SOMET loom machine spare parts Somet Loom Spare Parts,Excellent Somet Spare Parts,Custom Somet Spare Parts,Steel Somet Spare Parts shaoxing zhentu trading co;ltd , https://www.zhentutextile.com
According to the information released by the Hunan Provincial Government, before the end of this month, the management and management functions of the Shengzhou City, the county, the township and the township Xinnonghe will be transferred to the human and social departments. At the same time, the current urban basic medical insurance and the new rural cooperative medical insurance catalogue will be implemented in the province from January 1, 2017.
According to the statistics of the "Legal Evening News" reporters, as of now, 17 provinces across the country have clearly defined the new type of rural cooperative medical care to be managed by the human and social departments, and 9 of them have fully realized institutional integration. After the integration of the system, the level of funding guarantee will be unified, and the personal medical insurance contributions of the new rural cooperatives will be improved. At the same time, the scope of medical treatment and medical insurance will be expanded.
17 places have planned to deploy unified urban and rural medical insurance
In January this year, the "Opinions of the State Council on Integrating the Basic Medical Insurance System for Urban and Rural Residents" proposed that all provinces (autonomous regions and municipalities) should plan and deploy the integration of urban and rural medical insurance systems by the end of June 2016. A specific implementation plan will be issued before the end of the month.
According to statistics, 17 provinces, autonomous regions and municipalities (including the Corps), including Hunan, have made relevant planning and deployment at the provincial level. They have clearly defined the unified urban and rural residents' medical insurance after integration, and they are assigned to the management of the human and social departments. Urban and rural residents will enjoy the same medical insurance catalogue and reimbursement ratio. The remaining provinces have not yet been planned and deployed.
Among them, Tianjin, Shanghai, Zhejiang, Shandong, Guangdong, Chongqing, Ningxia, Qinghai, Xinjiang Construction Corps and other nine places, before the State Council documents have been promoted and integrated, the establishment of a unified urban and rural residents medical insurance system.
In the first half of this year, eight provinces and municipalities including Hebei, Hubei, Inner Mongolia, Jiangxi, Xinjiang, Hunan, Beijing, and Guangxi successively issued documents and deployed urban and rural medical insurance. The implementation opinions of the municipal-level co-ordination areas are brewing and will be rushed before the end of the year. Announced.
According to the "six unification" idea established by the "Opinions", the integrated medical insurance for urban and rural residents will achieve unified coverage, unified fund-raising policy, unified guarantee treatment, unified medical insurance catalogue, unified fixed-point management, and unified fund management. Therefore, after the integration of the system, the level of fundraising and the level of protection will increase accordingly.
Increased security level of urban and rural residents after integration
Recently, the Hunan Provincial People's Government issued an implementation opinion requesting that the management and management functions of the new rural cooperative medical care in Shengzhou, counties, and townships be transferred to the human society department before August 30.
The opinions are clear, and the current urban basic medical insurance and the new rural cooperative medical insurance catalogue should be merged into a new version of the Hunan Sakamoto medical insurance drug catalogue, medical treatment catalogue, high-value medical consumables catalogue and medical service facility catalogue from January 2017. It will be implemented uniformly throughout the province from the 1st. The original urban residents' medical insurance and the new rural cooperative medical institutions will be included in the overall management of urban and rural residents' medical insurance agreements. Eligible village clinics and community health service institutions are included in the scope of medical institutions for urban and rural residents' medical insurance outpatient consultation, and village clinics are managed by township medical institutions.
At the same time, Hunan has comprehensively implemented the reform of the medical insurance payment method based on total control, and actively promoted the payment method based on disease type, based on the combination of head payment, bed payment, and total advance payment, and gradually improved the risk control and cost sharing of medical insurance. mechanism.
According to the statistics released by the Ministry of Human Resources and Social Security, the basic medical insurance data of urban (urban and rural) residents refers to the urban and rural coordinated medical insurance data managed by the urban residents' medical insurance and the Ministry of Human Resources and Social Security. In 2015, the per capita government subsidy for medical insurance for new rural cooperatives and urban (urban and rural) residents was 380 yuan, but in terms of individual contributions, urban (urban and rural) residents' medical insurance contributions were slightly higher than the new rural cooperative medical insurance, so the actual per capita financing of the two They were 515 yuan and 490.3 yuan respectively, and the proportion of personal contributions to fund income was 22.6% and 18% respectively. From the perspective of protection level, the reimbursement rate of hospitalization expenses within the scope of the 2015 new rural cooperative medical policy is about 75%, and the reimbursement rate within the scope of urban (urban and rural) residents' medical insurance policy is 68.6%.
