Nanyang New Deal: medical insurance reimbursement rate of 10% to 20%

December 27, 2017 government website

Recently, the nanyang municipal planning commission, the national development and reform commission, people club bureau and other nine departments jointly plan the nanyang promote national comprehensive reform pilot area construction of traditional Chinese medicine supportive measures, put forward to include qualified TCM diagnosis and treatment projects in medical insurance to pay limits, include traditional Chinese medicine formula granules in medicare drug reimbursement directory; In the second level of TCM hospital, the staff will enjoy preferential treatment in terms of pay line and reimbursement rate...

It is reported that nanyang city is one of the 15 national traditional Chinese medicine reform pilot areas, henan province, the two cities of nanyang and xuchang. This policy is also the first traditional Chinese medicine support policy in the whole province. This was made in the city's family planning commission yesterday.

The doctor of traditional Chinese medicine hospital

10 yuan per patient per patient

The city of nanyang will increase the investment in the basic construction projects of public traditional Chinese medicine hospitals.

To establish a perfect public hospital compensation mechanism of traditional Chinese medicine, each 10 yuan 1 m outpatient subsidies, inpatient day allowance RMB 10 per bed, according to last year's actual outpatient attendances and out of the hospital bed days calculation. Support zhongjing college to carry out the "zhongjing national doctor", the high end of the talent cultivation, each year grants 500,000 yuan, including the city budget.

For the health service project of traditional Chinese medicine, to simplify the procedures in accordance with the law, in the case of complete approval procedures, the project proposal and feasibility study report shall be approved in the shortest time. In order to include the key projects of the city level and above, the green channel such as the joint review group shall be implemented.

On the policy of health reform, China will lean towards traditional Chinese medicine, introduce policies and measures conducive to the advantages of traditional Chinese medicine, and establish a new mechanism to highlight the characteristics of traditional Chinese medicine.

We will expand coverage of medical insurance coverage for TCM

The reimbursement rate increased by 10% to 20%

In the second and tertiary TCM hospitals (integrated hospital of traditional Chinese and western medicine), the proportion of medical service fee reimbursement for medical insurance of urban workers is increased by 10%, and the pay line is reduced to a level. The reimbursement rate of medical treatment service fee for medical insurance for urban and rural residents increased by 20%, and the pay line fell a notch.

The patient is admitted to the tertiary TCM hospital for medical treatment, and the medical expenses incurred in the tertiary TCM hospital are carried out in accordance with the standard of the second grade hospital. According to the knowledge, there are three hospitals in the tertiary TCM hospital in the city: nanyang central hospital, medical secondary school and zhang zhongjing hospital.

In order to integrate therapeutic effect and service price into the coverage of medical insurance, Chinese medicine prescription granules should be included in the medical insurance catalogue. After the outpatient service as a whole, the use of Chinese medicine yinpian, preparation, non-drug therapy (such as used in the treatment of sex of moxibustion, cupping, scrape sha, massage, etc.) and the traditional diagnosis and rehabilitation projects into the overall scope of reimbursement, reimbursement ratio than other treatment and rehabilitation services increased by 10%.

To carry out the traditional Chinese traditional Chinese medicine, such as fracture of distal radius fracture, collarbone fracture, bone fracture, anorectal diseases, etc., to pay the same price as western medicine. The standard of specific TCM diseases is formulated.

Carry out the campus activities of traditional Chinese medicine culture, integrate the traditional Chinese medicine culture popularization knowledge and zhang zhongjing culture into the students' teaching materials of the city's primary and secondary schools, publicize and popularize the knowledge of traditional Chinese medicine culture and science popularization.