国家医保局日前发布通知，明确支持将符合条件的村卫生室纳入医保定点，进一步推广三明医改经验。此举旨在发挥医保在医疗、医保、医药“三医”协同发展和治理中的基础性作用，加大医保对基层医疗机构的支持力度。
通知要求各地医保部门要积极推动符合条件的村卫生室申请医保定点，简化流程，提高效率，确保患者在村卫生室就诊的医疗费用能够得到医保报销。同时，医保局还将加强对基层医疗机构的医保政策指导和监管，确保医保基金的安全和合理使用。
此举旨在提升基层医疗卫生服务能力，满足广大农村地区群众的基本医疗卫生需求，促进基本医疗保障服务的公平可及。通过将村卫生室纳入医保定点，患者在基层医疗机构就诊的便利性和可负担性将得到提升，有助于缓解城市医疗机构的就医压力，推动医疗资源向基层倾斜，实现分级诊疗。
国家医保局的这一举措，是对三明医改经验的进一步推广，也是对基层医疗体系建设的加强。通过医保政策的引导和支持，将进一步推动我国医疗卫生服务体系的完善和发展，为人民群众提供更加优质的医疗服务。
英语如下：
News Title: “Expansion of Medical Insurance Coverage: Rural Health Clinics Included in Designated Services”
Keywords: Medical Insurance Designated, Grassroots Healthcare, Sanming Experience
News Content: The National Medical Insurance Administration has recently issued a notice to clearly support the inclusion of eligible rural health clinics in the medical insurance network, further promoting the reform experience of Sanming. The move aims to play a foundational role of medical insurance in the coordinated development and governance of the “three medical” sectors – medical care, medical insurance, and pharmaceuticals, and to enhance support for grassroots medical institutions through insurance.
The notice requires local medical insurance departments to actively promote eligible rural health clinics to apply for inclusion in the medical insurance network, simplify procedures, and improve efficiency, ensuring that patients’ medical expenses incurred at rural health clinics can be reimbursed by medical insurance. Additionally, the Medical Insurance Administration will strengthen guidance and supervision of grassroots medical institutions’ medical insurance policies to ensure the safety and rational use of medical insurance funds.
The aim is to enhance the basic healthcare service capabilities of rural areas and meet the basic healthcare needs of the vast rural population, promoting the fairness and accessibility of basic medical insurance services. By including rural health clinics in the medical insurance network, the convenience and affordability of patients’ visits to grassroots medical institutions will be improved, which helps alleviate the pressure on urban medical institutions and promotes medical resources to tilt towards the grassroots, realizing hierarchical medical care.
This action by the National Medical Insurance Administration is a further promotion of the Sanming reform experience and a strengthening of grassroots medical infrastructure. Through the guidance and support of medical insurance policies, it will further promote the perfection and development of China’s medical service system, providing the people with better medical services.
【来源】http://www.chinanews.com/cj/2024/05-25/10223257.shtml
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