In order to further promote the reform of “decentralization, regulation and service” in the medical insurance field and further facilitate the majority of insured people to seek medical treatment independently, the Municipal Medical Insurance Center issued a notice to From April 1 this year, the “territorial limitation” of designated institutions for category I inspection and diagnosis of 9 outpatient diseases such as diabetes and hypertension will be canceled, and relevant inspection personnel can choose the inspection hospital according to their own needs.
Category I of outpatient prescribed disease, commonly known as outpatient “chronic disease”, in order to reduce the burden of medical expenses for such patients, the medical insurance coordinating fund implements outpatient subsidies for insured patients who pass the examination.
At present, there are more than 30 kinds of “chronic diseases” in outpatient clinics in our city, including hypertension (grade III complication), diabetes (complication), hyperthyroidism, hypothyroidism, rheumatoid arthritis Patients with 9 types of chronic diseases, including inflammation, chronic obstructive pulmonary disease (COPD), severe osteoporosis, lower extremity varicose veins and necrosis of the femoral head, used to need to go to the corresponding designated hospital according to the street to which the ID address belongs to participate in the examination. Those participating in the inspection can apply for inspection at the nearest designated inspection hospitals, including the Central Hospital and the Second Municipal Hospital.
The inspection and diagnosis regulations for other chronic diseases remain unchanged——
Patients with chronic diseases such as invasive periodontitis, psoriasis, tuberculosis, schizophrenia, etc. need to go to relevant specialized hospitals for inspection
Patients with chronic diseases such as malignant tumor, aplastic anemia, coronary heart disease, etc., can bring the inpatient medical records to the tertiary hospitals or specialized hospitals in Dalian city where they have been hospitalized for examination;
Patients who provide inpatient medical records in other places or who are hospitalized in non-tertiary hospitals in the city can bring relevant medical records and copies of hospitalization receipts to the First Affiliated Hospital of Dalian Medical University or the Second Affiliated Hospital of Dalian Medical University for examination.
In order to do a good job in the examination and diagnosis after the cancellation of “territorial restrictions”, the Municipal Medical Insurance Center emphasized in the notice that the medical insurance offices of each county and city should organize and carry out the outpatient regulations of relevant designated medical institutions in accordance with the actual situation of the jurisdiction. In the inspection and diagnosis of disease category I, conscientiously implement the inspection and diagnosis work requirements, and supervise the operation of inspection and diagnosis-related work. All relevant designated medical institutions should strengthen the training of examination physicians, strictly implement examination and diagnosis standards, and ensure uniform standards for examination and diagnosis throughout the city. At the same time, it is necessary to simultaneously publicize the examination and diagnosis process and contact number in a prominent position of the hospital or on the hospital website. The inspection process should be simple and convenient, the content description should be clear and easy to understand, and the process or contact information should be updated in a timely manner.
Three years of “three cancellations”, patients “enjoy convenience”!
The reporter learned from the Dalian Medical Insurance Bureau that by the end of 2021, the number of “chronic disease” patients in Dalian outpatient clinics has reached more than 422,000. In view of the current situation that the “chronic disease” population is mostly middle-aged and elderly, the medical insurance department has successively A number of practical measures to benefit the people have been introduced to facilitate “chronic disease” patients to seek medical treatment and purchase medicines.
In 2019, the “fixed point” for chronic disease medical treatment will be cancelled, and chronic disease patients who meet the policy requirements can go to the city’s designated institutions for various diseases to seek medical treatment and purchase medicines.
In 2020, the “fixed time” for chronic disease inspection and diagnosis will be cancelled, and the “on-site inspection” will be implemented. In the past, patients were required to attend the examination during the annual centralized examination time, and the subsidy treatment began in January of the following year after passing the examination. After passing, you can enjoy the subsidy.
In 2022, the designated institutions for 9 chronic disease inspection and diagnosis will cancel the “territorial restriction”. In the past, the inspection personnel needed to participate in the inspection and diagnosis according to the designated hospital corresponding to the street to which the ID card address belongs. From now on, the participating patients can Then choose the inspection hospital to apply for outpatient “chronic disease”. Peninsula Morning News, 39 degrees video reporter Su Lin