The state will gradually establish a sound medical security benefit list system
2021-08-12 09:25:21Source: Xinhuanet
Xinhua News Agency, Beijing, August 11 (Reporters Peng Yunjia and Mu Tiecheng) A few days ago, the National Medical Insurance Administration and the Ministry of Finance issued the “Opinions on Establishing a Medical Security Benefit List System”. The multi-level medical security system is the goal, and the medical security benefit list system will be gradually established and improved to protect the basic medical security rights and interests of the people in a fair and appropriate manner.
The list of medical security benefits includes the basic system, basic policies, items and standards paid by the medical insurance fund, and the scope of non-payment.
In terms of basic systems, the opinions clarify the system arrangements to protect the basic medical needs of the people, including basic medical insurance, supplementary medical insurance and medical assistance. Localities are not allowed to establish new systems outside of the basic institutional framework, and other existing institutional arrangements in the localities should be gradually cleaned up and transitioned to the basic institutional framework.
The basic policies mainly include insurance policy, financing policy, benefit payment policy, etc. Among them, the insurance policy mainly includes the scope of the insured population, subsidized insurance policy, etc.; the financing policy mainly includes financing channels, the payment base, the benchmark rate (standard), etc.; the benefit payment policy includes basic medical insurance and supplementary medical care included in the list management Insurance and medical assistance payment policy.
It is worth noting that, on the basis of the basic medical insurance system, the state will uniformly formulate special population protection policies. Localities are not allowed to introduce new special treatment policies based on occupation, age, status, etc.
The opinion is clear that, in principle, all localities shall not issue policies beyond the scope of authorization of the list. For policies and measures that are not in conformity with the list, the policy-promulgating department will take the lead. In principle, the clean-up and regulations will be completed within three years, and they will be in line with national policies.
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