National Medical Insurance Bureau: 20billion yuan of special funds reserved for the treatment of COVID-19

2022-05-07

According to the National Medical Insurance Bureau, in order to fully support the fight to win the prevention and control of the COVID-19, the National Medical Insurance Bureau has made clear the special payment policy to ensure that medical institutions do not worry about treatment. Among them, special funds were prepaid for the treatment of COVID-19, with a total of 20billion yuan of special funds allocated in advance and 2.97 billion yuan of settlement expenses. In terms of medical insurance expense settlement, the medical expense budget for patients with COVID-19 is listed separately, which does not occupy the total budget index of the hospital in the current year. Epidemic related medical insurance management services are "urgent", epidemic prevention drugs and medical consumables have opened a green channel, production enterprises can hang up the network at any time, and medical institutions can purchase first and then put on record. In order to ensure that patients have no worries about treatment, the "first treatment, then settlement" is implemented. We will effectively guarantee the treatment costs of confirmed and suspected patients. After the basic medical insurance, serious illness insurance and comprehensive medical assistance, the part of personal burden will be subsidized by the government. The policy of reducing the treatment of transferring to other places for medical treatment is not implemented. The expenses paid by the medical insurance department at the place of medical treatment shall be paid in advance and settled afterwards. The drugs and diagnosis and treatment items in the diagnosis and treatment plan of COVID-19 will be temporarily included in the scope of payment, and a number of newly-built or temporarily requisitioned COVID-19 epidemic treatment hospitals will be temporarily included in the designated medical insurance. Optimize handling services to help block the spread of the epidemic. Innovate the handling mode, optimize the service process, implement the "no meeting handling" of routine matters and postpone the handling of non urgent matters, so as to reduce the flow and aggregation of personnel handling medical insurance business. Do a good job of epidemic prevention in the handling place to ensure that the business is "handled with confidence". Bring eligible "Internet +" medical service fees into the scope of medical insurance payment, and realize online medical insurance settlement; Implement the long prescription policy, encourage designated pharmaceutical institutions to provide "no meet" drug purchase services, innovate distribution methods, and reduce the gathering frequency of patients in the hospital. In addition, the premium will be reduced in stages to help enterprises return to work and production. In 2020, on the premise of ensuring the medium and long-term balance of fund revenue and expenditure, the local government will guide the local government to halve the payment of employees' medical insurance units, a phased reduction of 165 billion yuan for 9.75 million insured units across the country, and strongly support the resumption of work and production. The insured units and individuals are allowed to postpone the payment of medical insurance premiums for up to 6 months, and the period of postponement will not affect the enjoyment of medical insurance benefits. (outlook new era)

Edit:Yuanqi Tang    Responsible editor:Xiao Yu

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