Medical network February 3 - remember early last year, focus has long the joining together of two insurance documents "of the state council about the opinions of the integration of urban and rural residents basic medical insurance system, formally launched. In addition to specific provision coverage, financing policy, to ensure treatment and health care directory, unified point management, fund management, and other "six unification", even more impressive and its clear work progress, namely each region as a whole to a concrete implementation plan prior to the end of December 2016.
Now a year has passed. On January 23, 2017, human resources and social security ministry held a press conference in the fourth quarter of 2016, spokesman ai-hong lu said in an interview, by the end of 2016, the national total of 30 provinces and xinjiang production and construction corps issued documents of integrating urban and rural residents health care and make the work deployment.
And in addition to basic health care integration of urban and rural residents, in the following work arrangements, payment health-care reform, the medical insurance fund budget management, 3 d linkage and press disease to pay will be important to promote the work. In addition, long-term care insurance system and medical insurance and maternity insurance merger pilot work will be carried out step by step.
1, the papers at the last minute
After E medicine managers statistics, as of December 31, 2016, a total of 30 provinces (municipalities directly under the central government, autonomous regions) released the urban and rural residents health care integration scheme of detailed implementing rules (including the xinjiang production and construction corps).
Currently published concrete detailed rules for the implementation of basic medical insurance of urban and rural provinces
From the point of management of the ownership after the joining together of two insurance, and so far only in shaanxi province is led by who planning commission to complete the joining together of two insurance work, and most other provinces planning of urban and rural residents basic medical work is still dominated by people club department. Ai-hong lu also said in an interview, so far, including hebei, hubei, Inner Mongolia, jiangxi, xinjiang and other 22 provinces, straighten out the management system of the three universal health care system and unified management by people club department.
And from the specific detailed rules for the implementation of urban and rural residents basic medical insurance of the time, the nine provinces in the documents of the state council before the issuance of the fully integrated system, the establishment of a unified, respectively in tianjin, Shanghai, zhejiang, shandong, guangdong, chongqing, ningxia, qinghai and xinjiang production and construction corps. Which is the end of 2014 in 11 districts in zhejiang province, formulate a unified urban and rural residents in the city after the medical insurance system, and on October 24, 2016 issued by zhejiang people's government on the further promotion of the construction of the basic medical insurance system for urban and rural residents several opinions, further the reform will be available to the entire province.
Interestingly, as each exam papers in advance, also differs to a certain someone never submit to the examination room the bell. Compared to tianjin, Shanghai, ningxia, chongqing and other places of the positive, there are also many provinces and cities of policy is less than the last one is not. Last five days in 2016, a total of six provinces concentrated issued on the implementation of urban and rural residents medical treatment insurance of the implementation opinions, anhui, guizhou, jiangsu, hainan, jilin, sichuan, and a content also gives the same, with the state department released version.
Around ai-hong lu said that in the process of integration, which generally follow the "pay cost is low not high, the treatment is high is low, the directory is not wide narrow" train of thought, from the place where is integrated practice, significantly enhanced the equality of residents' health care system, especially the utilization level of rural medical service and safeguard level is generally improved, at the same time, also enhanced the ability to help each other in all aid, medical insurance fund so the next step will focus on advancing the region as a whole to continue to do a good job of system integration.
2, step-by-step vs self challenge
Issued by the state council have put forward the opinion, the region as a whole in the implementation of urban and rural residents basic medical insurance system should follow the "six reunification" system of the integration of the basic policy, namely uniform coverage, financing policy, to ensure treatment, medical insurance directory and fixed-point management and fund management. Just around the execution progress, most of the provinces are fairly, formulated in accordance with "six reunification" solution to the province. But there are a handful of provinces and cities and on the basis of "six" puts forward "eight" and even "nine".
For example in jiangxi province is unified "eight" system of execution. In six unification, on the basis of jiangxi province continue to put forward to "unified as a whole the level" and "unified security mechanism" of a serious illness. So-called unification as a whole level, is actually improve classification management of funds, the districts municipal system as a whole, the conditions are ripe the city divided into districts shall fund unified collection of expenditure management, in order to give full play to the government at the county level, management of orgnaization of agency of fund management motivation and initiative. Unified guarantee mechanism of a serious illness is ginseng protect personnel to participate in urban and rural basic medical insurance at the same time to participate in the urban and rural residents a serious illness insurance, unifying the province of urban and rural residents medical treatment of a serious illness to free treatment system.
In yunnan province, although there is no major health care for rules, but on the basis of the unified as a whole level, and increase the "unified under centralized management" and "unified information system" two parts, without trying to break through the establishment of the total, the urban and rural residents basic medical insurance management function, organization, personnel and so on all over to a whole department responsible for the management agency, and provincial public instruction, human resources and social security hall, health and family planning commission, departments, bureaus, protects inspect bureau and cooperation at all levels of government.
3, industry, market expansion
For the pharmaceutical industry, urban and rural health care system was actually means the rapid expansion of the market. Although is not the simple addition of "1 + 1 = 2", but you can see the situation is, the joining together of two insurance, medical insurance fixed-point medical institutions and health care drugs directory will significantly expand, including new farming and drug directory expansion rate will be greater, so that the base medicine a lot into the primary market.
Taking hunan province as an example, on November 15, 2016 people club hall of hunan province issued "on the integration of urban and rural basic medical insurance drug catalogue of hunan province about the situation of the public", will be formally integrated urban and rural basic medical insurance drug catalogue, and from the point of integration results, 119 varieties on the basis of the original directory supplemented, 80 varieties of the original directory to supplement dosage forms, the original directory 62 cancel delimits the scope of pay for each type. Is, therefore, for drug firms, new farming and the rapid expansion of the market is a worthy of reclamation areas, so how to enter the next new medical insurance directory is priority. |
