The Ministry of Social Affairs conducted a policy interpretation on the direct settlement of medical treatment across the province, and gave a detailed introduction to its overall progress, benefits to the people, and procedures. Overall progress Tang Yusong, director of the Social Insurance Business Management Center of the Ministry of Human Resources and Social Security, said that at present, the national cross-provincial medical treatment settlement has been smoothly carried out. In a relatively vivid image, the expressway has been repaired, and all qualified insured personnel cross the province. The hospitalization expenses can be directly settled by means of this system, without having to repay the insurance and reimbursement. According to Tang Yusong, the process of medical record for off-site medical treatment has been further optimized. When all the insured places are filed, all the certificates and seals that need to be provided for medical treatment are cancelled. As long as the social security card is used, it can apply for medical treatment in different places. Some places also open up. Various filing methods such as telephone filing and online filing. At the same time, in order to avoid the advancement of funds for medical treatment agencies and designated medical institutions, and to ensure smooth flow of funds between the participating areas and medical insurance, there is no shortage of funds, and the Ministry of Human Resources and Social Affairs and the Ministry of Finance jointly researched and established “prepayment in advanceâ€. And post-liquidation, cross-provincial medical treatment advance payment, and guide the provinces to establish cross-provincial medical special accounts. According to the previous year's cross-provincial medical expenses, the human and social departments will use the two-month expenditure as the prepaid amount, and the financial accounts will pre-allocate each other. The monthly medical institutions will be settled regularly with the designated medical institutions, and the national platform will be unified. Perform cross-provincial clearing. Up to now, it has comprehensively connected all the districts, covered urban workers, urban and rural residents, various types of medical insurance systems, and served in different places to retired, long-term residence in different places, resident in different places and referrals in four different provinces, and opened 7226 Cross-provincial medical treatment for inpatient medical expenses directly settled in designated medical institutions, basically covering the medical institutions with relatively heavy medical tasks in different places across the province. 88% of the three-level fixed-point hospitals nationwide have been connected to the network. The number of insured persons who need to cross the province to seek medical treatment in different places and file a medical check-up system in different places in the country reached 1.62 million, and the provinces collected 880 million yuan in advance payments from different provinces. The inter-provincial inpatient medical expenses were settled directly by 41,000 person-times, and the fund paid 560 million yuan, with an average of 136,000 yuan per patient. Tang Yusong revealed that in the next step, the number of designated medical institutions for direct settlement of medical treatment in different places will continue to be expanded. On the basis of the basic access to the tertiary medical institutions, more qualified primary medical institutions will be gradually included in the direct settlement of medical treatment in different places. What are the policy benefits? For those who are more concerned about the policies that can be enjoyed in medical treatment in different places, Yan Qinghui, deputy director of the Department of Medical Insurance, summarizes this with 15 words: the medical directory, the policy of participating in the insurance, and the management of medical treatment. The medical treatment directory is the scope of payment for medical treatment in the case of insured persons in the province, including the medical insurance catalogue, medical treatment items and service facility standards. The policy of participating in the insurance policy is to implement the inter-provincial medical treatment in principle. The payment policy of the participating areas, including the deductible line of the medical insurance fund, the proportion of payment and the maximum payment limit. For medical management, when the insured person seeks medical treatment from different provinces, the medical treatment agency shall provide the same service and management as the local insured personnel for the medical personnel in different places, including consulting services, medical information records, medical behavior monitoring, Medical expenses review and so on. Yan Qinghui gave an example to illustrate that if an eligible insured person from a certain city in Hebei came to Beijing to seek medical treatment, he would perform a Beijing catalogue when he was seeing a doctor, but the deductible line, payment ratio and maximum payment limit of the fund payment were still To implement the policy of the city where Hebei is located, and he went to Beijing for medical treatment, the Beijing Municipal Agency should provide him with the same services and management as the local insured. Which groups will benefit Which groups will benefit from direct settlement of medical treatment across provinces? In this regard, Tang Yusong said that from the perspective of the population, the initial group of the nationwide network settlement work is started from the retirees who participated in the resettlement of urban workers. Now, according to the scope of work management and service