On the policy of incorporating Chinese medicine into basic medical insurance

2017-06-16 11:57 Source: Chinese Traditional Chinese Medicine Editor: Tang Qian Chinese medicine health 

      In order to cooperate with the study and propaganda of Chinese medicine law, Song Dahan, director of the Legislative Affairs Office of the State Council, Wang Guoqiang, deputy director of the State Health Administration and the State Administration of Traditional Chinese Medicine, Yuan Shuhong, deputy director of the Legislative Affairs Office of the State Council, Xu Anbiao, deputy director of the Law Committee of the National People's Congress, People 's Republic of China Traditional Chinese Medicine Law "Interpretation" a book, the book published by the China Democracy and Law Publishing House.

      Interpretation of Chapter VII of Safeguard Measures Article 49 today

      The relevant departments of the local people's governments at or above the county level shall, in accordance with the provisions of the State, incorporate the qualified Chinese medical institutions into the scope of medical care for basic medical insurance, and shall meet the requirements of traditional Chinese medicine clinics, Chinese medicine Pieces, Chinese medicine and medical institutions. Insurance fund payment range.

      Interpretation

      This section is about the adoption of basic medical insurance policies to promote the development of Chinese medicine.

      This section is about the adoption of basic medical insurance policies to promote the development of Chinese medicine

      In recent years, China's traditional Chinese medicine service capacity gradually increased. However, the total amount of Chinese medicine service resources is still insufficient, the phenomenon of Chinese medicine services shrinking, grass-roots Chinese medicine service capacity is weak, the scale and level of development can not meet the health needs of the people.

      Chinese medicine service is an important part of the development of Chinese medicine, promote the provision and use of Chinese medicine services, can promote the inheritance and innovation of Chinese medicine, promote Chinese medicine personnel training and the development of traditional Chinese medicine, and thus promote the development of Chinese medicine. At present, China's basic medical security system has been improved, the basic medical insurance insurance rate is stable at more than 95%. The basic medical insurance policy has an important guiding effect on the medical institutions and insurers' use of medical services. The development and implementation of the corresponding basic medical insurance policy can support the development of Chinese medicine services.

      This article from the eligible medical institutions into the scope of basic medical insurance designated medical institutions, will meet the conditions of Chinese medicine diagnosis and treatment projects, Chinese medicine into the basic medical insurance fund to pay the scope of the two aspects of the provisions of the guidance of medical institutions, insured to provide, to accept Chinese medicine services to support the development of Chinese medicine services.

      About the scope of medical institutions to be included in the basic medical insurance designated medical institutions. At present, the state of the basic medical insurance designated medical institutions to implement the agreement management. Medical institutions that meet the conditions of the basic medical insurance designated medical institutions may voluntarily apply, and after the assessment and with the basic medical insurance agency to sign a service agreement, become the basic medical insurance designated medical institutions. The medical expenses of the insured person in the basic medical insurance designated medical institution that meets the basic medical insurance drug directory, the medical treatment project catalog and so on, can be paid from the basic medical insurance fund according to the regulations.

Will meet the provisions of the Chinese medical institutions into the basic medical insurance fixed-point medical institutions, the insured people to accept Chinese medicine services to provide more choices to meet the needs of its Chinese medicine services can also guide the insured to choose to accept Chinese medicine services, Conducive to the development of Chinese medical institutions. The local people's government at or above the county level is responsible for the basic medical insurance management departments in determining the basic medical insurance designated medical institutions, medical institutions to carry out assessment and other aspects should consider the Chinese medical institutions, will meet the conditions of traditional Chinese medical institutions into the basic medical insurance designated medical institutions Scope, to protect the insured to accept Chinese medicine services, promote the development of Chinese medical institutions.

      The traditional medical insurance institutions into the basic medical insurance sentinel medical institutions is a long-term implementation, to promote the development of Chinese medicine safeguard measures, "Chinese Medicine Ordinance," Article 27 of the provisions of the local people's governments above the county labor and social security departments to determine Urban workers basic medical insurance designated medical institutions, should meet the conditions of Chinese medicine medical institutions. This Act extends this measure and extends this measure to all basic medical insurance systems based on the development of basic medical insurance in recent years.

      About the Chinese medicine diagnosis and treatment projects, Chinese medicine into the basic medical insurance fund to pay the scope. Article 28 of the Social Insurance Law stipulates that the basic medical insurance drug catalog, medical treatment project, medical service facilities standards and emergency, rescue medical expenses, in accordance with state regulations from the basic medical insurance fund to pay. That is, only the basic medical insurance drugs included in the directory, the list of medical treatment items, medical expenses, the basic medical insurance fund to be paid.

      Chinese medicine diagnosis and treatment projects, Chinese medicine into the basic medical insurance diagnosis and treatment project directory, drug directory, to meet the needs of the Chinese medicine services of the insured, guide the insured to choose to accept Chinese medicine services, is conducive to promoting the development of Chinese medicine services. Chinese medicine diagnosis and treatment projects, Chinese medicine into the basic medical insurance diagnosis and treatment project directory, drug catalog, should meet the appropriate selection conditions, to fulfill the corresponding selection process.

      In this article, the enumerated manner stipulates that the eligible Chinese medicine Pieces, Chinese medicine and medical institutions should be included in the basic medical insurance fund payment scope, partly because they are the specific types of Chinese medicine used in medical institutions, and on the other hand, Require the relevant authorities in the development and adjustment of basic medical insurance drug catalog should also consider the traditional Chinese medicine Pieces, proprietary Chinese medicines and medical institutions of traditional Chinese medicine preparations, especially traditional Chinese medicine preparations, in line with the selection criteria should also be included in the basic medical insurance drug directory.

      Article 32 of this Law in accordance with the different technology on the implementation of different varieties of traditional Chinese medicine preparations, only the use of traditional technology preparation of traditional Chinese medicine preparation varieties for the record management, other varieties of traditional Chinese medicine to implement licensing management. After the implementation of this law, the varieties of Chinese medicine preparations in medical institutions may be increased. For the traditional Chinese medicine preparations of medical institutions, including legally approved Chinese medicine preparations and traditional Chinese medicine preparations, in line with the corresponding selection conditions, the competent authorities should be included in the basic medical insurance drugs directory.