The Beijing Municipal Party committee and government recently issued the "several measures on deepening the reform of the medical security system" (hereinafter referred to as the "measures"), which proposed to improve the medical treatment cost guarantee mechanism for major epidemics. In case of emergencies such as major epidemics, medical institutions should first treat and then charge, and the medical insurance fund should be paid in advance and then settled. According to the economic and social development of the capital and the affordability of enterprises and individuals, the payment proportion of basic medical insurance for employees shall be dynamically adjusted. Promote the integration and sharing of electronic medical records, medical images, inspection and other information, and further improve the convenience of people seeking medical treatment among different medical institutions. Improve the guarantee mechanism for medical treatment expenses of major epidemic situations Ensure that medical institutions first treat patients and then charge fees The measures propose to improve the fair and appropriate treatment guarantee mechanism. Improve the basic medical insurance system. Adhere to and improve the basic medical insurance system and policy system covering the whole people and participating in accordance with the law. Employees and urban and rural residents are guaranteed by category. Their treatment is linked to payment. Funds are established and accounted separately. We will continue to strengthen and improve the participation of basic medical insurance, enhance the awareness of the whole people to participate in insurance, and promote full coverage. Adapt to the development of new business forms and improve the insurance and payment methods of employees in new business forms. We will steadily promote the reform of individual accounts for basic medical insurance for employees, standardize the scope of use of individual accounts, improve the method of recording individual accounts, realize the targeted use of individual accounts and improve the efficiency of the use of funds in individual accounts. According to the measures, the city will improve the unified and standardized medical assistance system. Establish and improve the medical expense relief mechanism for key relief objects and the long-term mechanism for preventing and resolving poverty caused by illness, improve the identification conditions of poverty caused by illness, reasonably determine the proportion of out of pocket expenses within the scope of the policy for people in difficulty, and enhance the accuracy and supporting guarantee function of medical assistance. We will promote the "one-stop" settlement of basic medical insurance, serious illness insurance and medical assistance, and further reduce the burden of medical expenses on people in need. At the same time, the city will improve the medical treatment cost guarantee mechanism for major epidemics. Improve the medical insurance payment policy for major epidemics. In case of emergencies such as major epidemics, ensure that medical institutions first treat and then charge, and the medical insurance fund is paid in advance and then settled. We will implement the exemption system for medical expenses of special groups and specific diseases, and specifically exempt restrictive provisions such as medical insurance catalogue, payment limit and drug dosage, so as to reduce the worries of people in need of medical treatment. Coordinate the use of medical security funds and public health service funds to realize the effective connection between public health services and medical services. Dynamically adjust the payment proportion of employees' basic medical insurance Strengthen fund budget management and risk early warning The reporter of Beijing Youth Daily noted that the measures proposed to improve the stable and sustainable financing operation mechanism. Improve the financing sharing and adjustment mechanism. The basic medical insurance for the employed shall be jointly paid by the employer and the individual. The participation of non employed persons in basic medical insurance is paid by individuals and subsidized by the government according to regulations. The payment is linked to the level of economic and social development and the per capita disposable income of residents. According to the economic and social development of the capital and the affordability of enterprises and individuals, dynamically adjust the payment proportion of basic medical insurance for employees, and standardize the payment base policy. Balance the financing and payment responsibilities of individuals, employers and the government, and continuously optimize the structure of individual payment and government subsidies. In addition, strengthen fund budget management and risk early warning. Firmly hold the bottom line of no systemic risk, adhere to the principle of revenue and expenditure, balance of revenue and expenditure and slight balance, and scientifically prepare the revenue and expenditure budget. Strengthen the supervision of budget implementation, fully implement budget performance management, strengthen medium and long-term actuarial and operation analysis, and improve the operation risk assessment and early warning mechanism to ensure the balance of revenue and expenditure. Promote the integration and sharing of electronic medical records and other information Improve the convenience of medical treatment for the masses According to the measures, the city will optimize the city's list of medical security government services to achieve the unification with the list of national medical security administration government services. Explore the "one-stop" application for the payment of maternity allowance and the reimbursement of maternity medical expenses, so as to facilitate the medical settlement of the masses. Promote the handling of convenience work, strive to reduce materials, reduce time limit, implement "notification and commitment", and promote the whole process of medical security government services "online" and "handheld". We will continue to promote the smooth operation of direct settlement of medical and inpatient expenses across provinces, accelerate the direct settlement of outpatient expenses across provinces, and continuously improve the convenience of medical and inpatient settlement of insured personnel across provinces. At the same time, in accordance with unified standards, establish a unified, efficient, compatible, convenient and safe integrated medical security information system of the whole city, so as to realize interconnection and data sharing with the national medical security information platform. Promote the integration and sharing of electronic medical records, medical images, inspection and other information, and further improve the convenience of people seeking medical treatment among different medical institutions. Standardize data management and application authority, and protect the basic information and data security of insured personnel according to law. (outlook new era)