capabilities, as well as the requirements of the people, we will continue to expand the scope of beneficiary groups and strive to achieve full coverage of insured personnel. "To put it bluntly, whether it is living in a different place for a long time, living or working, or because of the objective need to refer to a hospital for a different place, you can enjoy direct settlement of medical insurance." Tang Yusong said. According to reports, from the current structural analysis of settled personnel, retirees in different places accounted for 39% of the entire population, long-term residents in different places accounted for 10.3%, and staff members stationed in different places, such as some overseas offices Etc., or in the emergency department of the field, the number of medical personnel reached 1.6%, and the number of referrals in different places accounted for 49.1%. The group of medical treatments in different places now presents diversity. Three steps to see a doctor in different places What procedures do you need to go across the province? The Ministry of Human and Social Affairs gave ten words: first filing, selecting points, and holding a card for medical treatment. According to Huang Huabo, deputy director of the Social Insurance Business Management Center of the Ministry of Human Resources and Social Security, the first step is to require the insured personnel to apply for the record at the participating institution before the inter-provincial medical treatment. The handling agency collects the necessary information; The second step is to select the point that the masses need to choose a designated medical institution. Now the designated medical institutions are increasing every day. The third and most crucial step is to take the card for medical treatment, remind the patient to use the social security card, and hold the card. Admission and settlement. Some media have asked why it is necessary to carry a social security card for direct settlement of medical treatment in different places across the province. Song Jingyan, deputy director of the information center, pointed out that there are many advantages in holding a card for medical treatment. For the insured person, it is convenient and convenient to take a card for medical treatment. The medical treatment process in different places is consistent with the local medical treatment process. When you go to a different place to seek medical treatment, take this social security card. It can complete all kinds of formalities for admission registration, discharge settlement, and do not need to pay for it, and directly complete the settlement work. This function cannot be replaced by other types of carriers, and it also reflects the identity certificate and settlement tool played by the social security card. effect. Song Jingyan also said that the current average of 82 social security card applications have been opened nationwide. This year, with the advancement of direct settlement of medical treatment in different provinces, the application of social security cards will be further promoted. At the end of this year, it is estimated that 102 national social security card applications will be opened to further realize the national social security card. On September 1st, China’s first batch of third-generation social security cards was officially issued. In addition to realizing medical settlements in different places, the third-generation social cards also have financial functions and personal identification functions, which can realize government services, public services, and financial services. In the “one card†of the three major fields, the insured person can not only receive pensions and medical reimbursement for holding social security cards, but also can be used for people's livelihood services such as buses, subways, public bicycles, fueling, and taxis. Does it mean national roaming? Yan Qinghui said that it is necessary to vigorously promote the direct settlement of medical treatment in different places across the province, mainly to solve the problem of errands that are encountered when the insured personnel are reasonable and reasonable. This is the proper meaning of universal medical insurance, but it is directly related to medical treatment across provinces. Settlement does not mean that medical insurance has achieved national roaming. "If the medical insurance roams nationwide, it will inevitably lead to disorderly medical treatment to a certain extent. Disorderly medical treatment is not our goal." Yan Qinghui believes that, on the one hand, disorder will increase the overall burden of medical personnel, not just medical expenses. Burden, medical treatment in different places also includes transportation costs, accommodation costs, meals, and the cost of care, etc., these costs will increase. On the other hand, Yan Qinghui said that disorderly medical treatment will further aggravate the problem of difficult medical treatment and expensive medical treatment. Imagine if the people of the whole country rushed to big cities and large hospitals regardless of major illnesses and illnesses, large hospitals will inevitably be overcrowded. Influencing people with inconveniences who really need to go to a large hospital to see a doctor, making it difficult for them to get timely and effective treatment. Yan Qinghui believes: "To fundamentally solve the problem of medical treatment in different places, we must speed up the reform of the medical and health service system, promote the rational allocation of health resources, and establish a sound classification and treatment system so that most people can enjoy convenient, fast and efficient. Medical services." BTE Hearing Aid BTE Hearing Aid Shenzhen Sunshine Technology Co.,Ltd , https://www.yatwin.com