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Medical insurance electronic code makes medical treatment more convenient.
The Party's Report to the 20th CPC National Congress proposed to speed up the construction of a network power and a digital China. The ever-changing digital technology is changing the way the government manages services and greatly improving the service level. Many government services have been "online" and "coded", and electronic certificates have been widely used in many fields, and mutual recognition has been realized nationwide. Small electronic code, greatly gain a sense; The data runs more, and the masses run less errands. From now on, this edition will launch a series of plans of "Big Data Observation, Accelerating the Construction of Digital China", focusing on the changes brought by electronic medical insurance cards, electronic driver's licenses and electronic signatures to people's lives. I believe that these beneficial explorations will bring more people's livelihood and well-being. -Editor Not long ago, Mr. Ma, who was away on business, suddenly fell ill. Because he didn't carry a medical insurance card with him, Mr. Ma planned to see a doctor at his own expense. Under the reminder of medical staff, he applied for electronic certificate medical insurance online, and soon completed the filing procedures, and directly enjoyed the medical insurance treatment in different places. So efficient, let Mr. Ma call it "very convenient". In the first half of this year, a unified national medical insurance information platform was established. Thanks to this, the "Internet plus medical insurance service" has continuously made new breakthroughs, and the people's medical insurance service experience and sense of acquisition have been continuously enhanced. Full coverage-the number of authorized users of electronic certificate medical insurance is 65.438+0.23 billion, and the daily average number of code exhibitions is nearly 65.438+0 billion. In Beijing First Hospital of Integrated Traditional Chinese and Western Medicine, Ms. Han, who often comes to see a doctor, familiarly opens the "medical insurance code" in her mobile phone. "Save trouble, don't always remember to bring a card." Ms. Han has a 3-year-old daughter who used to take her children to see a doctor. When paying the fee, she often needs to find the child's medical insurance card in a hurry. Now, she has opened a family account and saved her child's medical insurance code in her mobile phone. 2019165438+124 October, the national medical insurance bureau launched the national electronic medical insurance certificate system and issued the first electronic medical insurance certificate in China. At first, it only covered some cities in seven provinces (cities) of Hebei, Jilin, Heilongjiang, Shanghai, Fujian, Shandong and Guangdong, and now it has achieved full coverage-up to now, the number of authorized users of e-cert medical insurance has reached 65.438+23 billion, and 365.438+0 provinces (autonomous regions and municipalities) and Xinjiang Production and Construction Corps have supported the use of e-cert, with about 40 designated users nationwide. At the beginning of the promotion of medical insurance in electronic certificate, various localities thought of many ways. For example, in Zhongshan City, Guangdong Province, the medical insurance department cooperates with designated medical institutions to form a publicity team to conduct publicity and training in the form of "medical insurance school". At the same time, in the "Guangdong Medical Insurance" applet, functions such as inquiring the medical insurance years of employees and selecting outpatient points were developed to guide people to activate the medical insurance electronic certificate. After more than two years of promotion, the electronic medical insurance certificate can be activated and used through more than 200 channels, such as national medical insurance APP, local medical insurance APP, national and local government service platforms, WeChat and Alipay third-party payment platforms, large state-owned commercial banks and mobile banking APP of national joint-stock commercial banks. According to the data of the National Medical Insurance Bureau, 830 million people have been activated by electronic medical insurance certificates, and the daily average number of code exhibitions is nearly 654.38+billion times, and the cumulative settlement exceeds 654.38+0.47 billion times. Wang Wenjun, director of the Planning, Finance and Regulation Department of the National Medical Insurance Bureau, said that the National Medical Insurance Bureau is guiding local medical insurance departments to actively promote the deepening application of medical insurance electronic certificates in the field of medical treatment and drug purchase. Only using medical insurance electronic certificates can handle business such as appointment registration, medical registration, medical insurance settlement, report inquiry and drug purchase in pharmacies. Zhao Lei, a citizen of Chongqing who has just started the electronic certificate of medical insurance, specially experienced the application of medical insurance in electronic certificate. She found that opening the "National Medical Insurance Service Platform" mobile phone application, scanning the medical insurance code on the hospital self-service machine, registering, paying fees and other services can be completed. "In the mobile phone application, the monthly payment of medical insurance, the consumption record of each medical treatment, the balance of medical insurance personal account and other information can be seen at a glance. It is really much more convenient than a physical medical insurance card. " Zhao Lei said that the family of an old colleague came from other places to take care of the children. After filing with electronic certificate, they can also make real-time medical insurance settlement in Chongqing, and only need to pay the out-of-pocket part. The reporter found that in order to facilitate the use of the elderly insured, the "National Medical Insurance Service Platform" mobile phone application also set up a "big print" button. At the same time, the insured can activate their parents' and children's electronic medical insurance vouchers in family account to help them seek medical treatment and reimbursement online. Wang Wenjun told reporters that the National Medical Insurance Bureau continued to optimize and improve the online business hall and APP for medical insurance services, and provided "medical insurance service points to move home" and "medical insurance service halls in pockets" for the masses. At present, the number of real-name users in the lobby and APP of the medical insurance service network is 230 million, and the number of family account is1.65,438+0.5 billion, which has improved the people's medical insurance service experience. With the popularization of medical insurance mobile payment, medical insurance electronic prescription circulation, credit medical treatment and other convenience functions, the process of purchasing medicines for medical treatment has been further optimized. Efficient-the average daily settlement exceeds 6.5438+0.8 million person-times, and the average response time of hospitalization expenses settlement from card to code is 0.8 seconds, which is universal and not simple. In fact, "code management" needs the unification of national medical insurance information and a strong information platform to support it. Before the establishment of the National Medical Insurance Bureau, the information system in the medical insurance field was built by departments such as people's society, medical insurance, civil affairs, and development and reform commission, and the information system lacked top-level design, resulting in problems such as the data gap and information islands. "For example, in the past, the business coding standards of various medical insurance co-ordination areas in the country were inconsistent, and the coding of disease classification, surgical operation, drugs, medical consumables, and diagnosis and treatment projects were inconsistent, which restricted the accurate decision-making of national and provincial medical insurance departments." Wang Wenjun said. With the application of the national unified medical insurance information platform, the achievements of informatization construction have played an active role in supporting the decision-making of medical insurance management, promoting the refined management of medical insurance and improving the service level of medical insurance. Through the national remote medical record applet and the national medical insurance service platform APP, all co-ordination areas can realize online processing of cross-provincial remote medical records, and at present, more than 18 10000 person-times have been successfully filed. The medical insurance information platform has also set up a nationwide medical insurance settlement "highway", which can realize direct settlement of medical treatment in different places across the country. At present, there are more than 39.73 million inter-provincial direct settlements. The settlement efficiency of the new platform is also higher, with the daily average settlement exceeding180,000 person-times, the average response time of hospitalization expense settlement being 0.8 seconds, and the average performance being improved by 3-5 times, which effectively reduces the waiting time at the window and reduces the operating pressure and management cost of medical institutions.