[Practice of Chinese path to modernization in Beijing, Tianjin and Hebei] "One Card" for medical treatment in Beijing, Tianjin and Hebei breaks the "barrier" of medical insurance reimbursement in different places | different places | Beijing, Tianjin and Hebei

Release time:Apr 15, 2024 02:20 AM

On August 19th, China Net reported that according to the "Notice on Carrying out the Work of Treating Medical Treatment with Regarded Filing in the Beijing Tianjin Hebei Region", starting from April this year, insured individuals from the three regions can enjoy medical insurance reimbursement benefits in all designated medical institutions in the Beijing Tianjin Hebei region, including hospitalization, general outpatient, outpatient treatment for chronic and special diseases, and medication purchase. There is no need to go through the procedures for medical treatment with different locations.

Now that the policy has been implemented for 4 months, what are the experiences of doctors and patients? A few days ago, the reporter visited the First Central Hospital of Tianjin with the online research and interview team of "Going into the region to see development and the practice of Chinese path to modernization in Beijing, Tianjin and Hebei". Doctors and patients here had a personal experience of the convenience of direct settlement of medical insurance in other places.

Tianjin First Central Hospital's remote medical insurance outpatient network settlement window. Photo by China Net reporter Peng Yao

According to Teng Lanbo, a nephrologist at the hospital, due to its close geographical location to Hebei, the proportion of patients seeking treatment at Tianjin First Central Hospital is relatively high in Hebei. Now, patients no longer need to register in another location, and it also reduces the economic burden of having to fully advance the cost after each dialysis. "Some people working in the local area often bring their parents from other places to seek medical treatment, which generally makes them feel more belonging."


[Practice of Chinese path to modernization in Beijing, Tianjin and Hebei] "One Card" for medical treatment in Beijing, Tianjin and Hebei breaks the "barrier" of medical insurance reimbursement in different places | different places | Beijing, Tianjin and Hebei

At the Internet settlement window of the medical insurance clinic in other places, Mr. Jing from Hebei told reporters that a few years ago, he needed to issue a referral certificate to see a doctor in Tianjin. Last year, he had to use APP to record on the Internet. This year, he could directly swipe his card to see a doctor, eliminating many twists and turns. Going to Tianjin to see a doctor is the same as the procedure in Hebei. "The medical insurance settlement in other places has provided us with great convenience."

It is understood that currently, Tianjin has opened more than 1300 designated medical institutions for direct settlement of general outpatient clinics and more than 400 designated medical institutions for hospitalization in other places, achieving full coverage. In addition, 399 designated medical institutions and 32 designated retail pharmacies have been opened for direct settlement of outpatient chronic diseases.

"In the process of promotion, we pay special attention to the design of the handling process and informatization. Outpatient settlement requires high requirements for informatization, not only the transformation of the place of medical treatment, but also the cooperation of the insured place and the national platform. Therefore, we have put a lot of effort into informatization." Zhang Tao, Director of the Benefits and Guarantees Department of Tianjin Medical Security Bureau, believes that in the business process, the main goal is to achieve "same city" in the Beijing Tianjin Hebei region, so that patients have no sense of location, and even the receiving and settlement personnel do not know where the patients come from. This is a higher-level design of "same city". ".

"In terms of interconnectivity, industrial transfer, and personnel mobility in the Beijing Tianjin Hebei region, we have achieved everything we can think of in terms of medical support." Zhang Tao said that the next step will be to "replicate" new institutions according to existing requirements and information technology transformation standards, better meeting the needs of insured individuals in the Beijing Tianjin Hebei region for medical insurance public services.


[Practice of Chinese path to modernization in Beijing, Tianjin and Hebei] "One Card" for medical treatment in Beijing, Tianjin and Hebei breaks the "barrier" of medical insurance reimbursement in different places | different places | Beijing, Tianjin and Hebei

Editor and Reviewer: Wei Jing

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