Focus on the overall results of the city -level overall planning of Changchun City and Rural Medical Insurance 丨 Smart Medical Insurance "fly in" ordinary people's homes

Author:Jilin Daily Time:2022.07.14

"You do n’t have a card for medical treatment, you only need to go out for medical insurance code." "If you click on your mobile phone, you can query medical insurance information, pay medical insurance, and apply for medical treatment for medical treatment." New normal of settlement.

Since the overall planning of Changchun Urban and Rural Medical Insurance, the Changchun Medical Security Bureau focuses on the "pain point", "difficult point" and "blocking point" of medical insurance services in the city, breaks the barriers of special networks, breaks the information of "islands", builds online and offline integration, and has service connection. Preface, standardized and efficient medical insurance data channels allow smart medical insurance to "fly into" ordinary people's homes, and enable the city's participating people to enjoy more high -quality and convenient medical insurance services.

"In the past, you can only go to Changchun or Beijing when buying medicines. The medicine preservation and round -trip fares are not small. It is convenient to buy medicine at the door of the house." On the afternoon of June 30, Shi Chunling came as appointment as appointment Jilin Pharmacy Yushu Traditional Chinese Medicine Hospital has received "life -saving pills".

Shi Chunling's husband had ankylosing spondylitis in 2012 and needed long -term medication. Since Changchun City has taken the lead in establishing a "dual channel" settlement mechanism for medical insurance special medicines nationwide, her difficulty in buying medicines will no longer exist, and after reimbursement of drugs by medical insurance, it can save more than 4,000 yuan a year.

"The" dual -channel medicine "simply can buy medical insurance negotiation drugs at designated hospitals or fixed -point retail pharmacies, and enjoy the same reimbursement treatment." Shi Lei, director of the Treatment of the Municipal Medical Security Bureau "The designated pharmaceutical institutions have covered the city, and the number of medicines has reached 143 species. When the patient is retracted to purchase medicines, you only need to log in to the Changchun Medical Insurance Personal APP and conduct real -name certifications. After applying for the needs, you can take the medicine after completing the medical insurance overall planning and personal self -payment.

Solving the problems such as expensive medication and difficult settlement of the masses with their hearts, the Changchun Medical Security Bureau released a strong people's livelihood temperature.

In the outpatient hall of Gongling Middle Hospital, neat self -service aircraft are particularly conspicuous. "You first click the self -service payment, and then choose the medical insurance electronic voucher option to pay the code to pay!" The staff patiently guided the patient's use of medical insurance electronic vouchers.

"This payment service is particularly good! You can take a mobile phone to see the doctor. You do n’t have to go in line to wait in line. Save time and worry." Zhang Hang, who experienced the code settlement for the first time, lamented.

From the traditional "squeezing window" to now a mobile phone can complete the payment and see the doctor, not only the changes in the payment method, but also the sense of gain and happiness of the insured people.

In the past, it was difficult to reimburse, slow payment, long queue ... once became a common pain point for medical treatment. "Let the data run more, and the masses run less." -In the process of digital transformation, the medical experience of the masses is different from the past because of the arrival of the intelligent era.

In the Hall of Medical Insurance, Qi Yang, Qi Yang organized a medical insurance business in the family. When it comes to the service of the medical insurance office, he praises him: "Now reimbursement does not need to line up for a team.

"Resident medical insurance has changed from a single model of the past 'guarantee and hospitalization' to 'outpatient and inpatient guarantee." Sun Yan, director of the Jiutai District Medical Insurance Office, deeply feels deeply impressed by the implementation of urban and rural medical insurance. After the standard is unified, the coordination and cooperation mechanism is established between regions to solve information resources sharing, and the fairness of the medical insurance system is enhanced.

In recent years, Changchun Medical Insurance has deepened the reform of the "decentralization service", organically combined traditional services and digital innovation, and continued to optimize public management services. Changchun Medical Insurance puts employees' participation registration, medical fertility treatment verification, information changes of insured personnel, flexible employment personnel participation registration, medical insurance relationship transfer continuation, 85 high -frequency service matters, from "multi -window dispersion acceptance" For the "one window", the "one -stop" service is truly "one -stop" service.

In addition, the Changchun Medical Insurance Economic Office based on the city's medical insurance information management system, migrate offline business to online, and change "face -to -face" to "keys" to actively extend the medical insurance service chain. Starting, explore the network solutions such as "online dual -channel drugs" and "online chronic diseases" and other medical insurance problems to truly realize the "handling" in the medical insurance business.

Author: Jilin Daily reporter Wang Dan He Zezheng

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