"Last year, my father spent more than 410000 yuan on outpatient services and hospitalization. Unexpectedly, after reimbursement of more than 290000 yuan from other places, he could still enjoy retroactive relief policy, and recently received another 49000 yuan in medical aid." This relief fund surprised Mr. Yao, a resident of Jishui Community, Jishui Street, Wangjiang County, Anqing City, Anhui Province. Not only Mr. Yao, but more and more medical insurance participants across the country have received subsidies and assistance without applying.
In fact, this is the specific embodiment of the implementation of the medical insurance "pay for people" measure. The fact that the masses can automatically enjoy medical insurance benefits is a vivid practice of the people centered development thought of the Party and the government, an important achievement of optimizing government services and improving administrative efficiency, and highlights the temperature of policy benefiting the people.
The fundamental purpose of the universal medical insurance system is to relieve the medical worries of all people. As an important part of social security, medical security plays an important role in improving people's livelihood, maintaining social harmony and promoting common prosperity. With the economic and social development, the medical insurance benefits of the people have been greatly improved, including basic medical insurance for medical treatment, maternity insurance for women of childbearing age, and work-related injury insurance for employees; At the same time, good medical insurance policies such as serious illness insurance and medical assistance have also effectively reduced the burden of people's medical care.
What are their own benefits, how much reimbursement proportion they can enjoy for cross provincial medical treatment, what are the special policies for chronic and special diseases in outpatient clinics, where to reimburse medical expenses and receive maternity allowances after giving birth... While the medical insurance benefits are improved, the insured also have to face such professional problems. According to the data of the National Health Insurance Bureau, the number of people covered by basic medical insurance will reach 1.334 billion by the end of 2023. It is impossible for such a large group of insured people to become "medical insurance policy experts". Therefore, let the insured find their own corresponding treatment, and good policies may be blocked in the "last mile". In particular, the insured people who are in remote areas, with low educational level and poor health often fail or delay in enjoying benefits because they do not understand the policy or apply in a timely manner.
The CPC Central Committee and the State Council have always attached great importance to the convenience services in the field of medical insurance. In the Opinions on Deepening the Reform of the Medical Security System issued by the CPC Central Committee and the State Council, it is clearly proposed that the medical insurance management and public service system should be improved, and more precise and refined services should be provided, information services should be improved, and medical insurance governance innovation should be promoted, Provide convenient and efficient medical security services for the people. At the beginning of this year, the State Council issued the Guiding Opinions on Further Optimizing Government Services and Improving Administrative Efficiency to Promote "One Thing to Do Efficiently", and "One Thing" related to medical insurance, such as "One Thing for Newborn Birth" and "One Thing for Social Security Card Residents", were listed as priorities of work to further promote more efficient and convenient medical insurance services.
In February this year, the National Health Insurance Bureau released the list of key items for 2024 medical insurance to "efficiently accomplish one thing", actively expand the scope of efficient service items, promise the society to promote online services "all in one network", achieve more online, handheld and video services for medical insurance services, improve the overall online level, provide intelligent service guidance, and achieve more "free application and enjoy" ； Improve the "humanized" service level, promote the parallel innovation of traditional service mode and intelligent service, narrow the difference of service experience, and ensure that different people enjoy services equally. At present, in the fields of maternity allowance, financial support for people in need to participate in insurance and medical assistance, many places have changed from "people asking for benefits from medical insurance" to "medical insurance looking for people according to benefits".
Needless to say, at present, the "pay for people" puts forward higher requirements for cross regional and cross departmental information sharing. How to further improve service efficiency and level to test the ability of overall planning and coordination. However, there are always more ways than difficulties, more cooperation and more initiatives. I believe that good policies can accurately serve a wider range of insured people.
Convenient, humane and innovative medical insurance services warm the hearts of the people, win the hearts of the people and win the support. They not only promote the sense of access, happiness and security of medical insurance for all, but also provide a strong guarantee for the high-quality development of medical security. We look forward to further expanding the coverage of "looking for people for treatment", so that people can enjoy more convenient medical insurance services.
People's Daily (May 24, 2024, version 19)
