually liberalize when conditions exist."
Statistics from the Ministry of Human Resources and Social Security show that 86.7 percent of the country's co-ordinated areas have realized instant settlement of most inpatient medical expenses, and 67.2 percent have realized instant settlement of outpatient medical expenses on individual accounts. According to Xinhua News Agency
Ministry of Human Resources and Social Security: Pension security system for non-employed residents to be launched
Yin Weimin, minister of human resources and social security, said at the fourth China Social Security Forum held in Beijing on Aug. 23 that a pension security system for non-employed residents in cities and towns will be formulated and implemented at an appropriate time.
Yin believes that there are still four gaps or weak links in the social security system as follows: First, there is no basic old-age security system for non-employed elderly residents in cities and towns; second, the original unit-retirement pension system is still being implemented in state organs and institutions, which is incompatible with the requirements for socialized social security; third, the social security system lacks a mechanism for smooth convergence; and fourth, the development of complementary social security systems is relatively slow. Complementary social security system development is relatively slow.
Yin Weimin said that in response to these shortcomings, firstly, we should take into account the promotion of the new rural insurance, develop and implement the pension security system for urban non-employed residents at an appropriate time, and gradually realize the unification of the urban and rural residents' pension insurance system. Second, the reform of the pension insurance system for institutions should be considered in an integrated manner on the basis of summarizing pilot experiences. Third, it is necessary to implement measures for the transfer and continuation of social insurance relations across regions, and to formulate and improve measures for the convergence of social security systems in urban and rural areas. Fourthly, a more vigorous support policy should be implemented to vigorously develop supplementary social insurance and commercial insurance.
Qingdao: by the end of the year to realize the city unified network settlement
In order to further promote the reform of the medical and health system, and constantly improve the basic medical insurance system, recently, Shandong Province, the development of basic medical insurance settlement services for foreign medical opinions.
One is the implementation of the city unified network settlement. 2010 before the end of Jinan, Qingdao, Zibo, Weihai and other cities to realize the city unified network settlement. 2011 before the end of the other cities to realize the city unified network settlement.
The second is to do a good job of cross-city, cross-provincial medical settlement. Accelerate the establishment of the provincial platform for settlement of medical treatment in other places, and strive to realize the province's settlement of medical treatment in other places in about three years. Encourage conditional cities to establish inter-city or inter-regional network settlement with areas outside the province where there are more medical treatment in other places.
Third, to strengthen the management of medical treatment and cost audit. Participants in short-term business trips, study training or vacation, etc., the disease occurred in a foreign place and emergency treatment, participants due to local medical conditions of the limitations of the foreign referral, foreign long-term resident retirees in the place of residence and permanent staff working in a foreign place in the place of work, the settlement of medical expenses in accordance with the relevant provisions of the place of participation in the implementation of the relevant provisions of the settlement of medical expenses.
The fourth is to reasonably determine the management service fee for medical treatment in other places. In areas where a collaborative mechanism for intra-provincial medical treatment has been established, the standard of the relevant collaborative service fee will be determined through consultation between the two collaborating parties.
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