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Original title: The health insurance fund family has more than 3 billion yuan, and there is no problem to pay for the new crown vaccine.
In the next step, we will thoroughly analyze the operation of the health insurance fund and actively cooperate with the relevant departments to strengthen the supervision and management of the use of health insurance funds to ensure the sustainable and balanced operation of the fund in the medium and long term. .
In 2020, after my country’s health insurance fund paid for patients’ medical expenses with the new crown and implemented fee reductions in stages, its rolling balance still achieved positive growth. With these three trillion assets, this year’s health insurance fund is confident that it will continue to “pay the bill” for the new crown of vaccines and vaccination costs.
Shi Zihai, deputy director of the National Health Insurance Administration, said at the State Council policy briefing held by the State Council Information Office on the 20th, according to the statistical bulletin, the fund’s total income last year was 2.4 trillion yuan, and spending was about 2.1 trillion yuan, with a balance of 270 billion yuan that year. The accumulated balance over the years has exceeded 3 trillion yuan. In general, there is no problem with the health insurance fund that covers the cost of vaccinations and vaccination.
The new vaccination crown will be the world’s largest immunization plan in history, and the health insurance fund will pay for the new pneumonia vaccine crown, a special measure to cope with special events. In the long term, free vaccination for all people will help to rapidly establish an immune barrier, maintain normal production and order of life, and healthy economic and social development, thus further promoting the long-term sustainable operation of the fund. health insurance.
According to the People’s Daily, on February 19, Gao Fu, an academic at the Chinese Academy of Sciences and director of the Chinese Center for Disease Control and Prevention, published an article titled “New Coronary Pneumonia: A Long Year, And What? then?” “The article. The article proposes that, as of February 3, 2021, my country has received 31 million doses of the inactivated COVID-19 vaccine, including front-line medical personnel, chain industry workers cold weather and staff working or studying abroad.
According to the State Council deployment, there are two main points in the current round of the new coronavirus vaccine and vaccination cost policy: first, vaccination and vaccination costs are borne by the health insurance fund, the government provides adequate subsidies to insurance funds and individual residents receive free vaccinations. The second is that the health insurance fund is mainly supported by the balance of the last years, and does not affect the income and expenses of the fund in the current period, that is, it will not affect the current medical treatment of the people.
Shi Zihai said that at present, the National Health Insurance Administration has worked with the relevant departments to study and formulate detailed operational plans for the vaccine and vaccination cost guarantees after the vaccine is tied to the market.
Prior to this, the National Health Insurance Office has stated to the public that health insurance pays for vaccinations, by no means it just pays. Every effort needs to be made to ensure that health insurance funds have the maximum protective effect, to make good use of various methods such as centralized and volume purchasing, and to give full play to strategic health insurance purchasing.
This means that in the next step, the Health Insurance Bureau can take various steps, including volume purchases, to negotiate prices with vaccine companies, play the role of “group buy” of health insurance, trade volume for price, and use health insurance funds more effectively.
Although the health insurance fund has a considerable balance throughout the country, there is a relatively serious structural imbalance within it. This imbalance is first reflected in the fact that, although the current refinancing balance is relatively large, a third of it is in personal accounts and the total fund balance is approximately 2 trillion yuan.
Comparing the data in 2019, it can be seen that the fastest growth in accumulated health insurance balance in 2020 is personal account funds, which has increased from 840 billion yuan in 2019 to 1 trillion yuan. The pooled funds reached 1.93 trillion yuan in 2019, and the growth of pooled funds in 2020 will be limited.
Shi Zihai also said that the distribution of health insurance fund balances in the regions is very uneven, mainly concentrated in some provinces where the population flows, and the concentration continues to increase. In particular, as economic growth moves from high to medium and high speed, the aging of the population continues to increase, the spectrum of diseases changes, advances in medical technology, etc., medical expenses continue to increase. and the growth rate of funds income is lower than the growth rate of spending will become the new normal Medical security There is some pressure on the fund’s medium and long-term balance.
According to statistics from the National Health Insurance Office, in the six eastern provinces and cities with large population flows, the accumulated balance of the general fund for employee health insurance represented 44.7% of the country in 2010, and has increased to 56.6%. last year.
“In the next step, we will carefully analyze the operation of the health insurance fund and actively work with the relevant departments to strengthen the supervision and management of the use of health insurance funds to ensure the sustainable and balanced operation of the fund in the middle. long term, “Shi Zihai said.
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