Answer reporters 丨 In the next step, the Provincial Medical Insurance Bureau will focus on four aspects of work to ensure that the policy and measures of benefiting the people can be implemented.

This afternoon, the Provincial Government News Office held a press conference to interpret our province's "Implementation Opinions on Implementing Medical Insurance and Rescue System of Heavy Health Diseases", and answered questions from reporters.

Shandong Radio and Television Reporter:

The "Implementation Opinions" further improved the medical insurance and rescue system of major diseases in our province. Compared with previous policies, what are the main changes?

Huang Xiaojun: The adjustment of this medical assistance policy is mainly reflected in 5 aspects:

First, the scope of the rescue object is more clear and scientific. During the period of poverty alleviation, the medical assistance policy focused on rural poor people. This "Implementation Opinions" based on the new stage of development after comprehensive poverty alleviation, establish a more comprehensive, long -term and systematic rescue mechanism, expand the scope of medical assistance objects to difficult workers and urban and rural residents, and uniformly regulate the rescue objects as special poverty -stricken personnel, and The subsistence allowance objects, the poverty -poverty population, the family members of the subsistence allowances, the prevention and assistance objects of the poor return of poverty, and the six types of patients with poverty -stricken diseases due to illness, expand the medical assistance system from a specific population to all insured persons. More accurate, clearer border, and more targeted policies.

The second is that the personal burden of rescue targets is more comprehensive. The "Implementation Opinions" continues to put the rescue target's inpatient expenses, outpatient special diseases such as outpatient medical institutions, etc., and the individual pay for the individual within the policy scope of the basic medical insurance and major illness insurance reimbursement. It is clearly incorporated into the scope of medical assistance guarantee for the basic medical insurance and major illness insurance annual payment lines below the annual payment line and the maximum payment limit, and the full coverage of medical expenses within the scope of the policy, strengthening the comprehensive guarantee function, further reduced difficulties in difficulties Criminal burden.

Third, the protection of the rescue object is more powerful. Combined with the standards of civil affairs, rural revitalization and other departments, the implementation of the "Implementation Opinions" uniformly clarify the level of assisted objects to classify and guarantee the level of guarantee, and determine the level of rescue and treatment respectively, and play the role of the system for reduced the burden of the system. In particular, the key rescue targets for the poverty -stricken personnel, the subsistence allowance objects, and the poverty -poverty -poverty population, cancel the launch of medical assistance, and the maximum payment limit of special effects drugs for major illness insurance. If it is less than 30,000 yuan, after the guarantee of the triple system, the personal burden is still heavy. It gives the annual reassessment of 20,000 yuan, further increase rescue efforts, strengthen the support function of the bottom of the support, and better support the bottom line of residents.

The fourth is to enjoy medical assistance. Simplify and optimize the rescue process, and to implement medical assistance benefits directly for medical rescue benefits for the special difficulties of the civil affairs and rural rejuvenation departments, members of the poverty -stricken and poor population, and mitral family members who return to poverty -stricken and poverty. For patients who have not been included in the scope of the above -mentioned persons due to illness, poverty -poverty and serious diseases are established in accordance with the application rescue mechanism, and an individual will apply for the application.

Fifth, preventing poverty and returning to poverty due to illness. Establish a high -amount medical expenses expenditure warning and monitoring mechanism, quantify specific monitoring indicators, and will be reimbursed after basic medical insurance and major illness insurance. Members of marginal families, the targets of preventing poverty -relief monitoring and assistance, and the annual accumulated individual burden expenses in the policy scope exceeding the annual per capita disposable income of residents in the province, all of which are included in the scope of early warning and monitoring. The medical insurance department has pushed the monitoring information to the civil affairs and rural rejuvenation and other departments in a timely manner to achieve eligible monitoring people accurately identify, timely incorporate, accurate assistance, and strengthen the connection between medical assistance and employee mutual assistance, charity assistance, commercial medical insurance, etc. Prevent and resolve poverty due to illness.

Qilu Evening News reporter:

In terms of implementation of the "Implementation Opinions", what arrangements and plans have the civil affairs department?

