In order to ensure the steady and orderly advancement of medical insurance in Suzhou, the Suzhou Municipal Government issued the key special plan "The 14th Five-Year Plan for the Development of Medical Security in Suzhou", which was organized by the Suzhou Municipal Medical Security Bureau, reviewed and adopted at the149th executive meeting of the municipal government, and promulgated and implemented on September 30th, 20021year. The planning period is 20021-2025, which mainly expounds the overall thinking, development goals, main tasks and main policies and measures of medical security in our city during the tenth five-year plan period. Defining the key development tasks of medical insurance is the main part of planning. In order to implement the main development goals of the "Tenth Five-Year Plan", the specific work measures and tasks of medical insurance in Suzhou during the "Tenth Five-Year Plan" period were defined. * * * Nine key development tasks and 13 key projects have been formulated. 1. Improve the treatment guarantee mechanism. The plan is clear. By the end of 2022, the basic medical insurance will be coordinated at the municipal level, and the medical security benefits will continue to be standardized, unified, fair and moderate. We will implement the * * * economic security mechanism for employees' basic medical insurance outpatient service, enhance the economic security function of outpatient service, improve the medical security and assistance system for serious and serious diseases, and steadily promote the pilot work of long-term care insurance. 2. Improve the insurance financing mechanism. The plan proposes to establish a financing mechanism that is compatible with the city's social and economic development level, the affordability of all parties and the basic health needs according to the relevant national reform ideas, and appropriately reduce the proportion of unit contributions. While steadily raising the standard of government subsidies, residents' medical insurance moderately increases the weight of individual contributions, and the ratio of financial subsidies to individual contributions reaches about 2: 1. 3. Continue to promote the reform of medical services. The plan proposes to implement more efficient medical insurance payment methods, improve the total budget law of medical insurance funds, and focus on promoting the reform of grouping payment according to disease diagnosis (DRG). By the end of the Tenth Five-Year Plan, the proportion of hospitalization expenses paid by DRG to the total expenses of hospitalization funds reached 70%, and the utilization efficiency of medical insurance funds was improved.
Suzhou Medical Security Bureau, Address:No. Ping Long Road 188, Suzhou City, Jiangsu Province; Postal code: 215031; Government Tel: 05 12-65306503