來源:市場星報
| 2022-11-07 16:43:09 |
(資料圖片僅供參考)
日前,記者從安徽省醫(yī)保局獲悉,《關(guān)于調(diào)整基本醫(yī)療保險門診慢特病病種及門診用藥目錄的通知》(以下簡稱《通知》)印發(fā),擴大門診慢特病病種保障范圍,進一步減輕參?;颊呒彝メt(yī)療費用負擔。自12月1日起,將進行性肌營養(yǎng)不良癥、法布雷病、亨廷頓舞蹈癥、視神經(jīng)脊髓炎、脊髓延髓肌萎縮癥(肯尼迪病)、甲狀腺素蛋白淀粉樣變性心肌病、遺傳性血管性水腫等7種疾病統(tǒng)一納入基本醫(yī)保門診慢特病保障范圍。
據(jù)悉,《通知》明確門診慢特病病種內(nèi)容,要求全省各醫(yī)保統(tǒng)籌地區(qū)統(tǒng)一執(zhí)行新增病種目錄、認定標準、用藥目錄及年費用限額,不得自行調(diào)整;同時,《通知》要求做好系統(tǒng)維護,加強服務(wù)管理,確保政策如期平穩(wěn)落地施行,保障患者用藥安全可及。
省醫(yī)保局相關(guān)處室負責人介紹說,此次調(diào)整門診慢特病病種目錄體現(xiàn)三點創(chuàng)新之處:統(tǒng)一病種范圍。遴選確定將進行性肌營養(yǎng)不良癥、法布雷病、亨廷頓舞蹈癥、視神經(jīng)脊髓炎、脊髓延髓肌萎縮癥(肯尼迪?。?、甲狀腺素蛋白淀粉樣變性心肌病、遺傳性血管性水腫等7種疾病統(tǒng)一納入基本醫(yī)保門診慢特病保障范圍,并明確了病種認定標準,職工醫(yī)保、居民醫(yī)保同步執(zhí)行,有助于病種的規(guī)范管理、統(tǒng)一尺度。統(tǒng)一用藥范圍。統(tǒng)一制定了7種慢特病病種的門診用藥目錄,滿足參?;颊唛T診用藥需求的同時,進一步規(guī)范醫(yī)?;鹬С?。統(tǒng)一報銷限額。在全省統(tǒng)一門診病種、用藥、認定標準基礎(chǔ)上,區(qū)分居民醫(yī)保和職工醫(yī)保,分病種確定年度報銷限額,進一步增強醫(yī)療保障待遇均衡性,促進基本醫(yī)保政策的公平統(tǒng)一。
至此,安徽省門診慢特病病種數(shù)目達到70個。記者 祁琳
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