2026年将基本实现居民医保待遇政策全省统一

Core Viewpoint - The Guizhou provincial government is implementing a phased approach to unify basic medical insurance policies across urban and rural residents by 2026, addressing issues such as regional policy imbalances and fund management [1][2]. Group 1: Policy Implementation - The "Opinions on Promoting Provincial-Level Coordination of Basic Medical Insurance" will be issued in December 2024, aiming for a unified medical insurance policy by 2026 [1]. - The new policy includes a dual incentive mechanism for continuous participation in insurance and zero reimbursement from the insurance fund, encouraging residents to maintain stable insurance coverage [2]. Group 2: Payment Mechanism Reform - The province will fully implement the national unified medical insurance drug catalog and continue to reform payment methods, with 82.91% of hospital fund expenditures based on disease categories [2]. - The introduction of a "prepayment + immediate settlement" reform has reduced the fund disbursement cycle from 30 working days to 1 working day [2]. Group 3: Service Optimization - Guizhou has established a five-level medical insurance service network and introduced convenient payment methods, with 3,960,000 activated medical insurance codes and 10,925 medical institutions supporting "face payment" [3]. - The province has eliminated the need for inter-provincial hospitalization pre-approval, achieving a direct settlement rate of 87.62% for inter-provincial hospitalizations [3].