Shaanxi: Priority to incorporating the advantages of traditional Chinese medicine into the scope of payment according to the disease

Content source: China Traditional Chinese Medicine Reporter: Zhao Wen

A few days ago, the Shaanxi Provincial Medical Insurance Bureau, the Provincial Health and Health Commission, and the Provincial Administration of Traditional Chinese Medicine jointly issued the "Implementation Opinions on the Innovation and Development of Medical Insurance Supporting TCM inheritance and Innovation", which clearly explicitly pays priority Incorporate the Chinese medicine superior disease published by the country into the scope of the disease.

The "Opinions" proposes that qualified Chinese medicine and pharmaceutical institutions and primary medical and health institutions that provide Chinese medicine services and rehabilitation hospitals, Anning therapy centers, nursing homes, and pension institutions are included in medical security fixed management; Eligible fixed -point traditional Chinese medicine medical institutions are included in the direct settlement scope of medical treatment in different places; the "Internet+" Chinese medicine services provided by designated Chinese medicine medical institutions that carry out Internet diagnosis and treatment will be included in the scope of medical insurance payment.

In terms of service price management, the "Opinions" proposes that the traditional Chinese medicine technologies that originated from the ancient classics, are still widely used, and have accurate efficacy, and have outstanding economic and economic advantages, simplify the new price project audit procedures, open up Green channels; priority to prioritize the effective efficacy, widely accept patients, outstanding characteristics, reflect the value of labor services, have a long history of application, and have obviously deviated costs and prices. The tracing system of traditional Chinese medicines, strictly sold in accordance with the actual purchase price of not exceeding 25%.

The "Opinions" proposes that according to the procedures, the qualified Chinese medicine drinks, Chinese medicines, ethnic minority medicines, and traditional Chinese medicine preparations such as medical institutions are included in the medical insurance and drug catalogs, and the internal Chinese medicine preparations used in the medical union member units in accordance with the regulations are included in the medical units. The scope of medical insurance payment; the appropriate technology of traditional Chinese medicine with accurate efficacy and the advantages of traditional Chinese medicine is included in the scope of medical insurance payment; eligible innovative Chinese medicine diagnosis and treatment projects, "Internet+" traditional Chinese medicine projects, and traditional Chinese medicine decoction drugs are included in the scope of medical insurance payment in accordance with regulations. Essence

In order to improve the payment policy to promote the development of traditional Chinese medicine, the Opinions proposed that the common multiple Chinese medicine diseases such as facial paralysis, cervical spondylosis, lumbar spine protruding, sequelae of stroke, knee osteoarthritis, shoulder periartitis are paid according to diseases, and incorporated into them, and incorporated into it The scope of payment of medical insurance clinics; the advantages of traditional Chinese medicine for rehabilitation medical care and tranquility treatment for long -term hospitalization can be paid according to the bed. In the qualified grass -roots medical and health institutions, they will pay the first payment according to people, and encourage Chinese medicine doctors and conditional Chinese medicine clinics to form a team to conduct family doctors' contract services.

Edit: Wang Di

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