Pan-Pearl River Delta region will be part of Medicare to achieve real-time remote medical billing, health insurance insured in the three provinces of the Pan-Pearl River Delta city of 6 on-site treatment costs can be removed from the burden of personal advances. Yesterday, "Pan-Pearl River Delta region and the capitals of some provinces off-site medical health insurance sign a framework agreement ceremony Seminar" held in Guangzhou, Hunan, Hainan, Yunnan province, three provincial health insurance agency, Fuzhou City, Nanchang, Changsha , Guangzhou, Nanning, Chengdu, the capital of six representatives of the medical insurance companies signed the "Pan-Pearl River Delta region and the capital cities of some provinces off-site medical health insurance framework agreement" to discover the implementation of the Pan-Pearl River Delta Regional health insurance holders who work outside place of settlement in real time to treatment, medical insurance across the country to achieve a settlement in real time to provide remote treatment "plots".
Medicare insurance, 1.5 million people will benefit from Guangzhou
Medical insurance reimbursement for remote treatment of people is difficult, the insured pay heavy medical expenses in recent years to the top of the hot issues of social concern, "the People's Republic of social security law ',' basic medical insurance billing medical services off-site views" (human resources and social Ministry [2009] No. 190) is actively promoting health care for remote medical treatment in the special requirements listed. Guangzhou Human Resources and Social Security Bureau, said Quan Cuiren Guangzhou Medical Insurance Management actively seek, and the Pan-PRD provinces and the capital region, part of a plan of work of people of this remote treatment of medical insurance, immediate settlement of the project.
Pan-Pearl River Delta region has a good basis for cooperation with the "Pan-PRD Regional Cooperation and Development Plan (2006-2020)" The introduction of economic exchanges in the region is the frequent movement of people increases, the share of relocation outside the medical guarantor increased demand immediate settlement. According to a Jiming, deputy director of Guangzhou Municipal Medical Insurance Bureau implemented, Guangzhou 7000000 Medicare insured, 5% -10% have experienced a remote medical situations involving the coordination of remote treatment outside the hospital occurred in 1 billion cost of the settlement funds to so.
Smooth implementation of the project will benefit the Pan-Pearl River Delta region and future cooperation in other areas of national health insurance insured off-site medical care, preliminary estimates the area of Guangzhou will benefit over 150 million people, with the development of a project to deepen the working and living in Guangzhou, provincial employees 3,000,000 benefits. Meanwhile, in co-operation between the movement of a large number of provinces will also be beneficiaries of the project, such as tracking children of retirees who live off-site, remote placement of personnel, regional employment and so on.
To effectively solve the problem, this cooperation is to be part of the Pan-Pearl River Delta provinces and capital cities as a pilot, trying to build a regional medical health insurance insured outside of the real-time billing platform, remote medical care in the implementation of the region based on the direct settlement of the interface other domestic provinces and cities, and gradually build the Pan-PRD region and country coverage of social health insurance for treatment off-site in real-time settlement network.
Insured for full implementation of standards of treatment
According to the "Framework Agreement", the partners will be based on "voluntary participation, openness, cooperation, mutual trust and mutual recognition" principles to create a cooperative medical insurance system for remote medical billing, online billing systems and remote off-site physician collaboration mechanism of the regional economy, in For the achievement of all insured persons in the Pan-Pearl River Delta off-site treatment immediately after clearing and effectively relieve the insured medical expenses for treatment outside the unit to go for a long time to pay for problems.
Parties to cooperate to carry out medical insurance for treatment off-site in real-time settlement process of cooperation, in accordance with the "location of the medical (care), the standard local treatment (for insurance), information about the settlement, the network" model to carry out the work that the insured beyond medical care facility where the medical treatment process, the reception, examination details and other medical billing operations will be to the relevant provisions of treatment, basic medical insurance and pay the standard costs of basic medical insurance by the insured to the relevant regulations and by developing networks of information to ensure that health insurance Medicare insured off-site treatment immediately settled smoothly.
