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State Council for promoting medical insurance integration: Three insurances cannot be united in one policy first
Release time: 2016-11-18 & nbsp & nbsp & nbsp Source: Anonymous
  The field of people's livelihood,It has always been the focus of the State Council Premier Li Keqiang。
 
  November 14,The issue of medical insurance was obtained by Prime Minister Li Keqiang, and the key discussion at the symposium of economic development and people's livelihood improvement。
 
  At the symposium,Dean of Beijing Hospital、A member of the Consultation Committee of the State Council Medical Reform Expert Consultation Committee Zeng Yixin directly pointed out that the current medical insurance information standards are returned to the far away,For example, the names of appendicitis and cecum inflammation in various hospitals are not uniform。
 
  For this,Li Keqiang said,& ldquo; This most basic medical term is still uniform,Fully reflects our hospital now information island、Information separation & rdquo;。
 
  He immediately asked the relevant departments to speed up related issues such as medical insurance policy。Li Keqiang request: & ldquo;,Policies can also be combined first,stake betting appThis Stake Sports Bettingis more convenient for ordinary people to reimburse in medical insurance。Now the nouns are not closed,Can the policy be united? & rdquo;
 
  Multiple places have been realized & ldquo; two guarantees & rdquo;
 
  Questions about inconsistent medical terms,A dermatologist in Beijing said to the reporter of "Daily Economic News",In addition to being repeated by the words of the disease,There is still another situation,is the difference between Chinese medicine and Western medicine to the same disease。This situation requires a doctor to explain to the patient in time,to avoid misunderstanding of the condition。
 
  She gives an example,For example, psoriasis is the name of Western medicine,But the saying of Chinese medicine is & ldquo; White & rdquo;。These two words in the case library of her hospital where they are,But if a doctor alternate these two words to the same patient,There will be no clear when people are unclear。
 
  For the policy proposed by the Prime Minister, the policy can also be combined first & rdquo;,Cai Jiangnan, director of the Health Management and Policy Center of China EU International Industry and Commerce School of Industry and Commerce,You can unify the name of the disease first,Realize the unified medical insurance directory from policy,Basic medical insurance for urban residents、The standards for reimbursement of Xinnonghe and town employees' medical insurance reimbursement are close。
 
  Director of the Institute of Social Security, Renmin University of China, Li Zhen once said,Due to the gap between urban and rural residents' medical insurance and urban employee medical insurance is too large,A step to realize & ldquo; three guarantees & rdquo; unrealistic,Proposal The first step will the same system structure、The source of funds is the same、New Rural Hehe and urban residents' medical insurance merger with the level of fundraising stake betting appStake Sports Bettingand guaranteeing levels,When the timing is mature,Forms a unified medical insurance for the whole people。
 
  Current,There are many places that have realized the & ldquo; two guarantees & rdquo;。At the press conference of the Ministry of Human Resources and Social Security held on October 25th,A spokesman for the Ministry of Human Resources and Social Affairs Li Zhong said,20 provinces issued relevant documents for urban and rural residents' medical insurance integration system,At present, two -thirds of the provinces have completed the work of establishing a unified urban and rural residents' medical insurance system,Other provinces are also doing the corresponding plan,Accelerate this job。
 
   & ldquo; Two -guarantee one & rdquo; post -,Local medical insurance directory is expanded。For example,Only 1,100 medicines can be reimbursed for rural residents who have participated in New Nonghe in the past,and the medical insurance directory after September 2014 reached 2,400 medicines,Expansion doubles。
 
  Management belongs to & ldquo; three guarantees & rdquo;
 
  For the difficulty of promoting & ldquo; three guarantees & rdquo;,Cai Jiangnan pointed out,In addition to solving funding problems,Unified information system and other problems,The biggest difficulty is the obstacles in the organization,& ldquo; Who will lead?
 
  Over the years,Xinnonghe、Basic medical insurance for urban residents、Urban employee basic medical insurance & ldquo; Sanbao & rdquo;,Where,Management of the Ministry of Human Resources and Social Affairs Management Urban Workers and Resident Medical Insurance,The Health and Family Planning Commission is responsible for the management of Xinnonghe。In addition,Different fundraising channels,Insurance objects for medical insurance for employees in urban employees include both units and individuals,and urban residents' medical insurance and new agriculture are limited to individuals。
 
  This also makes more My stake betting appstake betting applocal explorations at the current place on & ldquo; two guarantees & rdquo; above。And,Most of the places managed by urban and rural residents' medical insurance。
 
  and & ldquo; The management and attribution of three guarantees & rdquo;。Cao Jian, a researcher at the Medical Management Research Center of the School of Economics and Management of Tsinghua University, told the "Daily Economic News" reporter,This involves institutional function integration and personnel adjustment,How to balance and coordinate and transfer each department,So the difficulty is greater。
 
  For this,Fujian has found a solution。On the basis of drawing on the sandwich model,At the special meeting of the Fujian Provincial Party Committee on September 22 this year,Fujian Provincial Human Resources and Social Affairs Department、Provincial Health and Family Planning Commission、Provincial Civil Affairs Department、Provincial Price Bureau、The functions of the Provincial Department of Commerce, etc. involved medical insurance functions, comprehensively integrated into the office of the Fujian Provincial Medical Security Management Committee。
 
  This approach,Also received recognition。Recent,The General Office of the Central Committee of the Communist Party of China、Several Opinions of the State Council's "Leading Group for the Reform of the State Council Deepening the Medical and Health System Reform of the State Council on Further promotion and deepening the reform of the reform of the pharmaceutical and health system" put forward,Stimulate the management system,Unified Basic Medical Insurance Management,Pilots that can be carried out to establish a medical insurance fund management center,Undertaking fund payment and management,Drug procurement and expense settlement,Medical Insurance Payment Standard negotiations,stake betting appAffairs management and stake sports betting appsettlement of fixed -point institutions。
 
  Yao Jianhong, deputy director of the National Health and Family Planning Commission, said at the press conference of the Health and Family Planning Commission held on November 10th,The way to set up a medical insurance fund management center in the opinion is not groundless,Files formed on the basis of mature and successful experience in the local area。Specifically because Sanming and Fujian created such experience in the reform,and achieve results。