This article is reproduced from: National Party Media Information Public Platform
Source: Kunming Daily – Handheld Spring City
Handheld Spring City News Recently, the city medical On behalf of Kunming, the Security Bureau was invited to participate in the 6th Wuhan University Luojia Cherry Blossom Forum – Research Conference on the Linkage Mechanism of Inclusive Commercial Health Insurance and Basic Medical Insurance, and shared the Kunming that social business integration empowers the multi-level medical security system Explore practice.
This forum is an important academic brand of Wuhan University focusing on the Healthy China Strategy. Five” reform of the universal medical security system provides a theoretical reference. This conference invites nearly 20 national and local government think tanks, well-known university research institutes, authoritative experts and scholars in the field of medical insurance and commercial insurance to exchange research results, share practical experience, and discuss how to qualitatively position inclusive commercial health insurance and the top-level design framework The fringe and other important key issues have been discussed vigorously, aiming to form valuable think tank results as soon as possible, and provide useful samples and intellectual support for the country to formulate macro policies.
As the only government representative of Kunming City who was invited to give a keynote speech, Yang Yuewei, member of the party group, director of the office, and director of the monitoring and evaluation center of the Municipal Medical Security Bureau, made the “Exploration of Social Business Integration Empowering Multi-level Medical Security” Practice” keynote report. Based on the positioning of government administrative departments in encouraging and supporting the development of social and business integration, combined with the experience and inspiration in practical operation, this paper introduces the background and innovation process of Kunming’s exploration of the connection between inclusive commercial health insurance and basic medical insurance policies, and shares The basic principles, effectiveness and experience of the Kunming Municipal Medical Insurance Bureau guiding the online operation of “Spring City Huimin Insurance” and the supplementary significance to the local multi-level medical insurance system, and on this basis, the thinking and suggestions on the development direction of social business integration and macro policies are carried out. communicate with.
Yang Yuewei introduced that on the road of deepening the reform of the medical security system, the Kunming Municipal Medical Insurance Bureau, under the strong leadership of the Municipal Party Committee and the Municipal Government, has built a strong foundation for the people. With the development concept as the center, it focuses on the pain point of “basic medical insurance policy covers a wide range but a low level of protection”, and actively explores the transition from “system” to “governance”. On the basis of steadily improving basic medical security benefits, implementing city-level overall planning of urban and rural medical assistance, and promoting long-term care insurance pilot work, scientific research guides commercial insurance companies to develop urban customized supplementary health insurance “Spring City Huimin Insurance”, which fully integrates and connects local The basic medical insurance policy removes preconditions such as age, past medical history, and health conditions, realizes the same insurance price for all people, and includes reasonable medical expenses outside the medical insurance catalogue into the coverage. It paid 10.5148 million yuan to 746 insured people, and assumed the operational logic and value mission of solving the problem of reimbursement of high medical expenses for the insured people after the triple protection of basic medical insurance, serious illness medical insurance and medical assistance in Kunming.
It is worth noting that the Kunming medical insurance department has standardized the guiding procedures for the “Spring City Benefiting the People’s Insurance” project, strictly abides by the market operation rules of commercial insurance projects, and selects product plans and first A tripartite service platform forms a co-insurance body to undertake the overall operation of the project. The project co-insurance body shall negotiate on the project co-insurance share, special drug catalog, promotion methods, and charitable donations. The medical insurance department gives credit, policy, intelligence and other non-fund resources to a limited extent and scales to support and assist in publicity, and play an active guiding role in product responsibility design and product sustainability assurance.
“Spring City Benefiting People’s Insurance” guarantee responsibility is fully connected with Kunming’s basic medical insurance policy, breaking through the design logic of conventional commercial insurance products and meeting the security needs of a wider range of people , It is of great significance to promote the improvement of the local social governance system and the modernization of governance capabilities. The practical experience is highly recognized by the professional and academic circles. On December 9, 2021, the “Spring City Huimin Insurance” in the value assessment of Huimin Insurance released by the Insurance Society of China authoritatively Ranked third in the country.
Professor Mao Zongfu, the host of the meeting, the representative of the National People’s Congress, and the director of the Global Health Research Center of Wuhan University, as a consultant of the DRG Expert Committee of the National Medical Insurance Administration and the vice chairman of the China Health Think Tank Alliance, was invited to participate in the National Medical Insurance Drafted the “14th Five-Year” national medical security plan of the Bureau, drafted the “14th Five-Year” medical reform plan of the Medical Reform Leading Group of the State Council, and undertook the “Research on the Linkage Mechanism of Inclusive Commercial Health Insurance and the Basic Medical Insurance Drug List” by the National Medical Security Administration subject research tasks. After listening to the keynote report of Kunming City, he said that “Spring City Benefiting the People’s Insurance” is closely linked and highly integrated with local medical insurance policies. The promotion is due to the fact that the Kunming medical insurance department dares to take responsibility and is good at taking responsibility, and the administrative behavior is in place but not offside.
Professor Mao Zongfu said that through this practical seminar, the Kunming experience provided practical support and useful reference for him to put forward suggestions at this session of the National People’s Congress, which is expected to provide an effective reference for the design of the national research system framework. sample.
Kunming Daily All Media Chief Reporter: Liao Jingrong
Editor: Zhao Ping
Editor: Zhou Xiaoxue
Final: Zhou Jianjun
This article is from [Kunming Daily – Handheld Spring City], and only represents the author’s point of view. The national party media information public platform provides information release and dissemination services.
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