The national medical insurance work conference will be held, and the medical insurance will do so in 2022
2022-01-16
The reporter learned from the national medical insurance bureau that recently, the national medical security work conference was held in Beijing to systematically review the medical security work in 2021, analyze and judge the reform and development situation of medical security, and comprehensively deploy the medical security work in 2022. Looking back on 2021: promoting the deepening of medical insurance reform and steadily improving the treatment of the masses Summing up 2021, the meeting pointed out that the national medical security system has always adhered to the people as the center, coordinated epidemic prevention and control and medical insurance development, improved the medical security system with Chinese characteristics, promoted the deepening of medical insurance reform, promoted the improvement of quality and efficiency of management services, steadily improved the treatment of the masses, generally stable system operation, safe and sustainable fund, and achieved a good start in the 14th five year plan. Specifically include: The quality of treatment guarantee has been continuously improved. The drug support mechanism for hypertension and diabetes outpatients in urban and rural areas benefited 120 million patients, reducing the burden of drug use by 41 billion 160 million yuan. The number of national pilot cities for long-term care insurance increased to 49, with more than 140 million insured people, benefiting 1.6 million disabled people, and reducing the burden per capita by more than 15000 yuan per year. The burden of drug consumption was significantly reduced. The average price reduction of 42 insulin special centralized purchase varieties is 48%, and the average price reduction of artificial hip and knee joint centralized purchase products is 82%. It is expected to benefit nearly 11 million patients and reduce the burden by nearly 30 billion yuan per year; The first five batches of national centralized procurement of drugs and coronary stents saved nearly 170 billion yuan in drug costs throughout the year. The 2021 version of the drug catalogue has increased to 2860 varieties, with an average price reduction of 62% for 67 negotiated drugs. 142000 pharmaceutical institutions supply negotiated drugs. Guotan medicine has benefited 140 million patients and reduced the burden by 150 billion yuan throughout the year. The experience of cross provincial and remote medical treatment has been steadily improved. All overall planning areas have opened direct inter provincial settlement of inpatient and general outpatient expenses and online filing of inter provincial and non local medical treatment. The direct settlement of hospitalization expenses across provinces benefited 4.406 million people in hospital, and the direct settlement of general outpatient expenses across provinces benefited nearly 10 million people in outpatient treatment. "Medical money" and "life-saving money" are safer. A total of 708000 medical institutions were inspected, 414000 were handled, more than 23 billion yuan of funds were recovered, and 70000 cases were exposed. The cost of epidemic prevention has been greatly reduced. The price of national nucleic acid testing was significantly reduced in three rounds, and the price of single person single test and multi person mixed test per person was reduced to no more than 40 yuan and 10 yuan respectively. The price of the new crown vaccine was significantly reduced in three rounds, and the booster needles that have been vaccinated are mainly provided by enterprises free of charge. At present, more than 2.9 billion doses of new crown vaccine have been vaccinated in China. Looking forward to 2022: continue to solve the problem of "urgent difficulties and expectations" of mass medical insurance How to promote the high-quality development of medical insurance? The meeting stressed the need to accurately grasp the connotation of common prosperity, gradually reduce the development imbalance between medical insurance regions, and solidly promote common prosperity. We should adhere to the people-centered development idea, do our best and do what we can, take a clear stand against "welfarism", and earnestly strengthen the construction of a basic, inclusive and comprehensive medical insurance system. We should unswervingly promote the standardization and unification of the system, not only effectively integrate the national demand to form a strong strategic purchasing power, but also make the achievements of medical insurance development more equitably benefit the whole people. We should always adhere to the two wheel drive of reform and management, ensure that the intensity of reform is not reduced, improve the quality and efficiency of management, and give full play to the effectiveness of limited capital guarantee to the greatest extent. Looking forward to 2022, the medical insurance work mainly includes the following nine aspects: First, continue to support the normalization of epidemic prevention and control, continue to implement the "two guarantees" policy, ensure the cost of new crown vaccine and vaccination, and reduce the price of vaccine and nucleic acid testing. Second, consolidate and expand the achievements of medical insurance in poverty alleviation, effectively connect the Rural Revitalization Strategy, ensure that the population out of poverty and the monitoring population for poverty prevention should be guaranteed, steadily and orderly implement the transitional security policy during the period of consolidating poverty alleviation, and resolutely prevent large-scale return to poverty due to illness. Third, solidly promote the "one game" of national medical insurance, strictly implement the treatment list system, promote the national unification of drug catalogue and consumables catalogue, steadily promote the pilot of long-term care insurance system, and solidly do a good job in maternity insurance. Fourth, rationalize the payment and compensation mechanism, do a solid job in deepening the pilot reform of medical service prices, carry out dynamic adjustment of drug catalogues, comprehensively deepen the reform of payment methods, and give full play to the effectiveness of medical security to the greatest extent. Fifth, continuously improve the quality of mass security, accurately supplement the shortcomings of outpatient security, encourage and support charitable assistance, commercial health insurance and employee mutual assistance, play a comprehensive role in helping, stabilize security expectations and help expand domestic demand. Sixth, we will continue to reduce the burden of people's medical expenses, carry out centralized drug purchase in a normalized and institutionalized manner, strive to achieve a cumulative total of more than 350 national and provincial centralized drugs during the year, solidly carry out centralized purchase of high-value medical consumables, promote local governments to actively carry out centralized purchase of drug consumption, improve the ability to control medical prices, and realize the pattern of promoting centralized purchase of chemical drugs, biological drugs and proprietary Chinese medicines in an all-round way, Further reduce the sales space with gold. Seventh, strengthen the crackdown on fraud and insurance fraud, continue to carry out full coverage special rectification actions, focus on key areas, strengthen the working mechanism of "multiple investigations in one case and joint punishment", improve the connection between execution and discipline, expand the application scenario and scope of intelligent monitoring system, standardize the use of reporting reward mechanism, and firmly guard the people's "life-saving money". Eighth, accelerate the construction of a national unified handling system, improve the settlement mechanism for medical treatment in other places, improve the direct settlement rate, improve the standardization, standardization and convenience of medical insurance handling, do a good job in the "inter provincial general handling" of medical insurance, and promote the equalization of basic public services of medical insurance. Ninth, consolidate the foundation for high-quality development of medical insurance, implement the national insurance plan, support the participation of flexible employees, optimize the application of medical insurance information platform, strengthen the comprehensive management of medical insurance big data, and promote the construction of the rule of law. (outlook new era)
Edit：Yuanqi Tang Responsible editor：
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