Notice of Beijing Municipal Bureau of Medical Security and Beijing Municipal Bureau of Finance on Doing a Good Job in Medical Security for Pneumonia Infected in novel coronavirus
Beijing Medical Insurance Fa [2020] No.1
The district medical insurance bureaus, the Finance Bureau, the Social Affairs Bureau of Beijing Economic and Technological Development Zone, the Financial Audit Bureau, and the relevant designated medical institutions:
In order to conscientiously implement the spirit of the important instructions of the Supreme Leader General Secretary on the pneumonia epidemic in novel coronavirus, in accordance with the decision-making arrangements of the CPC Central Committee and the State Council, and according to the Notice of the State Medical Insurance Bureau and the Ministry of Finance on Doing a Good Job in Medical Security for the Pneumonia Epidemic in novel coronavirus (No.5 [2020] of the State Medical Insurance Bureau) and the deployment requirements of the municipal party committee and municipal government, we will earnestly do a good job in the medical security work for the treatment of patients with pneumonia in novel coronavirus. We hereby notify the relevant matters as follows:
First, fully understand the importance of prevention and control of pneumonia in novel coronavirus. Doing a good job in epidemic prevention and control is of great significance for ensuring the health of the insured, maintaining social harmony and stability, and ensuring that the people have a stable and peaceful Spring Festival. Medical insurance and financial departments at all levels should attach great importance to it, and resolutely implement the relevant arrangements of the CPC Central Committee, the State Council and the municipal government with a highly responsible attitude towards people’s health. The main responsible comrades of medical insurance departments at all levels should take the lead, establish a special working mechanism, cooperate with health and other departments, and actively do a good job in joint prevention and control.
Two, the relevant designated medical institutions should do a good job in the procurement of drugs related to the treatment of pneumonia in novel coronavirus, to ensure the clinical needs. If it is necessary to urgently purchase drugs outside the sunshine procurement platform, it can be purchased first and then filed according to regulations.
Third, ensure that patients are not affected by the cost problem. First, for the medical expenses incurred by patients with pneumonia diagnosed in novel coronavirus, after the basic medical insurance, serious illness insurance and medical assistance are paid according to the regulations, the personal burden will be subsidized by the finance and comprehensive protection will be implemented. Second, for patients who have been diagnosed with pneumonia in different places in novel coronavirus, they should be treated first and then settled, and the reimbursement should not be reduced. Third, the drugs and medical services used by patients with pneumonia diagnosed in novel coronavirus are in line with the diagnosis and treatment plan of pneumonia infected in novel coronavirus formulated by the health department, and can be temporarily included in the scope of medical insurance fund payment.
Four, to ensure that the designated medical institutions are not affected by the payment policy. For designated medical institutions with more patients, part of the funds can be paid in advance to reduce the pressure of payment by designated medical institutions. Timely adjust the total budget indicators of designated medical institutions, and separately account for the medical expenses of patients with pneumonia infected in novel coronavirus. Medical insurance agencies at all levels should ensure timely settlement with designated medical institutions to ensure the smooth progress of treatment.
Fifth, ensure the smooth and orderly holiday work. Medical insurance and financial departments at all levels should strengthen the duty on duty during the Spring Festival holiday, improve the duty system, and implement all policy tasks to the letter. Medical insurance agencies at all levels should be equipped with sufficient personnel to ensure uninterrupted service during the Spring Festival holiday. In case of major problems and situations in the work, please report to the Municipal Medical Security Bureau and the Municipal Finance Bureau in a timely manner.
Beijing Municipal Medical Security Bureau
beijing finance bureau
January 23, 2020