According to the principle of “the width is not narrow, the high is not lowâ€, after the integration of the system, the personal medical insurance contributions of the new rural cooperatives will be improved, and the protection level of the urban residents’ medical insurance will also be improved.
The number of designated hospitals and medical insurance drugs has doubled
According to statistics from the "Legal Evening News" reporters, according to the data of local people and social organizations, after the integration of urban and rural medical insurance, the list of medical institutions and medical insurance drugs designated by medical insurance in various places has been significantly expanded. In particular, the rural residents who are participating in the new rural cooperative medical system have doubled the scope of medical insurance after the merger.
For example, in the provinces where a unified urban and rural residents' medical insurance system has been established, the Tianjin Municipal Human Resources and Social Security Bureau revealed that after the integration of urban and rural medical insurance, the number of medical insurance products for rural residents has increased from more than 2,000 to more than 7,300, an increase of 2 Times. In addition, the number of designated hospitals for rural residents has also increased from the original 30 to more than 1,400.
After the integration of urban and rural medical insurance in Shandong, Guangdong and Ningxia, the urban and rural residents use the basic medical insurance drug list. The types of reimbursable drugs for farmers are expanded from 1,100, 108, and 918 to 2,400, 2,450, and 2,100. Increase more than 1 time.
Some Zhejiang netizens revealed on Weibo that his father could only eat more than 20 yuan a bottle of medicine before the "consolidation". Now that the choice of medicines has been expanded, although some medicines have been paid more than in the past, the part of the payment has not been much different from the previous one, and the medicine has reached a grade.
In the provinces where integrated urban and rural medical insurance has been deployed, some places also regulate medical insurance. Taking Inner Mongolia as an example, the list of new agricultural cooperative medicines has increased from 1988 to more than 2,600, with an increase of more than 30%. The actual reimbursement rate of the new rural cooperatives will gradually move closer to urban residents; in Hebei, according to the guarantee, “the high is not high. On the low level of integration, after integration, the list of basic medical insurance for urban and rural residents can reach 2,900.
Urban residents' medical insurance and urban workers' medical insurance reimbursement in some areas are also in the policy convergence.
After the “consolidation†medical insurance system is fully networked
In addition to the expanded range of medical treatment and medical insurance, the proportion of medical insurance reimbursement has also increased accordingly. At the same time, some provinces have also comprehensively built a medical insurance information system with “network extension and data concentrationâ€, providing medical insurance services for employees, urban residents and rural residents.
“The integrated medical insurance for urban and rural residents has become more fair, and the level of medical insurance for residents has also increased steadily in recent years,†said the person in charge of the Medical Insurance Department of the Zhejiang Provincial Department of Human Resources and Social Security.
According to local media reports, the per capita funding standard for urban and rural residents in Zhejiang Province has increased from 489 yuan in 2012 to 785 yuan in 2015. The proportion of outpatient expenses reimbursement within the county policy has increased from 35% in 2012 to 50%. The proportion of reimbursement for hospitalization expenses in the range has increased from 62% in 2012 to around 75%.
According to reports, in 2015, Zhejiang Province took the lead in realizing the full coverage of the major illness insurance system on the basis of the integration of urban and rural residents' medical insurance. According to statistics, by the end of the year, Zhejiang Province's major illness insurance fund paid about 1.3 billion yuan. The basic medical insurance for the beneficiary of major illness insurance plus the total reimbursement rate for major illness insurance exceeded 80%, greatly reducing the burden of medical expenses for the bigbuker.
According to the Guangdong Provincial Department of Human Resources and Social Security, in 2012, Guangdong achieved the province's medical insurance urban and rural planning, and the level of medical insurance for urban and rural residents gradually increased thereafter. The proportion of hospitalization reimbursement within the policy range increased from 54% to 76%, and the maximum payment limit increased from 50,000 yuan. To 440,000 yuan.
The medical insurance systems of 40 districts and counties in Chongqing Municipality have all been connected to the Internet, and 95% of the village clinics can be swiped for medical treatment. More than 32 million urban and rural insured persons have visited nearly 3,000 designated medical institutions and more than 5,000 designated pharmacies. Purchase medicine to achieve real-time credit card settlement.
