Recently, the General Office of the State Council forwarded to the Ministry of Civil Affairs and other departments the “Notice on Further Improving the Medical Assistance System to Carry out Medical Assistance for Serious Diseases” (click to view the full text), how can the medical assistance policy for serious diseases minimize the burden of medical expenses? On June 17, Xu Hua, deputy director of the Social Assistance Department of the Ministry of Civil Affairs, Jiang Yu, director of the Medical Security Division of the Social Security Department of the Ministry of Finance, and Zhang Zhenzhong, vice president of the China Health Economics Association, were interviewed by the Chinese government website and Xinhua Interview to explain the medical assistance for serious illnesses. Xu Hua said that in the future, no matter what your status is, whether you are a low-income or low-income family status, as long as you have a serious illness, the costs incurred exceed the family’s affordability, and serious difficulties arise in basic living, you can come to apply for major medical assistance. Reporter: We also collated the netizen’s questions, focusing on what aspects? For example, some netizens ask what kind of diseases will be in this scope? The second category is what kind of conditions the people can meet in this scope? The third category is what kind of procedures can be used to obtain assistance? The fourth category is not real-time settlement? The fifth category of questions, how much can I be reimbursed? These questions are all in the content of the document, so please ask Director Xu to sort out the contents of the document, what are the salient points in it. Xu Hua, deputy director of the Department of Social Assistance of the Ministry of Civil Affairs: the document has clear overall principles of medical assistance, such as what kind of objects meet the conditions to enjoy the assistance, including the scope of assistance, standards, procedures, etc., the document has put forward clear requirements. The next step needs to start from the actual situation, the development of some supporting specific measures to implement, especially to determine the scope of the object according to the actual local situation, the subsidy standard, because it should be combined with the local economic and social development and the income level of urban and rural residents to consider. So the next step, around the development of supporting specific measures. Speaking of the main content and highlights of the document, Professor Zhang just mentioned. The first part of the document is the general principles, the last part is to strengthen the organizational leadership of this work, the middle of the three pieces is the policy content. The first piece, the requirements for improving the medical assistance system. Requires the integration of urban and rural medical aid system, because in the past is the urban and rural subsystem, in accordance with the requirements of urban and rural development, to integrate urban and rural medical aid system, the use of combined funds, the scope of aid recipients to make a reasonable definition. In terms of funding, funding his participation in basic medical insurance, outpatient assistance to do further standardization, inpatient assistance should also be further improved. The second piece, the comprehensive development of medical assistance for serious illnesses this work requirements. Medical assistance for serious illnesses is based on the requirements of economic and social development and the people’s aspirations and expectations, but also the central government made the decision to start this year to carry out a comprehensive medical assistance for serious illnesses. The requirements of local conditions, the scientific development of specific implementation plans, including standards, levels, procedures, etc., to determine the target and standards of assistance, to clarify the scope of medical treatment, to strengthen the interface of the relevant systems, such as basic medical insurance, major medical insurance, supplemental insurance, commercial insurance, disease emergency relief, as well as the interface of social charity, have made clear requirements. In short, through a comprehensive approach to solve the problem of people suffering from serious illnesses medical care. The third block, in order to ensure the sustainable, stable and healthy development of this work, the requirements of a sound working mechanism. Including the funding mechanism, “one-stop” instant settlement mechanism, relief services supervision mechanism and social forces involved in the interface mechanism, etc., should continue to improve. In general, these three aspects are the main content of the document. Compared to some of the past documents, this document highlights are very much, in terms of form, it should be said that this time the State Council executive meeting specifically considered, and finally officially issued in the name of the General Office of the State Council, the form is not in the past in the medical aid-related documents, from the central level to make this provision is the first time, I think the document is very high level, this is a highlight, that is, in the name of This is a highlight, is the name of the General Office of the State Council. Then again, in terms of content, there are many breakthroughs, mainly for the current medical aid work in the process of carrying out some key issues, but also made the corresponding requirements and breakthroughs. For example, the integration of urban and rural medical aid system, in accordance with the requirements of integrated urban and rural development, starting in 2013, the Ministry of Finance, the Ministry of Civil Affairs issued the “urban and rural medical aid fund management measures”, requiring urban and rural medical aid funds two accounts to be combined, unified use. On the basis of this, the “Opinions” further requires all places to complete the merger of the two fund accounts by the end of 2015, in the medical aid policy objectives, fund raising, the scope of the target, relief standards, relief procedures and other aspects of urban and rural areas in accordance with the unified provisions, because they are looking at the same disease, the cost may be the same, because the past is the urban and