High medical costs for low-income rural residents will be included in the early warning of poverty due to illness

2022-06-13 0 By

Wuhan Evening News in order to consolidate and expand the achievements of poverty alleviation by medical security in Wuhan and promote the rural revitalization strategy in an all-round way, wuhan Medical Insurance Bureau and other seven departments jointly issued the Implementation Plan of Effectively integrating the achievements of poverty alleviation by medical security in Wuhan with the Rural revitalization Strategy (hereinafter referred to as “implementation Plan”).Since January 1, 2022, Wuhan has adjusted the “four-in-one” health poverty alleviation mechanism during the poverty alleviation campaign, gradually incorporating the major disease supplementary medical insurance system for poor people into the medical assistance system, and making a smooth transition to a triple system of coordinated basic medical insurance, major disease insurance and medical assistance.On The 22nd, Changjiang Daily reporter exclusive interview with the relevant person in charge of Wuhan Medical Insurance Bureau on the “implementation plan” for a detailed interpretation.According to reports, in order to closely link up the rural revitalization strategy, the adjustment is mainly to the special policies used in the poverty alleviation period, according to the requirements of the “four not to pick”, according to the status of the poor people after they get out of absolute poverty, the city’s poverty alleviation policy is optimized and improved.Connect the country revitalization strategy, recipients of adjustment for low-income rural population “implementation plan” explicitly, recipients by inputting tent card rural poverty population is adjusted for low-income rural population, including strands personnel, low, into the monitoring scope in poverty population, unstable population out of poverty, the edge of poverty population, population of sudden severe difficulties.As all the poor people in rural areas are lifted out of poverty, some low-income groups, those vulnerable to falling back into poverty, and marginalized groups should be included in medical security and medical assistance in advance, so that they will not fall below the poverty line again when they fall ill.The Implementation Plan serves as a major mechanism for the city to implement the rural revitalization strategy. It defends the risk of falling into poverty and returning to poverty, guides the transition and connection of local policies in stages, and focuses on establishing a long-term mechanism to prevent falling into poverty due to illness and falling back into poverty due to illness.We will raise the reimbursement rate for extremely poor rural people from serious illnesses by 5%, and improve the comprehensive benefits of the basic medical insurance system. According to the Implementation Plan, we will coordinate the three systems of basic medical insurance, serious illness insurance, and medical assistance to make them a regular system, and “release the effect of reducing burden in a comprehensive manner through the three medical insurance systems.”First of all, zhuhai will continue to ensure that the rural low-income population is fully insured.The city will continue to subsidize the participation of urban and rural residents in medical insurance. Through more accurate identification, the city will implement a differentiated subsidy policy for rural low-income people to participate in the individual contribution of urban and rural residents’ medical insurance.The city’s rural revitalization and civil affairs departments identify the corresponding rural low-income population according to the division of functions, and the medical insurance departments “receive all the rural low-income population according to the document”, which are all included in the city’s basic medical insurance coverage.According to reports, at present, the insurance rate of the city’s rural low-income population is stable at more than 99.9%.”Through the establishment of the city’s unified medical insurance system for urban and rural residents, to solve the basic medical security of rural low-income population”, all insured persons in the city enjoy unified medical insurance treatment for urban and rural residents, and the hospitalization expense payment proportion within the scope of the medical insurance policy for urban residents is stable at about 70%.On this basis, the city has promoted the full coverage of medication guarantee and health management for both hypertension and diabetes among urban and rural residents.At the same time, the city’s poor rural population to implement a major disease insurance policy for urban and rural residents preferential security.Starting from January 1 this year, the minimum payment line for serious illness insurance for extremely poor rural residents, recipients of subsistence allowances and those who return to poverty will be reduced by 50 percent, the reimbursement rate will be increased by 5 percentage points, and the ceiling line will be cancelled.In addition, on the basis of improving the medical insurance system for urban and rural residents and the serious illness insurance system, and in accordance with the principle of “insurance before assistance”, medical assistance will be provided to those who still bear a heavy burden of personal medical expenses after the payment of basic medical insurance and serious illness insurance, so as to jointly prevent the risk of returning to poverty due to illness.Before that, Wuhan implemented a “four-in-one” health poverty alleviation mechanism of “basic medical insurance + serious disease insurance + medical assistance + supplementary medical insurance for serious disease”.During the transition period, the city will coordinate the triple institutional security and implement the adjustment of residents’ basic medical insurance, serious disease insurance and medical assistance benefits.”The biggest change in this adjustment is to enhance the function of the medical assistance system,” focusing on reducing the burden of medical expenses for people in need of serious and major diseases, shoring up areas of weakness in medical insurance and addressing the problem of inadequate medical insurance, and “strengthening the role of medical assistance as a cushion for those in need.”Starting this year, the city will integrate funds from other medical security measures during the poverty alleviation period into the medical assistance system.According to reports, the city’s medical assistance costs will mainly cover: the aid objects in the designated medical institutions in hospital costs, long-term medication due to chronic diseases or serious diseases need long-term outpatient treatment within the scope of the policy.Preferential assistance will be provided to low-income rural residents who still bear a heavy burden of medical expenses within the scope of the policy after receiving basic medical insurance, serious disease insurance and medical assistance.According to the “implementation Plan”, within the limit of annual assistance, the proportion of self-paid assistance for the extremely poor in Our city within the scope of hospitalization policy reaches 100%.Outpatient treatment of severe (chronic) diseases, major diseases and hospitalization policy within the scope of personal burden of more than 5000 yuan (excluding hospitalization starting payment standards), the special destitute people by 100% to give preferential assistance.The high medical expenses of rural low-income people will be included in the warning range of poverty caused by disease. The city will strengthen the linkage between departments, and timely include eligible poor people in the assistance scope.At the same time, a monitoring and early warning mechanism has been established for patients to bear the burden of high medical expenses. Those who have accumulated medical expenses of low-income rural population and stable poverty alleviation population in the same year exceeding 50% of the per capita disposable income of rural residents in the previous year are included in the early warning range for returning to poverty due to illness.Among the ordinary participants of the medical insurance for urban and rural residents, those whose accumulated medical expenses in the current year exceed the per capita disposable income of rural residents in the previous year shall be included in the warning range of poverty caused by disease.We will establish a mechanism for providing aid based on application, strengthen comprehensive measures to ensure medical assistance, temporary assistance, and charity assistance, and provide targeted assistance by different levels and categories.(Reporter Hu Qiong correspondent Sun Dong Sun Jianbin watch Yu Lina)