Different from Chongqing, Jiangsu's role in information technology is reflected in the regulatory aspect. The Department of Human Resources and Social Security of Suzhou City, Jiangsu Province, through the remote monitoring system, conducts “no blind zone†supervision for each fee charged by the insured patients. The city's 107 fixed-point retail pharmacies, all equipped with remote monitoring systems, so that the overall cost of designated pharmacies decreased by 20% compared with the previous year.
Focus 40 million repeat enrolled population will be removed
The "Legal Evening News" reporter noted that due to the lack of information in the past, the phenomenon of repeated participation in insurance across the region and across medical insurance for migrant workers and students in school has led to the problem of repeated financial subsidies and repeated reimbursement of medical insurance. According to estimates by the Ministry of Human Resources and Social Security, based on the 1 billion urban and rural residents, the national repeat participation rate is about 4%, that is, 40 million people repeatedly participate in medical insurance. According to the current financial subsidy standard, the amount of repeated subsidies exceeds 16 billion yuan per year. During the period of multi-site promotion of urban and rural medical insurance, a number of repeated insured populations were also written off.
According to the data of the Ministry of Human Resources and Social Security, the integration of only one province in Shandong Province eliminated the repeated participation of 2.5 million people, and saved more than 800 million yuan of financial duplication funds.
Tianjin Human Resources and Social Security Bureau also revealed that during the integration of urban and rural medical insurance in Tianjin, the phenomenon of repeated participation in insurance was completely eliminated, including 400,000 rural residents who participated in urban workers' medical insurance, migrant workers' medical insurance and new rural cooperative medical insurance, and nearly 40,000 cross-country districts and counties. Repeat the insured population.
"By integrating the medical insurance fund and unified fixed-point management, the insured residents can enjoy the urban and rural integration services, and the transfer of medical insurance relationship between urban and rural residents will be more convenient," said Fu Fulin, a professor at the Central University of Finance and Economics.
The prices of the three commonly used drugs have dropped by more than 50%.
In October last year, with the approval of the State Council, the National Health and Family Planning Commission and other 16 departments organized the first batch of pilot projects for national drug price negotiations. The main purpose of the project was to promote centralized drug procurement in public hospitals and reduce the burden of drug use for patients.
It is understood that the first batch of negotiations on the national drug price negotiations drug tenofovir disoproxil fumarate (trade name "Wired"), ectinib hydrochloride (trade name "Kemena"), gefitinib (trade name) The trade name “Irisa†has been fully included in the scope of reimbursement for the new rural cooperatives. The price reduction of the three negotiated drugs is 67%, 54% and 55% respectively.
On May 20 this year, the National Health and Family Planning Commission announced that the three drugs of lung cancer and hepatitis B entered the first negotiation list.
Chronic hepatitis B treatment drug "tenofovir disoproxil fumarate tablets", after the negotiation, the monthly average drug cost decreased from 1,500 yuan to 490 yuan, the price dropped by 67%; non-small cell lung cancer treatment drug "gefitinib "For the purpose of targeting anti-cancer drugs, the monthly average drug cost after negotiation is reduced from 15,000 yuan to 7,000 yuan, the price drop is 55%; non-small cell lung cancer treatment drug "Ektorinib hydrochloride tablets", monthly average drug after negotiation The cost dropped from 12,000 yuan to 5,500 yuan, and the price cut was 54%.
Hepatitis B Drugs has become the lowest in the world after the price cut.
According to statistics from the China Center for Disease Control and Prevention, there are currently 90 million hepatitis B virus carriers in China, of which 28 million are chronic hepatitis B patients and 7.6 million hepatitis C infections require timely and correct antiviral treatment – ​​the cost of drugs for hepatitis B patients. The burden is heavy.
In addition, the incidence of lung cancer in China is increasing by 26.9% per year. Lung cancer has become the first cause of death in malignant tumors in China. It is estimated that by 2025, the number of lung cancer patients in China will reach 1 million, becoming the world's largest lung cancer country, and one for tertiary specialists. The economic burden of hospitalized patients with lung cancer in hospitals shows that the annual per capita total cost of patients is about 150,000 yuan.
After the integration, the scope of medical insurance for rural residents will be doubled. In addition, 40 million urban and rural residents will be excluded.
December 19, 2022