集采药品进基层
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山东7市将康复辅助器具租赁费纳入长期护理保险报销范围
Qi Lu Wan Bao Wang· 2025-09-30 06:57
Core Insights - The Shandong Provincial Medical Insurance Bureau is implementing a series of measures to enhance public medical insurance services, focusing on addressing common concerns of the public regarding medical insurance [1][8] Group 1: Key Initiatives - The bureau has launched 10 initiatives aimed at improving public services, with 2 of these initiatives included in the provincial government's key livelihood projects [1] - A multi-level medical insurance system is being developed to improve the quality and accessibility of medical services for the public [1] Group 2: Targeted Support for Vulnerable Groups - A comprehensive long-term care insurance system is being established, with pilot programs in 16 cities, covering 5.57 million insured individuals, including 2.79 million residents [2] - Unemployed individuals are now eligible for maternity insurance benefits, alleviating financial pressure during unemployment [2] - Adjustments to severe illness insurance policies are being made to ensure sustainable financial support for patients [3] Group 3: Strengthening Grassroots Services - The initiative aims to enhance the accessibility of medical services at the grassroots level, with 25 recommended disease groups and 105 disease types established for primary healthcare institutions [4] - The number of participating units in the drug procurement program has reached 33,000, increasing accessibility to quality medications [5] Group 4: Streamlining Reimbursement Processes - Efforts are being made to facilitate direct settlement for medical expenses incurred during cross-regional medical treatment, including maternity and long-term care insurance [6] - A pilot program for customized commercial insurance claims is being implemented to improve efficiency in reimbursement processes [6] Group 5: Enhancing Service Efficiency - The bureau has updated its service item list to include 27 standardized services, promoting seamless access to medical insurance services across different regions [7] - Public awareness campaigns are being conducted to improve understanding and accessibility of medical insurance policies [7] Future Directions - The bureau will continue to focus on addressing urgent public concerns and enhancing the overall medical insurance system to ensure the health and well-being of the population [8]
济南3131家单位参与集采药品进基层,药品种类达365种
Qi Lu Wan Bao Wang· 2025-09-30 03:14
Core Viewpoint - The Shandong provincial government is actively promoting a special action to enhance medical insurance services, focusing on making healthcare more accessible and affordable for the public [1] Group 1: Implementation of Drug Collection and Distribution - The "Collective Procurement of Drugs into Grassroots" initiative was launched in 2023 to provide affordable and quality medications to the public [3] - As of now, 3,131 units in Jinan have participated in the initiative, with 86% of these units committing to sell drugs at "zero markup" [3] - The number of drug varieties available in the grassroots program has increased to 365, with 129 new types added since the end of 2024 [3] Group 2: Standardization and Transparency - Jinan's Medical Insurance Bureau has implemented the "Five Unifications" standard to ensure consistent practices among participating pharmacies and medical institutions [4] - The initiative includes setting up dedicated sales counters for collective procurement drugs, displaying both procurement and sales prices, and prioritizing medications for chronic diseases [4] - A total of 132 units were interviewed for not adhering to the standards, with 84 completing necessary corrections and 48 being disqualified from the program [4] Group 3: Service Improvement and Public Awareness - Since May, the Jinan Medical Insurance Bureau has enhanced the quality and reach of the initiative by training pharmacy staff on collective procurement [5] - The bureau has made efforts to publicize the list of participating units through various online platforms, facilitating easier access for the public [5] - A "one-click price comparison" system has been introduced to help consumers easily identify participating pharmacies [5]