From next year, Beijing will expand the designated types of medical insurance
2021-12-23
Yesterday, the Beijing Municipal Medical Insurance Bureau issued the Interim Measures for the designated management of medical security in Beijing medical institutions and the Interim Measures for the designated management of medical security in Beijing retail pharmacies. The newly formulated measures for the administration of designated medical institutions and measures for the administration of designated retail pharmacies further promote the standardization of the management of designated medical institutions and designated retail pharmacies. Eligible outpatient departments, clinics, health centers (stations), independent emergency centers, hospice centers, hemodialysis centers and nursing homes can also apply to be included in the designated medical institutions of medical insurance. At the same time, Internet hospitals can rely on their physical medical institutions to apply for signing supplementary agreements to be included in the designated scope of medical insurance. The new deal will be officially implemented on January 1, 2022. The reporter of Beijing Youth Daily noted that the measures for the administration of designated medical institutions clearly defined the scope of designated medical institutions that can apply for medical insurance. In addition to general hospitals, traditional Chinese medicine hospitals, integrated traditional Chinese and Western medicine hospitals, ethnic medicine hospitals, specialized hospitals and rehabilitation hospitals, Qualified outpatient departments, clinics and health centers other than specialized disease prevention and control centers (stations), maternal and child health centers, community health service centers (stations), central health centers, township health centers, street health centers, village health rooms (stations) and medical institutions in elderly care institutions (stations), independent emergency centers, hospice centers, hemodialysis centers and nursing homes can also apply to be included in the designated medical institutions of medical insurance. At the same time, Internet hospitals can rely on their physical medical institutions to apply for signing supplementary agreements to be included in the designated scope of medical insurance. At the same time, the measures for the administration of designated medical institutions clarify the basic conditions for applying for designated medical institutions, such as: the medical institution needs to be officially operated for three months, has a registered practitioner, the main person in charge is responsible for medical insurance, has relevant medical insurance management systems, has relevant information processing ability, etc. The Municipal Medical Insurance Bureau stressed that after the introduction of the above management measures, the supervision of designated medical institutions will be more strict. The measures for the administration of designated medical institutions specifies the specific punishment measures for designated medical institutions in violation of the measures for the administration of designated medical institutions and medical insurance agreements, such as interviewing medical institutions, suspending or failing to allocate expenses, recovering medical insurance expenses, suspending medical insurance settlement for personnel and departments, suspending medical insurance agreements for designated medical institutions, canceling medical insurance agreements, etc. Ensure the safe, efficient and rational use of the fund, and resolutely manage and make good use of the people's "life-saving money". BYD reporter learned that at present, there are more than 2900 designated medical institutions in the city for insured personnel to choose independently. The insured can not only seek medical treatment in the designated medical institutions selected by themselves, but also directly seek medical treatment in more than 2500 jointly designated medical institutions, including 39 class a designated medical institutions, more than 160 designated specialized hospitals, more than 170 designated traditional Chinese medicine hospitals and more than 2200 community health service institutions. This means that medical treatment for insured personnel will be more convenient. In addition, after the implementation of the new measures, with the increase in the number of designated medical institutions and designated retail pharmacies of medical insurance, it will be more convenient for insured personnel to learn about medical drugs. (outlook new era)
Edit：Yuanqi Tang Responsible editor：Xiao Yu
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