绩溪医保多向发力,减轻群众就医负担
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<div class="ce-paragraph cdx-block ce-paragraph--{data.alignment}">来源:绩溪县人民政府(办公室) </div>
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<div class="ce-paragraph cdx-block ce-paragraph--{data.alignment}">为切实减轻参保群众就医负担,绩溪医保聚焦县域能力提升和异地就医服务,多措并举,发挥政策叠加效应,助力县域内医疗机构提升医疗服务水平,优化异地就医服务,方便群众就医报销。</div>
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<div class="ce-paragraph cdx-block ce-paragraph--{data.alignment}">建立医保大病激励机制,提升诊疗能力。在两家县级医疗机构实施大病医治能力提升激励机制,引导县级医疗机构加强重点学科和人才建设,鼓励医院利用外请专家契机,安排本地医护人员全程参与手术与会诊,学习先进技术经验,持续提升县域内肿瘤、心脑血管等大病诊疗水平,让群众在家门口享受高质量服务,提高县域就诊率,降低异地就医负担,提升基金使用效率。</div>
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<div class="ce-paragraph cdx-block ce-paragraph--{data.alignment}">建立低收入人口医保就医定点管理,引导群众合理就医。积极探索特困、低保、监测对象等低收入人口就医医保定点管理,遴选确定县域内2家县级医院和12家乡镇卫生院为医疗救助定点医疗机构,引导特困、低保和监测对象等困难群众合理就医。对确需转院的低收入患者,落实转诊“白名单”制度,对符合“白名单”病种的患者,医疗机构直接推送信息至医保局,由医保局快速办理转诊手续,方便群众异地就医。</div>
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<div class="ce-paragraph cdx-block ce-paragraph--{data.alignment}">深化“日间病床”等试点改革,聚焦服务下沉。深入推进乡镇卫生院日间病床付费政策,完善基层医疗机构“日间病床”服务协议和管理规范,有效破解“挂床”“低指征”住院等难题,有利于基层医疗机构提升服务能力,引导常见病、慢性病患者下沉基层就诊,促进分级诊疗,提高医保基金使用质效。今年以来实施日间病床结算377人次,基金支出25.04万元,群众就医便捷性和可负担性明显提升。</div>
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