The National Health Insurance Administration recently issued the Notice of the Office of the National Medical Security Administration on the Implementation of Sixteen Measures for the Convenience of Medical Insurance Services, proposing to promote the "online office" of medical insurance services, relying on the medical insurance service platform "personal network hall" and "unit network hall" to realize the "online handling" of high-frequency matters such as insurance inquiry and insurance information change, and change "mass errands" into "data errands". Experts believe that relying on digital empowerment to promote the full-process application of medical insurance electronic vouchers can make medical insurance services more refined and efficient.

High-frequency matters are handled online

Log in to the "Beijing Medical Insurance" official account, participants can choose to use different functions according to their own requirements, query designated medical institutions, medical insurance drugs, activate and use medical insurance electronic vouchers... Zhang Cong, a Beijing resident, said: "On the 'Beijing Medical Insurance' official account, you can query personal medical consumption information, which brings convenience to the insured. ”

Jiangsu Province actively deploys the "online office" of medical insurance public service matters, and does a good job in connecting various processes and links of online handling through local public service platforms and WeChat public accounts. In order to allow the insured people to "understand at a glance and do it with one point", medical insurance departments in Jiangsu Province have further improved the online guidance function, providing online services throughout the process and links such as application acceptance, progress inquiry, and result delivery. "In the past, the masses had to queue up and consult at the manual window, but now through offline self-service, online diversion and other methods, the pressure on the window has been effectively relieved, and the satisfaction of the people has also improved." Mr. Zhao, a citizen of Nanjing, said.

The Notice of the Office of the National Medical Security Administration on the Implementation of Sixteen Measures to Facilitate Medical Insurance Services (hereinafter referred to as the "Notice") proposes to further expand the scope of online medical insurance services nationwide. Experts believe that with the implementation of medical insurance convenience measures across the country, more and more people will feel the convenience of medical treatment.

"Card-free medical treatment" is convenient

I want to buy medicine but can't find my medical insurance card, I suddenly feel unwell but I don't have my medical insurance card, I can't check my medical insurance personal account balance in real time... The use of medical insurance electronic vouchers throughout the process will provide solutions for these scenarios. "When paying, you only need to swipe the QR code to settle the medical insurance." Ms. Li, a Beijing resident, used the medical insurance electronic voucher during the medical treatment, and felt the convenience of "card-less" medical treatment, "In the past, if you could not find a medical insurance card, you could not enjoy preferential treatment for medical treatment, but now the insured can enjoy various medical security services through the medical insurance electronic certificate." ”

In many places, medical insurance has changed from "card" to "code", helping medical insurance to be efficient and convenient for the people. Tianjin promotes the application of medical insurance electronic vouchers in the whole process of hospital scenarios, and actively expands the application of medical insurance electronic vouchers in scenarios such as appointment registration, payment deduction, inspection and testing, pharmacy drug pick-up, report printing, and medical record query, so as to facilitate the insured people to use medical insurance electronic vouchers to see a doctor and improve people's medical experience.

Industry insiders believe that medical insurance electronic vouchers are a golden key to open up the whole process of convenient services in the medical insurance field, and medical insurance electronic vouchers are universal, convenient and fast, rich in application, safe and reliable, and have played an active role in optimizing medical insurance convenience services. The "whole-process use of medical insurance electronic vouchers" proposed in the Notice will play a role in improving the experience of medical treatment and drug purchase, "Internet +" medical insurance services, and optimizing services for the elderly.

Solve the difficulties of remote medical treatment

With the rapid development of the economy and society, the flow of personnel has become the norm, and the demand for medical treatment in different places has become prominent. The "Notice" proposes to open the "cross-provincial through-office" service for the transfer of medical insurance relations to facilitate the public to apply online and inquire about the progress of processing. Relying on the national medical insurance service platform APP and the national remote medical filing mini program, it is convenient for the insured to apply for remote filing online... A series of measures for remote medical treatment have responded to the needs of more people for remote medical treatment.

In recent years, the reimbursement for medical treatment in different places has been continuously optimized, realizing the transformation of "from scratch" and "from existence to excellence". The continuous optimization of medical insurance and convenience services not only improves people's medical experience, but also helps to weave a dense medical security network. Zhang Fen, a native of Shandong who lives in Shanghai, said: "In the past, it was very troublesome to see a doctor and go to medical insurance in other places, but now you only need to open the national remote medical filing mini program on your mobile phone, you can see a doctor nearby, the operation is simple, and you can check the latest filing progress on the mini program." ”

Policy measures are strong, and implementation is the key. The relevant person in charge of the National Health Insurance Administration said that in the next step, it will continue to optimize medical insurance convenience services, effectively improve medical insurance public service capabilities, incorporate 16 convenience measures into the standardized construction of medical insurance handling services in 2023, and take the implementation as an important indicator for the evaluation of handling management services to ensure that the first batch of 16 medical insurance convenience measures will be implemented in various places as soon as possible.

People's Daily Overseas Edition (Version 2023, 07 July 03)

(Overseas Network Wu Huimin, People's Daily Overseas Edition)