Core Insights - Qingdao Medical Insurance Bureau prioritizes public needs by establishing an efficient, precise, and convenient outpatient chronic disease service system [1] - The bureau has implemented a series of optimizations to outpatient chronic disease policies, creating a "four zeros" service model for application [2] Group 1: Service Model Innovations - The "four zeros" service model includes: 1. Zero materials: Certain diseases can be applied for through information sharing, enhancing public satisfaction. From June 1, 2024, outpatient treatment for "malignant tumors" and "organ transplantation" will be available without review [2] 2. Zero time limits: 39 outpatient chronic disease types, including leukemia and dialysis for uremia, can be processed instantly at 51 medical institutions [2] 3. Zero running around: Services can be accessed online via "Love Shandong" and "Qingdao Medical Insurance" platforms, allowing for applications and changes to be made conveniently [2] 4. Zero distance: With 264 medical insurance workstations, the service is brought closer to the community, creating a "15-minute medical insurance service circle" [2] Group 2: Mechanism Innovations - The bureau has implemented a provincial mutual recognition system for outpatient chronic diseases, allowing insured individuals to transfer their insurance without resubmitting materials from November 12, 2024 [3] - A mechanism for entry and exit of outpatient chronic diseases has been established, with a unified range of diseases, processes, materials, and time limits [3] - An information technology-driven process reengineering has been initiated, including a random assignment centralized review platform and monthly random inspections of medical institutions to ensure compliance and reduce fund loss risks [3] Group 3: Future Directions - The Qingdao Medical Insurance Bureau plans to continue innovating in outpatient chronic disease insurance service models, mechanisms, and supervision to make more benefits accessible to the public [4]
率先落实省内门诊慢特病资格互认!青岛市门诊慢特病政策持续优化
Qi Lu Wan Bao Wang·2025-05-15 02:33