Latest notification!This year's medical insurance standards have changed

Author:Harbin Daily Time:2022.07.09

7月8日,国家医保局会同财政部、国家税务总局印发了《关于做好2022年城乡居民基本医疗保障工作的通知》,要求在2022年合理提高筹资标准,巩固提升待遇水平,推进标准化和Informatization construction, promote the unity of institutional standards, do a good job of management of medical insurance payment, improve public management services for medical insurance, strengthen the procurement and price management of centralized bands in drug consumables, strengthen fund supervision and operation analysis, and effectively hold the bottom line of people's livelihood protection.

The "Notice" requires that the finances at all levels to further increase the subsidy for the payment of insurance insurance for residents 'medical insurance. In 2022, the financial subsidy standard of residents' medical insurance participation insurance is added by 30 yuan per capita, reaching no less than 610 yuan per person per year; The payment standard is 30 yuan, reaching 350 yuan per person per year. Per capita fundraising standards have reached 960 yuan. Continue to draw a certain amount from the residents 'medical insurance fund to be used for urban and rural residents' major illness insurance funds. Individuals can enjoy major illness insurance benefits without paying separately and reduce the burden on high medical expenses. In addition, the "Notice" also emphasizes that it is necessary to effectively implement the provisions of the residence permit participation policy, liberalize the restrictions on participating household registration, and give subsidies at all levels to the same standards of local residents to participate in local residents' medical insurance.

The "Notice" put forward the principle of adhering to the principle of "balance, balance of payments, and balance", and put forward work requirements for the protection of residents' medical insurance treatment in 2022. The first is to stabilize the level of hospitalization, and the proportion of payment of medical expenses funds within the scope of the policy is stable at about 70%. The second is to improve the outpatient guarantee measures, continue to do a good job in the guarantee of hypertension, diabetes outpatient medication, and improve the guarantee of chronic diseases, special diseases (hereinafter referred to as "outpatient disease") protection, and enhance the guarantee function of the medical expenses of the outpatient medical treatment for major disease insurance and medical assistance. Co -force to reduce the burden of medical expenses for outpatient clinics. The third is to reasonably improve the medical insurance costs for residents' medical insurance, and do a good job of guaranteeing the fertility medical expenses of insured people.

In addition, the "Notice" requires that the collection of drugs and medical consumables must be promoted in a comprehensive and multi -level, and the national organization and inter -provincial alliance collection should be coordinated and coordinated. At the end of 2022, the number of cumulative number of drugs for the national and provincial (or cross -provincial alliances) has not less than 350 drugs, and the cumulative high -value medical consumables have reached more than 5. Do a good job in the implementation of the implementation and procurement agreement on the implementation of the collection results, and implement the supporting policies such as prepaid payment, payment standards, and balance retention of medical insurance funds.

Source: CCTV News

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