The Research Of The Basic Medical Insurance For Remote Medical Treatment's Settlement

Due to China's imbalanced economic development caused by the uneven distribution of medical resources,accelerating the aging caused by social development and population increasing,which result in remote medical treatment immediate settlement problems having become increasingly prominent.Great efforts have been made around in the exploration of the remote medical treatment of basic medical insurance settlement,in accordance with the development level of local policy,but the policy of national unity the level has yet to be introduced.To research the basic medical insurance settlement of remote medical treatment can improve the selectivity of the insured,especially give patients more opportunities to enjoy the medical resources,and improve the level of medical security of the insured.What is more,this research can solve member of remote medical expenses after advance for insured person,reduce the reimbursement of procedures cumbersome and economic burden,but also can improve the work efficiency of the health insurance agencies,which is a convenient project.At present,each provinces have been completed in the basic medical insurance for remote medical immediate settlement work,the provinces also actively carry out exploration with each other.There are some mode which make very good demonstration effects for the provinces,such as Hainan,Shanghai and other regions.However,around the remote medical insurance settlement policy differences in cohesion difficulties,there are many problems,such as absent of seriously direct settlement remote medical insurance policy,incompatible of information system,information resources can not be shared,remote medical billing management is not standardized,supervise and verify the investigation are difficult and so on.Look around the international typical countries and regions to solve the remote medical settlement's way,the European Union,the United States,Japan,Canada and other countries,especiallyin EU law,public information platform,cross-border medical management aspects health policy construction provides useful inspirations of China's top-level design integration.Starting from the reality of our country,combining the reality of our country,through to the domestic and foreign remote medical immediate settlement management mode and experience,putting forward new policy policy thinking on the optimization of remote medical treatment.To carry out the work to do necessary preparations,the government,agencies and the insured person,which are three aspects of holistic advance planning.And medical service management system from other places,the construction of hardware and software information system,all aspects of fund management and operation should be considered.