The China National Medical Insurance Bureau issues documents, which requires a comprehensive investigation and unreasonable restrictions on medical insurance, including specific restrictions on the number of patients in patients, which leads to pushing patients and decomposing hospitalization.
According to China News Network on Friday (December 23), the National Medical Insurance Administration issued a notice on comprehensive investigation and canceling unreasonable restrictions on medical insurance (hereinafter referred to as notice), and hospitalized medical services, outpatient medical careInvestigation of unreasonable restrictions on service and medical insurance assessment management.
The relevant person in charge of the Medical Services Management Department said that the official will investigate whether there is a medical insurance for the annual budget/total control of the designated medical institution unscientific and irrational, and the lack of reasonable adjustment mechanisms, and whether there is a specific number of days of hospital hospitalization.Restrictions lead to pushing patients and decomposing hospitalization.
In terms of outpatient medical services, the official will investigate whether there is a specific number or amount of the amount or amount of medical insurance for the medical insurance for patients' participating patients, which will cause medical institutionsThe management indicators of relevant departments are used directly as the management indicators of the medical insurance department, such as inpatients, outpatients, and the proportion of drugs, etc., which leads to the management regulations of medical institutions and insured personnel that the medical insurance department is mistaken for the medical insurance department.
According to reports, according to the notification deployment, the investigation work is divided into three stages.First, before the end of December 2022, the regional medical insurance department carried out self -examination and self -correction to form a list of problems, and implemented rectification measures one by one according to the specific situation.Second, before January 31, 2023, the provincial medical insurance department summarized the situation in the province to form a report on rectification and rectification of reasonable restrictions on medical insurance in the province.Third, before the end of February 2023, the State Medical Insurance Bureau carried out work supervision and dispatch. Through a variety of channels, it learned about the actual situation of investigation and rectification in various places, and summarized it.Criticism and affirmation of areas with outstanding results, notifying and criticizing areas that have not resolved actual problems and walking over the scene.
