县医保局:强化医保三重保障,“托底”群众就医路
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<div class="ce-paragraph cdx-block ce-paragraph--left"><span> </span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; margin-right: 40px;">来源:县医保局</span><span> </span></div>
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<div class="ce-paragraph cdx-block ce-paragraph--left"><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">近年来,</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">绩溪县医保局</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">持续深化医疗保障制度改革,构建起以</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">“基本医保为基础、大病保险为延伸、医疗救助为托底”的三重保障网。三重制度无缝衔接、梯次减负,有效防范和化解</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">参保</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">群众</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">因病返贫致贫风险</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">。</span></div>
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<div class="ce-paragraph cdx-block ce-paragraph--left"><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-weight: bold;"><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">基本医保</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">“广覆盖”,日常就医有</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">保障。</span></span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">基本医保是三重保障的</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">“第一道防线”,覆盖所有参保人员,</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">包括</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">普通门诊、</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">“两病”(高血压、糖尿病)门诊,</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">慢特病门诊和</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">住院治疗</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">。绩溪县医保局严格执行国家及省市医保政策规定,持续规范慢特病门诊、异地就医等保障政策,线上线下多渠道开展政策解读和宣传,提高政策知晓率,确保参保群众基本医保待遇应享尽享。建立县域内大病医治能力提升医保激励机制,鼓励两家县级医院提高肿瘤、心脑血管等大病医治能力水平,让参保群众享受更高质量的医疗服务水平。截至目前,</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">城乡居民医保基金支出</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">8661.97万元,职工医保基金支出6783.73万元。</span></div>
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<div class="ce-paragraph cdx-block ce-paragraph--left"><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-weight: bold;"><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">大病保险</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">“减重担”,高额费用有兜底</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">。</span></span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">大病保险是基本医保的</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">“补充防线”</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">,</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">解决基本医保报销后个人负担仍较重的高额医疗费用问题</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">。绩溪县医保局扎实开展异地就医政策宣传,落实转诊</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">“白名单”制度,切实做到大病保险和基本医保有序衔接。坚持</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">对特困人员、低保对象和返贫致贫人口实施倾斜支付,</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">降低起付线,</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">取消封顶线</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">,</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">切实减轻长期治疗负担。</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">截至目前,大病保险报销</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">9806人次,拨付1146.42万元。</span></div>
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<div class="ce-paragraph cdx-block ce-paragraph--left"><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-weight: bold;"><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">医疗救助</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">“兜底线”,困难群众有依靠</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">。</span></span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">医疗救助是三重保障的</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">“最后防线”,重点聚焦特困人员、低保对象、返贫致贫人口等困难群体,从参保到待遇全流程护航</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">。绩溪县医保局与民政、农业农村等部门实行数据信息共享,</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">每月</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">开展数据比对</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">,确保</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">困难群众</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">参保</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">动态全</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">覆盖</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">。</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">经基本医保、大病保险报销后,困难群众的个人自付合规费用</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">直接享受</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">“一站式”</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">救助。</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">截至目前,资助</span><span tabindex="0" aria-labelconfig="true" style="box-sizing: border-box; font-family: FangSong_GB2312; font-size: 18px;">4594人参加城乡居民医保,拨付资助资金162万元;直接救助8214人次,拨付救助资金379.23万元。(傅倩倩)</span></div>
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