Disease emergency rescue should be “pre allocated before settlement”

Recently, the National Health Commission, the Ministry of public security, the Ministry of civil affairs, the Ministry of Finance and the State Medical Insurance Bureau jointly issued the “notice on further promoting the work of disease emergency relief”. The “notice” stressed that the use of the rescue fund should reflect “emergency, necessary and basic”, and should not be used to pay unreasonable expenses beyond the needs of disease treatment, non first aid expenses arising from stable condition but long-term hospitalization treatment, and overdue expenses of patients who have verified their identity and can afford but refuse to pay. < / P > < p > it is clear in the notice that the objects of assistance are the patients who are critically ill in China and need first aid, but whose identity is not clear or unable to pay the corresponding expenses. According to the actual situation, each region should formulate the identification method of patients with unclear identity and unable to pay the corresponding expenses. All kinds of medical institutions at all levels and their staff must timely and effectively treat critically ill patients, and those who refuse, shirk responsibility or delay treatment shall be seriously dealt with according to law and regulations. In terms of the types of rescue diseases, pre hospital first aid, emergency department, critical care department and emergency treatment need specialist. All localities can appropriately supplement the scope of diseases to be rescued, which should conform to the characteristics of “acute and critical”. If patients are not treated in time, they may lead to physical disability or even life-threatening. In terms of the scope and standard of expenses, the notice points out that the first aid expenses incurred by eligible patients include the medical expenses incurred during the first aid and the necessary living expenses. The first aid period is generally within 72 hours. In special cases, it can be appropriately extended according to the needs of diagnosis and treatment. < p > < p > the notice proposes that the implementation of the “pre allocation before settlement” regulation can refer to the use of the rescue fund in the previous cycle, and pre allocate to medical institutions according to a certain proportion, so as to reduce the burden of advance funds of medical institutions. At the same time, we should make effective connection with other security systems. For the patients with clear identity but unable to pay, the overdue first aid expenses shall be paid by the responsible person, work-related injury insurance and basic medical insurance, public health funds, medical assistance, social assistance for road traffic accidents and other existing channels according to the regulations. For those who have no payment channels or still have a gap after payment through existing channels, they shall be subsidized by the disease emergency relief fund For patients with unknown identity, the first aid expenses shall be subsidized by the disease emergency relief fund. For the vagrants and beggars who meet the rescue conditions after screening, the rescue management agency of the civil affairs department shall go through the rescue registration procedures and provide emergency treatment according to the law. After the first aid period and stable condition, the medical expenses of the patients who still need to be hospitalized should be paid by the corresponding security channels according to their identification. It is pointed out in the notice that the health administrative department and the financial department carry out the assessment of disease emergency relief fund every year. The notice also gives 10 performance evaluation indicators, including coverage rate of disease emergency relief system, and points out that all localities should refine the evaluation contents in their own regions and link the evaluation results with the allocation of relief funds in the next year.