Xing Hongrui: "Implementation Opinions" has made a series of specific regulations on the implementation of medical assistance. It is an important achievement of the province's accelerated social assistance system that accelerates the construction of stratified classification, which provides an important follow -up and basis for us to further do social assistance. Cooperating with the medical insurance department to implement the "Implementation Opinions" is an important task of the civil affairs department. Focusing on the implementation of the "Implementation Opinions", the civil affairs department mainly does two aspects: First, to improve the identification policy of related medical assistance objects. We are studying and formulating the "Measures for Family Confixing Family Family Family Families" with financial, human resources and social security, and Disabled Persons' Federation. It is expected to be promulgated in the near future. In addition, we are working with relevant departments such as medical insurance. The specific policies determined by the patient stipulate that the policies in this regard will also accelerate the progress and strive to introduce them as soon as possible. After the above two documents are introduced, the implementation of the "Implementation Opinions" will implement medical assistance on medical assistance for members of the subsistence allowances and patients with poverty due to illness. The second is to conscientiously monitor the dynamic monitoring of low -income population with the medical insurance department. Strengthen the information sharing and data comparison with the medical insurance department, do a good job of communication and connect, and ensure that the people in need should be guaranteed and rescued. At present, through the information platform of the comprehensive management of social assistance (low -income population dynamic monitoring) information platform, our civil affairs department has implemented sharing with the medical insurance department with information such as minimum security objects, special poverty -stricies, and subsistence allowances. The relevant information of the affordable medical expenses is provided to the civil affairs department. Through the sharing comparison of two -way information between departments, it can provide support for the medical insurance department to carry out medical assistance in a timely manner. At the same time, it can also provide support for the civil affairs department in time to discover the difficulties that meet the subsistence allowances, special support, or temporary assistance. The departments and townships (streets) organize staff to investigate on the spot to ensure that the people in difficulties have timely warning and discovery and assisting assistance in a timely manner. Population Health Daily Reporter:

The "Implementation Opinions" formulates so many good policies that benefit the people and patients with major illnesses. Next, how to ensure that these measures can be implemented?

Zhang Ningbo: In the next step, we will focus on the following four aspects to ensure that the policies and measures of benefiting the people can be implemented.

The first is to strengthen supervision and implementation. It is required to study carefully, further refine the implementation measures for the "Implementation Opinions", formulate specific implementation plans by the end of October, do a good job of transitioning with previous policies, strengthen the evaluation of operation effects, discover and solve the policy implementation process in a timely manner. The problem of getting to ensure the implementation of the policy and the implementation of treatment, and resolutely hold the bottom line of guarantee.

The second is to do a good job of propaganda. Adopt an easy -to -understand publicity method to increase the publicity of medical insurance and rescue policies for major diseases in our province. Focus on explaining policies and service processes to difficult people, village (community) staff and grassroots medical staff, improve policy awareness, respond to social concerns in a timely manner, and create a good atmosphere for policy implementation.

The third is to strengthen departmental coordination. To implement the responsibility of the department, the medical insurance, civil affairs, finance, and rural revitalization departments will do a good job of application for acceptance, identity identification, information sharing, treatment policy and rescue funds and results feedback in accordance with the division of responsibilities. Check the work carefully to prevent leakage, escape protection, and disconnection. At the same time, the medical insurance department will actively cooperate with civil affairs and other departments, speed up the formulation of specific identification methods for patients with poverty -stricken diseases, implement the application rescue mechanism in accordance with the application rescue mechanism, apply for the application for rescue channels, and facilitate the timely rescue objects to enjoy policy treatment in a timely manner.

The fourth is to optimize the service. On the basis of consolidating the "one -stop" settlement of basic medical insurance, major illness insurance, and medical assistance in the area, actively promote the "one -stop" service and "one window" process of medical expenses in the province and inter -provincial and different places. By promoting the "SMS work method", the establishment of a medical security SMS service platform, implementing the "medical insurance understanding person" project of the village (community), etc., give full play to the role of grass -roots medical insurance workstations (points), so that the people in need can do things more worry -free, more troubled, more troubled, more troubled, and More assured and more convenient.

(News Office of the People's Government of Shandong Province)

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