It is assumed that cooperate to achieve, the insured insured off-site medical care will be fully implemented to the standards of treatment, but is temporarily unable to brush Medicare card payments directly. Co-insured for medical treatment in time, depending on the treatment of the underlying costs of health care are three directories, then policy based on the insured to settle, the insured person to receive treatment, the burden of the insured pays only a portion of the total direct costs of immediate settlement by the local medical institutions. The local medical institutions provide medical services for the insured outside of the real costs of liquidation, the health insurance agencies directly subordinate to the local settlements, local health insurance agencies paid from the revolving fund in his name. Meanwhile, health insurance agencies partner with each other on a regular basis for the difference between the liquidation of working capital.
Medicare insurance, 1.5 million people will benefit from Guangzhou
Medical insurance reimbursement for remote treatment of people is difficult, the insured pay heavy medical expenses in recent years to the top of the hot issues of social concern, "the People's Republic of social security law ',' basic medical insurance billing medical services off-site views" (human resources and social Ministry [2009] No. 190) is actively promoting health care for remote medical treatment in the special requirements listed. Guangzhou Human Resources and Social Security Bureau, said Quan Cuiren Guangzhou Medical Insurance Management actively seek, and the Pan-PRD provinces and the capital region, part of a plan of work of people of this remote treatment of medical insurance, immediate settlement of the project.
Pan-Pearl River Delta region has a good basis for cooperation with the "Pan-PRD Regional Cooperation and Development Plan (2006-2020)" The introduction of economic exchanges in the region is the frequent movement of people increases, the share of relocation outside the medical guarantor increased demand immediate settlement. According to a Jiming, deputy director of Guangzhou Municipal Medical Insurance Bureau implemented, Guangzhou 7000000 Medicare insured, 5% -10% have experienced a remote medical situations involving the coordination of remote treatment outside the hospital occurred in 1 billion cost of the settlement funds to so.
Smooth implementation of the project will benefit the Pan-Pearl River Delta region and future cooperation in other areas of national health insurance insured off-site medical care, preliminary estimates the area of Guangzhou will benefit over 150 million people, with the development of a project to deepen the working and living in Guangzhou, provincial employees 3,000,000 benefits. Meanwhile, in co-operation between the movement of a large number of provinces will also be beneficiaries of the project, such as tracking children of retirees who live off-site, remote placement of personnel, regional employment and so on.
To effectively solve the problem, this cooperation is to be part of the Pan-Pearl River Delta provinces and capital cities as a pilot, trying to build a regional medical health insurance insured outside of the real-time billing platform, remote medical care in the implementation of the region based on the direct settlement of the interface other domestic provinces and cities, and gradually build the Pan-PRD region and country coverage of social health insurance for treatment off-site in real-time settlement network.
Insured for full implementation of standards of treatment
According to the "Framework Agreement", the partners will be based on "voluntary participation, openness, cooperation, mutual trust and mutual recognition" principles to create a cooperative medical insurance system for remote medical billing, online billing systems and remote off-site physician collaboration mechanism of the regional economy, in For the achievement of all insured persons in the Pan-Pearl River Delta off-site treatment immediately after clearing and effectively relieve the insured medical expenses for treatment outside the unit to go for a long time to pay for problems.
Parties to cooperate to carry out medical insurance for treatment off-site in real-time settlement process of cooperation, in accordance with the "location of the medical (care), the standard local treatment (for insurance), information about the settlement, the network" model to carry out the work that the insured beyond medical care facility where the medical treatment process, the reception, examination details and other medical billing operations will be to the relevant provisions of treatment, basic medical insurance and pay the standard costs of basic medical insurance by the insured to the relevant regulations and by developing networks of information to ensure that health insurance Medicare insured off-site treatment immediately settled smoothly.
It is assumed that cooperate to achieve, the insured insured off-site medical care will be fully implemented to the standards of treatment, but is temporarily unable to brush Medicare card payments directly. Co-insured for medical treatment in time, depending on the treatment of the underlying costs of health care are three directories, then policy based on the insured to settle, the insured person to receive treatment, the burden of the insured pays only a portion of the total direct costs of immediate settlement by the local medical institutions. The local medical institutions provide medical services for the insured outside of the real costs of liquidation, the health insurance agencies directly subordinate to the local settlements, local health insurance agencies paid from the revolving fund in his name. Meanwhile, health insurance agencies partner with each other on a regular basis for the difference between the liquidation of working capital.
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