The Provincial Healthcare Security Administration issued a notice pledging to do whatever it takes to provide medical insurance services for the insured citizens and guarantee normal operation of designated medical institutions during the pandemic prevention and control period and ensuring no disruption in medical insurance handling services, no suspension in business reception and no reduction in work efficiency, in an effort to implement in real earnest the suggestions raised by the Jiangsu Working Group of Comprehensive Team of the State Council Joint Prevention and Control Mechanism and the decisions of CPC Jiangsu Provincial Committee and Jiangsu Provincial Government.
Insurance participants could now access all medical insurance services at home thanks to efforts of the provincial relevant departments in focusing on high-frequency service matters of the insured citizens such as insurance payment, sporadic reimbursement, application for outpatient chronic and special disease services and out-of-town medical treatment during the pandemic prevention and control period, cross-checking the existing 15 measures that ensure getting things done without meeting in person, further simplifying and optimizing service workflow and opening and expanding various service channels to promote full-coverage of medical insurance services saving the need of meeting in person. By doing so, Jiangsu works to ensure no suspension, disconnection or shutoff of medical insurance services during the pandemic prevention and control period.
During the pandemic Jiangsu supports the “long prescription” policy adopted by designated medical institutions which extend the single prescription to three months, after evaluation of the doctor, for patients covered by medical insurance with chronic diseases like high blood pressure and diabetes based on their practical conditions, so as to lower their frequency in going to and returning from hospitals for drug dispensary.
Advantages of “Internet Plus” medical care are fully harnessed in reducing crowd gathering and cross-infection risks during hospital visits. Jiangsu encourages qualified designated medical institutions to provide out-patient medical services that feature clear clinical pathways, specified technical regulations, and substantive effects on the diagnosis and treatment of diseases for patients with common and chronic diseases seeking subsequent treatment. As such, the insured patients’ needs for facilitated and tailored medical care will be further met.
As part of the move to address clinical treatment needs of designated medical institutions in pandemic-hit areas, medical institutions that treat COVID-19 patients and open fever clinics will be allocated no less than two months of medical insurance funds in advance, and other designated medical institutions will be appropriated no less than one month of medical insurance funds. Medical expenses incurred by the insured coronavirus confirmed or suspected cases will be separately settled at the time of fund settlement, and relevant medical fees shall not be included in the total budget control indicators of designated medical institutions. The province will make sure the costs of COVID-19 vaccines and inoculation are backed up by releasing the special procurement funds for vaccines on time, allocating innovation fees in full and in time on a monthly basis, and seeing to it that the special funds are in place and in time, the information is accurate, and settlements are efficient.