From March 1, the "National Basic Medical Insurance, Work Injury Insurance and Maternity Insurance Drug Catalog (2020)" was officially implemented.

After this catalog adjustment, a total of 119 drugs were transferred to the catalog, 29 drugs were removed from the catalog, and a total of 2,800 drugs were in the final catalog.

Judging from the negotiation situation, the National Medical Insurance Bureau negotiated a total of 162 kinds of drugs, and the negotiation was successful for 119 kinds, with an average price reduction of 50.64%.

At the same time, for the first time, the 14 "old varieties" in the catalog were included in the negotiation scope, with an average drop of 43.46%.

Starting from January 1, the "Administrative Measures for Specific Diseases in Outpatients of Basic Medical Insurance of Guangdong Province" has been officially implemented, clarifying the scope of 52 specific disease types in outpatient clinics (hereinafter referred to as “mente”), covering common chronic diseases such as diabetes, hypertension, and coronary heart disease. , COPD, etc.

There is no deductible payment line in the clinic, and the payment ratio within the policy range is not lower than the general outpatient overall planning standard. Among them, the payment ratio within the policy range of ten diseases refers to the hospitalization standard.

In addition, insured persons can dispense medicines at designated retail pharmacies as required, and the single dose can be extended to 12 weeks according to the needs of the disease.

According to the "Notice on Fully Implementing the Direct Settlement of Medical Expenses in Inter-city Outpatient Clinics in the Province" (hereinafter referred to as the "Notice"), starting from January 1st, the province will start the outpatient clinics in the province and across the provinces (including general outpatient clinics) step by step. , Specific diseases in outpatient clinics, the same below) Direct settlement of medical expenses, outpatient clinics in Guangdong Province, “running errands” and “funding” have become a history.

The "Notice" clearly stated that the "list of medical places, policy of insured places, and management of medical places" are implemented, and the insured persons have handled medical and hospitalization records in different places, and opened outpatient records simultaneously.

In addition, the "Notice" encourages localities to explore qualified designated medical institutions, to determine the special treatment of insured persons, so that the insured can handle treatment confirmation at the same time as they see a doctor.

The newly revised "Guangzhou Long-term Care Insurance Trial Measures" came into effect on January 1. In addition to adding a number of new long-term care benefits, the new regulations also include new urban and rural residents 18 years of age and above on the basis of the original medical insurance for all employees in terms of coverage.

There is also the issue of financing that has always been a concern, from the original allocation of funds from the medical insurance pool to the need for both units and individuals to pay. Among them, employee medical insurance participants (including retirees) withhold and pay from their personal accounts on a monthly basis, and resident medical insurance participants are transferred from the fund and finance on a yearly basis.

Source: Elderly