Workflow
医保资源配置优化
icon
Search documents
呼和浩特上调城乡居民基层门诊统筹支付限额
Nei Meng Gu Ri Bao· 2025-06-20 02:06
Core Viewpoint - Hohhot City has introduced a favorable policy for urban and rural residents' outpatient coordination, increasing the reimbursement limit for community health service centers and township hospitals to 1200 yuan starting July 1, aimed at enhancing service capabilities and reducing medical burdens for insured residents [1] Group 1: Policy Changes - The outpatient coordination payment limit for urban and rural residents will be raised from the previous standard to 1200 yuan [1] - The policy aims to optimize the allocation of medical insurance resources and improve the reimbursement experience for residents seeking care at grassroots medical institutions [1] Group 2: Regulatory Measures - To ensure the safety and rational use of the medical insurance fund, regulatory authorities will strengthen oversight and establish an intelligent regulatory knowledge base and rule base [1] - There will be timely warnings for abnormal settlement data, and strict actions will be taken against fraudulent insurance claims [1] Group 3: Implementation Guidelines - Medical institutions at all levels are required to strictly adhere to the medical insurance policy regulations and improve internal management systems [1] - Compliance with the basic medical insurance "three directories" is mandated to prevent over-treatment and drug switching, ensuring the effective and standardized use of medical insurance funds [1]