Focus on the overall results of the city -level coordination of Changchun City and Rural Medical Insurance 丨 Huimin's "multi -dimensional" convenient "zero distance"

Author:Jilin Daily Time:2022.07.21

Basic, big illnesses, and reduced burdens have always been the main line of Changchun's medical insurance policy.

"If there is no good medical insurance policy, this home will have collapsed ..." The resident of Jiu Tai District, Changchun City was Wang Hongwei. After surgery in 2019, various anti -tumor drugs have been accompanied by her recovery. the road. From the initial purchase of drugs at the beginning, it only costs more than 400 yuan per month to buy medicines at the dual -channel window, and the personal burden has decreased by 70%.

In 2020, the medical insurance of urban and rural residents in Changchun entered the "overall planning era". The two systems of medical insurance and the original new rural cooperative medical care in the original urban residents and the original new rural cooperative medical treatment were "coverage, fundraising policies, guarantee benefits, medical insurance directory, designated management, fund management, scriptures, and scriptures. The seven aspects such as the information personnel "and other aspects achieve comprehensive unity. It fully demonstrates the fairness of the medical insurance system, so that more and more patients like Wang Hongwei have the goal of buying medicine, seeing the disease, and seeing the disease.

"You don't need to go to the city, you can buy antihypertensive drugs in the village clinics, and the medical insurance will also reimburse 50%, which can save a lot of money in one year." The villager Yang Hongli also effectively enjoyed the convenience brought by the city -level coordination of urban and rural residents.

"The biggest change brought by urban and rural coordination is that farmers, especially rural elderly people, can afford to get sick and live in the hospital." Qu Guowei, deputy dean of the urban and rural health centers of Yushu City, talked about the changes before and after urban and rural residents' medical insurance. : "The effect is better than expected. Now the number of outpatient clinics and inpatients in the health center increased significantly, and the average costs have dropped significantly. Not only that, we have also established the 'Medical Federation', which has an expert library to allow minor illnesses to be in local hospitals. It can be treated, and cases can be used to ask experts through video and other cases. "

In recent years, Changchun Medicine has continued to play the role of "leading geese", played a series of "combination boxing", and continued to launch benefits to the people. It should be guaranteed. From a single employee's basic medical insurance to urban employees, urban and rural residents 'basic medical insurance as the core, with large medical expenses rescue, residents' serious illness insurance, etc., with medical assistance as the bottom, care insurance and commercial supplementary insurance collaborative coordination The multi -level social medical security system for development has achieved the scope of protection, disease, medical, and nourishing full chain coverage.

"If you get sick until Changchun, you don't need to refer to the medical treatment. You can directly admit it to the hospital for opening the green channel." This is the most direct feeling of Shao Chunyang after the overall planning of urban and rural medical insurance. At the Erdao District Kanglair hemodialysis center, Jiutai Citizen Shao Chunyang is undergoing hemodialysis. "In the past, cross -zone dialysis procedures were in trouble. The price was also high. Since the municipal -level coordination, I can complete the year of treatment at only 600 yuan."

Shao Chunyang said the voice of many patients with hemodialysis. Over the past few years, Changchun Medical Insurance has reducing the hospitalization of employees' hospitalization, increasing the proportion of reimbursement reimbursement for medical expenses for employees, expanding the scope of malignant tumor outpatient treatment, adjustment of soothing treatment payment methods, and broadening the scope of chronic disease protection. , Annual reduction of nearly 100 million yuan for the insured; by building a full process mechanism, unblocked procurement channels, and development data platforms, as of now, 154 selected medicines and 86 categories of 3 categories have been selected in Changchun. It is expected to be each year. Patients in the city saved 330 million yuan.

Huimin's "multi -dimensional" convenient "zero distance" Changchun urban and rural medical insurance city -level coordinating promoting the reasonable and full use of medical resources in the city. While gaining high praise from the people, it also promoted the "win -win" pattern of medical insurance management departments and medical institutions. Essence

"For the medical insurance department, the municipal -level overall plan saves administrative costs and has greatly improved the guarantee efficiency. After integration, repeated investment, multi -construction, repeated insurance participation, and subsidies are effectively resolved." Sun Yan said.

In the view of Li Gang, the deputy dean of the Jiu Tai People's Hospital, the city -level coordinating plan has made the people truly benefit and improved happiness. On the other hand, it guides residents to seek medical treatment at the grassroots level, thereby promoting the great development of grass -roots medical and health institutions.

Author: Jilin Daily reporter Wang Dan He Zezheng

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