The Jinan people can save money again. 339 special drugs, including pneumoconiosis, are added to the medications
source: Ji'nan times
13 days, the reporter learned from the work meeting of the city's people's society, according to the country's deployment, a number of human resources and social security policies will be "landed" in Ji'nan this year, such as the "expansion" of the drug catalogue. The number of drugs that can be reimbursed is increasing.
what will be the new measures for Ji'nan social insurance? In the "deepening of the 6 contents of the reform and the table of responsibilities for responsibilities" issued by the Municipal Bureau of social affairs, the reform of medical insurance is included in the deepening of the reform of medical insurance. The medical insurance reimbursement scope expands the basic medical insurance catalogue to deepen the reform of the medical insurance payment mode, explore the standard of medical insurance payment, perfect the settlement method of single disease, and establish the payment way conforming to the characteristics of Chinese medicine service.
in this brief statement, actually contains a lot of "benefits". In February this year, the Ministry of human resources and Social Affairs published the 2017 edition of the national basic medical insurance, industrial injury insurance and maternity insurance drugs list. The new version of the catalogue expanded the scope of the basic medical insurance, 2535 of the western medicine and Chinese patent medicine, 339 more than the 2009 edition, with a increase of about 15.4%, increasing the use of drugs for children and major diseases, and increasing the special medication for occupational diseases, such as new drugs such as tetrandrine for treatment of pneumoconiosis. For this policy, Ji'nan also quickly "landing", according to the division of responsibilities table, this work will be promoted this year.
according to the analysis of the relevant experts in the social security field, we should explore the standard of medical insurance payment and improve the settlement of single disease. It will also play a role in safeguarding the legitimate rights and interests of the insured. This refers to the task table of the Jinan people's Department, or means that the price of drugs will be limited in the future. For example, one kind of medicine is to treat stomach disease, assuming that the price of the drug is over 1000 yuan. If it does not meet the requirements of the price, it will not enter the drug catalog, and it is assumed that 50 yuan will be able to treat the disease and the effective drugs are allowed into the catalogue. The promotion of the settlement of single disease means that the "set meal system" will be implemented in the future. For example, a certain disease can be cured by 400 yuan, and a price standard is defined to prevent the phenomenon of "excessive medical treatment".
how to understand the way of payment in accordance with the characteristics of the service of traditional Chinese medicine? Expert analysis in this industry is not like a western medicine, a fixed course of treatment, a fixed drug, a need to be hospitalized, but a unique way, for example, the medicine will constantly change according to the diagnosis and treatment and do not need to be hospitalized. After massage, acupuncture and so on, then the reform of medical insurance payment will also facilitate the reimbursement of insured patients through the treatment of Chinese medicine.