rural subsystem, it is possible that urban and rural areas get different standards of relief. There are such differences. Now in accordance with the requirements of urban and rural integration, our policy objectives, policy design, relief standards should be unified in urban and rural areas, integrated development, to ensure that urban and rural people in need in terms of rights and opportunities to achieve fairness and enjoy the same treatment. Third, the scope of the object, the past medical aid when the implementation of the main focus is on the traditional objects of relief, mainly for the low income groups, special hardship supporters. In the past few years, from the focus of the object to gradually expand to low-income families of the elderly, minors, the severely disabled and seriously ill. Of course, low-income families, the standard set by different places, some are in the low income standard 1.5 times, some are 1.8 times, within this line are low-income groups. This time, the document also proposed on this basis, to actively explore the serious illnesses in families caused by poverty to include the scope of assistance. From the perspective of the existing relief system, temporary relief is a breakthrough in the object, that is, to extend to all eligible residents. In the future, no matter what your status, you are not low-income or low-income family status, as long as you have a serious illness, the costs incurred beyond the family’s ability to afford, the basic life of serious difficulties, you can apply for major medical assistance, so the object is also a major expansion. Fourth, to improve the standard of assistance and level of breakthroughs, the document also implements the concept of highlighting the key, gradient assistance, mainly in the financial support for insurance and participation, we propose to the special hardship support is fully funded, the low income is a fixed amount of funding. In the hospitalization assistance, the key objects to improve the level of assistance, by the end of 2014, the key relief objects hospitalization out-of-pocket expenses, if within the annual limit, the relief standard generally reached 60%, this time clearly proposed to further improve, to not less than 70%, the local financial situation is good, but also higher, so this is a breakthrough in the standard Fifth, this document also highlights the The “emergency relief” requirements and philosophy. Medical aid system is the most important system to undertake the “emergency relief”, “emergency” problems are caused by many serious illnesses. This time, the document also put forward the requirements for solving this aspect of the problem, that is, how to better solve. For example, the document mentions that we should support the designated medical institutions to reduce the hospital deposit for relief recipients, because to see a doctor, many hospitals have to pay a deposit, the needy because of the poor economic situation, so the deposit for him is also a considerable pressure. Because they can’t afford to pay the deposit, many people choose not to see a doctor or give up treatment. Over the years, the civil affairs department has also taken measures to further clarify the document, the designated medical institutions to reduce the hospital deposit, while allowing medical aid agencies to designated medical institutions to advance a portion of the funds, so that they are timely for the needy people to save treatment, not because of money delayed treatment. In addition, the health and family planning department has clarified some treatment paths, can be treated through outpatient treatment of diseases, clear treatment paths, you can use single-patient payment method for relief. There is also the establishment of an information platform to provide support for social charity forces involved in medical aid. These are from the solution to the masses “urgent” problem, comprehensive measures to solve the problem of serious illness. Sixth, to strengthen the system interface, emphasizing the role of the system, a comprehensive approach or through the combined efforts of the system to protect the basic medical rights and interests of the masses, to further reduce their medical burden. For example, basic medical insurance, major medical insurance, supplementary medical insurance, medical assistance for diseases, medical assistance for serious diseases, social charity assistance and other aspects of the combined efforts to achieve seamless integration to ensure the rights and interests of the masses. In terms of system convergence, the departments of civil affairs, finance, human resources, social security and health planning, as well as insurance supervision, have strengthened cooperation and collaboration in system design as well as working mechanisms to achieve the interconnection of information and provide convenient services for the masses to help them obtain insurance compensation and medical assistance, and clear requirements have been put forward in these aspects. Seventh, to guide the participation of social forces, the document also put forward the requirements. Social participation is an effective supplement and support to government assistance, charity in the participation of medical assistance there is still a lot of space. According to my understanding, in 2014 the national charitable donations have exceeded 100 billion, but the proportion of medical aid is 10%-15%, it should be said that the space for charitable participation in medical aid is still huge, so this “opinion” is clear, to improve the social forces involved in medical aid related mechanisms, to clarify some preferential measures, including building a platform In the “Opinions”, it is clear that we should improve the mechanism for social forces to participate in medical aid, to clarify some preferential measures, including the establishment of a platform, how to connect social forces to participate in government aid, to provide them with some information, how to connect, these aspects have been put forward. Then there is the social forces involved in medical aid, in addition to providing financial support, but also to play a professional advantage of social forces, such as providing more psychological comfort, companionship, diversion in the charity medical services. These are the highlights of the document.