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The author:(作者)hpmailerpublished in(发表于) 2013/11/30 9:36:13 Health Planning Commission response to the offsite medical reimbursement
Xinhuanet, Beijing, November 29 (reporter Li Ying)-offsite medical reimbursement issues caused a hotly debated online. How to troubleshoot an offsite medical clearing? The afternoon of 29th, National Planning Commission Deputy Director of reform, health reform Office of the State Council policy group Fu Wei on online interview for the site, said: "the next step will be settled fully implemented in different places within the province for medical treatment, cross the province is actively exploring offsite treatment mechanism for real time. ”
Fu Wei introduced for inter-provincial offsite medical real time, multiple forms of exploration had been carried out. "In terms of new rural cooperative, active in constructing a national information platform, currently in Beijing, Inner Mongolia and Jilin provinces have established provincial platform, and some of the largest medical institutions in the networked, which laid the basis for instant settlement of trans-provincial. Urban workers and residents healthcare in the Yangtze River Delta, Pearl River Delta and the region through regional networking, peer to peer networking such as accessible and timely reimbursement of medical expenses. ”
"At present, the urban workers, the new rural cooperative medical insurance, urban residents health care has achieved in the integrated medical attention settled on a real-time basis within the region, and through the establishment of provincial settlement platform to actively promote the offsite in a provincial doctor settled on a real-time basis. "Fu Wei said.
Fu Wei, currently offsite medical settlement push also save some difficult points. "One is that we are now all over the informatization construction standards are not unified, the platform is not very sound, medical insurance policy, and treatment is not the same all over, now health and manpower levels are still relatively low, offsite medical us about all these aspects of the settlement brings with it a certain degree of difficulty. ”
"The next step to further improve the Medicare level, accelerate the construction of basic healthcare information. "Fu Wei says," first of all to fully implement offsite medical settlement in the province and, secondly, for opinions about off-site medical reimbursement of such prominent issues, such as retired workers live off-site medical problems, cross the province is actively exploring offsite treatment mechanism for real time. Of course I want to, at convenient off-site medical clearing of carrying out exploration work in this area at the same time, should gradually establish with reasonable medical referrals for medical treatment, classification of mechanisms. ”
新华网北京11月29日电(记者 李莹)异地就医报销的话题一度引发网友热议。如何解决异地就医结算？ 29日下午，国家卫计委体制改革司副司长、国务院医改办政策组负责人傅卫在网站在线访谈上时表示：“下一步将全面推行省内的异地就医结算，正在积极探索建立跨省异地就医即时结算的机制。”
傅卫介绍，针对跨省异地就医即时结算，已经开展多种形式探索。“在新农合方面，积极地建设国家级信息平台，目前在北京、内蒙、吉林这样一些省份建立了省级平台，和一些大型医疗机构实现了联网，这为跨省的即时结算奠定了一个基础。城镇职工和居民医保在长三角、珠三角这些地区已经通过区域联网、点对点联网这样一些方式方便群众及时报销医药费用。”
“目前，城镇职工医保、城镇居民医保、新农合都已经基本实现在统筹区域内就医即时结算，并且通过建立省级结算平台来积极推进在一个省域内的异地就医即时结算。”傅卫说。
傅卫表示，目前异地就医结算推进还存一些难点。“一是我们现在各地的信息化建设标准还不统一，平台不是很健全，各地的医保政策和待遇也不相同，现在医保统筹层次相对也还比较低，这些方面的问题都给我们异地就医结算带来了一定的难度。 ”
“下一步要进一步提高医疗保障的层次，加快基本医保信息化的建设。”傅卫说，“首先要全面推行省内的异地就医结算；其次，针对大家反映比较突出的这样一些异地就医报销的问题，比如像退休职工异地居住的就医问题，正在积极探索建立跨省异地就医即时结算的机制。当然我想，在方便异地就医结算开展这方面工作探索的同时，也应该逐步建立患者合理转诊就医、分级医疗的机制。”
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