New crown cure still need to treat the underlying disease in the hospital, how to reimburse the cost? Beijing two departments clear
The Beijing Municipal Health Care Commission and the Municipal Health Insurance Bureau have jointly issued the Notice on the Management of Outpatient Prescription and Discharge of Newly Infected Patients. It is clear that for patients who have met the criteria for discharge from the hospital with new crown infection but still need to be treated in the hospital for their underlying disease, the cost of subsequent treatment will be paid according to the patient’s insurance coverage and in accordance with the medical insurance reimbursement policy for conventional diseases.
Each medical institution for the diagnosis of clear, stable, stable drug regimen, the use of commonly used drugs for long-term treatment of chronic disease patients, the receiving physician to ensure the safety of drug conditions, according to the “prescription management methods” and the condition of long-term prescription. The medical institutions should follow the relevant regulations and effectively safeguard the reasonable needs of the participants for long-term prescriptions according to clinical reality. The medical insurance department actively adopts new technological means such as intelligent monitoring to strengthen monitoring and auditing work, promote the rational use of long-term prescription drugs and protect the rights and interests of participants.
For outpatient infusion patients who are clearly diagnosed by secondary and tertiary hospitals, they can be infused in community health service institutions according to their prescriptions after the hospitals have clearly defined their treatment plans. Second- and third-level hospitals should do a good job of guiding and supporting primary medical and health institutions, and community health service institutions should strengthen the provision of drugs, make plans to deal with adverse drug reactions, and work with second- and third-level hospitals in their jurisdictions to make two-way referral connections.
Hospitals should do a good job in diagnosing and managing the discharge of patients admitted with new coronavirus infections according to the diagnosis and discharge criteria specified in the national treatment plan for new coronavirus infections. For the diagnosis of a clear new coronavirus infection, the medical expenses during hospital treatment in line with the relevant national and municipal regulations, the health insurance and financial departments to protect. For patients who have been clinically evaluated and meet the criteria for discharge from the hospital with new coronavirus but still need to be treated in the hospital for basic diseases, the cost of subsequent treatment will be paid according to the patient’s insurance coverage and in accordance with the medical insurance reimbursement policy for conventional diseases.
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