How to reimburse the cost of new crown treatment?

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Recently, Chongqing Municipal Medical Insurance Bureau, Municipal Finance Bureau and Municipal Health and Health Commission issued a notice on optimizing medical insurance policies for patients with new coronavirus infection after the implementation of the “Class B B Management” (hereinafter referred to as the “Notice”). New coronavirus infection patients (hereinafter referred to as “new coronavirus patients”) will not be affected by hospitalization costs, the new coronavirus patients who are hospitalized will be fully covered for the hospitalization costs of new coronavirus patients. The Notice shall be effective from the date of implementation of the “Category B” management of new coronavirus infection (January 8, 2023) and shall be implemented until March 31, 2023.

Patients will be reimbursed 70% of the outpatient and emergency expenses related to the treatment of New Coronavirus at medical institutions designated by medical insurance.

“New crown patients incurred in all medical institutions, in line with the health and health departments to develop a new coronavirus infection treatment plan of inpatient medical expenses, by the basic medical insurance, major medical insurance, medical assistance and other payments in accordance with the provisions, the personal burden of the part of the financial subsidies, subsidies are paid by the local financial first, the central financial subsidies at 60% of the actual costs incurred. ” The person in charge of the Municipal Medical Insurance Bureau said that the policy is calculated on the time of admission of patients with new crowns and is implemented until March 31, 2023.

In the new crown patients outpatient emergency treatment cost protection, increase medical insurance to rural areas, urban communities and other grassroots medical institutions (secondary and lower medical institutions) tilted support, the new coronavirus infection and suspected symptoms in the grassroots medical insurance designated medical institutions for the implementation of special protection for patients with emergency outpatient costs, to encourage grassroots medical institutions with adequate medical insurance drug catalog of new coronavirus infection treatment drugs In addition, the reimbursement rate for outpatient and emergency medical expenses related to new coronavirus treatment incurred by insured patients at designated medical institutions will be 70% for secondary and lower medical institutions and 60% for tertiary medical institutions, with no starting line or ceiling line for both employee and resident medical insurance. The policy will be implemented from January 8, 2023 to March 31, 2023.

Unreasonable price increases, distribution is not in place and other acts, multi-departmental linkage and timely disposal

In the new crown patients treatment drugs medication security, the person in charge said that the national health insurance catalog belonging to the new coronavirus infection treatment program in the treatment of drugs into the new crown patient cost coverage. The new coronavirus infection treatment plan outside the national medical insurance catalog of drugs, the temporary inclusion of the national medical insurance drug catalog. The new coronavirus infection treatment drugs identified by the city’s joint prevention and control leadership group will be temporarily included in the city’s medical insurance drug catalog and implemented until March 31, 2023.

At the same time, smooth the new coronary treatment drugs on the network channels, the establishment of new coronary treatment drugs on the network “priority office” green channel. For the network has not been listed, medical institutions can also bargain for the record procurement in accordance with the provisions of their own. And strengthen the new crown treatment drug price monitoring, unreasonable price increases, distribution is not in place and non-new crown treatment drugs and medical supplies “ride up” and other acts, multi-departmental linkage will be timely disposal.

The price of the first visit to the Internet service items with reference to the implementation of follow-up items

How to do a good job of the new crown patients “Internet +” medical insurance services? The Notice stipulates that the new crown patients in the city health and health commission identified to provide “Internet +” medical services medical institutions, for the health and health departments allowed to open for the new crown patients Internet first consultation service, can be in accordance with the provisions of the new coronavirus infection-related symptoms, in line with the “new coronavirus infection home treatment guidelines The price of the first Internet consultation service is based on the price of the follow-up consultation service, and the reimbursement standard is the same as offline. For the Internet follow-up services for newly crowned patients, the reimbursement policy for the Internet follow-up items is still in effect.

Specifically, the prices of Internet follow-up consultation fee (Level I hospital), Internet follow-up consultation fee (Level II hospital), and Internet follow-up consultation fee (Level III hospital) are $6, $9, and $15 per visit, respectively.

Recent 59,938 cases of new crown-related deaths in hospitals nationwide! The National Health Care Commission informed

January 14, the State Council joint prevention and control mechanism held a press conference, the National Health Commission Medical Secretary Jiao Yahui disclosed that through analysis showed that from December 8, 2022 to January 12, 2023, a total of 59,938 cases of in-hospital neo-coronavirus infection-related deaths occurred in medical institutions nationwide, including 5,503 cases of death from respiratory failure due to neo-coronavirus infection, underlying diseases The average age of the deceased cases was 80.3 years old, about 90.1% were 65 years old and above, of which about 56.5% were 80 years old and above. More than 90% of the deceased cases had combined underlying diseases, mainly combined with cardiovascular diseases, advanced tumors, cerebrovascular diseases, respiratory diseases, metabolic diseases and renal insufficiency, etc.

National fever outpatient and emergency peak has passed

On January 14, the State Council held a press conference on the joint prevention and control mechanism, and Jiao Yahui, director general of the Medical Department of the National Health and Wellness Commission, introduced that there are 16,400 fever clinics in medical institutions above the second level, and 43,100 fever clinics or fever clinics in primary health care institutions. The number of fever clinics nationwide reached a peak of 2.867 million on December 23, 2022, after which it continued to decline, falling back to 477,000 on January 12, an 83.3% decrease from the peak. The trend is the same in urban and rural areas. The detection rate of newly crowned positive infections in fever outpatient clinics also continued to decline, with the peak detection rate of 33.9% on December 20, decreasing to 10.8% on January 12, indicating that the peak of fever outpatient clinics has passed.

The overall situation of the emergency department has shown a continuous downward trend after reaching the peak. The number of emergency room visits nationwide peaked at 1.526 million on January 2, 2023, and continued to decline thereafter, dropping to 1.092 million on January 12, a 28.4% decrease from the peak. The detection rate of newly crown-positive infections among emergency department visits declined steadily from a peak of 8.8% on Dec. 22 to 2.9% on Jan. 12. This data indicates that the national peak in emergency care has passed.

The overall outpatient situation showed a gradual return to normal treatment, with a total of 9.135 million general outpatient visits on January 12, basically returning to the pre-epidemic level. The proportion of newly crown-positive infected patients among outpatients, which peaked at 5.7% on December 19, continued to decline afterwards, accounting for 0.9% on January 12. The number of daily general outpatient consultations has continued to increase, and normal consultations are gradually being restored.