医药管理“组合拳”提升群众幸福感

Group 1 - The core viewpoint of the articles highlights the efforts of Qinghai Province's Medical Insurance Bureau to enhance the accessibility and affordability of healthcare for insured individuals during the 14th Five-Year Plan period [1][2] Group 2 - Qinghai has dynamically adjusted its medical insurance drug list, incorporating 387 national negotiated drugs and competitive drugs into a "dual-channel" guarantee system to improve patient access to medications [1] - An additional 150 types of Tibetan medicinal herbs have been included in the medical insurance payment scope, making a total of 531 types and 3200 items available [1] - The province has included 499 ethnic medical diagnosis and treatment projects in the medical insurance payment scope, achieving an inclusion rate of 88% [1] - 127 surgical procedures have been added to the day surgery settlement range without a threshold, reimbursed according to inpatient policies [1] - Six specific Tibetan and Chinese medicine advantageous disease categories have been included in the day ward medical insurance settlement, with no bed fees charged for hospitalization and nursing fees set at 50% of the standard for tertiary care [1] Group 3 - The province has integrated village health clinics into the medical insurance designated point system, with 4343 out of 4469 clinics now covered, ensuring basic coverage for all administrative villages [2] - A smart regulatory system for medical insurance has been established to enhance early detection and management of illegal activities [2] - The province has optimized the cross-regional medical treatment registration service, allowing for online registration through WeChat mini-programs and the Qinghai Medical Insurance App, effectively eliminating the need for in-person registration [2] - The direct settlement channel has been established to resolve issues related to insured individuals having to pay upfront for services [2]