护险国家版服务目录发布 36个服务项目由基金支付

Core Viewpoint - The National Healthcare Security Administration (NHSA) has issued the first national directory for long-term care insurance services, which includes 36 service items aimed at standardizing the long-term care insurance system in China [2][4]. Summary by Categories Long-term Care Insurance Service Directory - The directory is divided into two main categories: daily living care and medical care, encompassing a total of 36 service items [2]. - Daily living care includes 8 categories such as dietary care, excretion care, and safety care, covering 20 specific tasks like assistance with eating, bathing, and functional training [2]. - Medical care includes 4 categories such as general examination care and rehabilitation, covering 16 specific tasks like suctioning and cognitive function training [2]. Implementation and Transition - A transition period of approximately 3 years has been set for regions that have already piloted long-term care insurance to align with the national directory [3]. - New regions implementing long-term care insurance must strictly adhere to the national directory without arbitrary adjustments [3]. Future Developments - The NHSA plans to explore the inclusion of smart services and supportive assistive devices into the payment scope based on demographic changes and system development [4]. - Since the pilot program began in 2016, nearly 1.9 billion people are enrolled in long-term care insurance, with over 100 billion yuan raised and more than 85 billion yuan spent [4]. Principles of Directory Development - The directory development is based on three principles: ensuring basic coverage, demand-oriented service, and coordinated transition with existing pilot projects [4]. Financial Responsibility - The NHSA has clarified the financial responsibilities between long-term care insurance and basic medical insurance, stating that costs related to medical care in the directory will be covered by the long-term care insurance fund [5].