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《关于扩大长期护理保险制度试点的指导意见》政策解读

发布时间: 2019-11-04     选择阅读字号: [ ]     阅读次数: 0

JINRI,JINGGUOWUYUANTONGYI,GUOJIAYIBAOJUHUITONGCAIZHENGBUYINFA《GUANYUKUODAZHANGQIHULIBAOXIANZHIDUSHIDIANDEZHIDAOYIJIAN》(YIBAOFA〔2020〕37HAO,YIXIAJIANCHENG《YIJIAN》),XIANDUIYOUGUANNEIRONGJIEDURUXIA。

一、《意见》出台背景

WOGUOYIJINRULAOLINGHUASHEHUI,JIEZHI2019NIANDI60SUIJIYISHANGRENKOUDA2.54YI,SHINENGRENYUANCHAO4000WAN,SHINENGRENYUANZHANGQIHULIBAOZHANGBUZUCHENGWEIJIDAIJIEJUEDESHEHUIXINGWENTI。SUIZHERENKOULAOLINGHUA、GAOLINGHUAJIAJU,JIANLIZHANGQIHULIBAOXIANZHIDUCHENGWEIYUELAIYUEPOQIEDESHEHUIXUQIU。ANZHAODANGZHONGYANG、GUOWUYUANBUSHU,2016NIANQIGUOJIAZUZHIBUFENDIFANGJIJIKAIZHANZHANGQIHULIBAOXIANZHIDUSHIDIAN,SHIDIANZHENGTIJINZHANSHUNLI,ZAIZHIDUKUANGJIA、ZHENGCEBIAOZHUN、YUNXINGJIZHI、GUANLIBANFADENGFANGMIANJINXINGLEYOUYITANSUO,JIANQINGLESHINENGQUNTIJINGJIHESHIWUXINGFUDAN,YOUHUALEYILIAOZIYUANPEIZHI,TUIJINLEYANGLAOCHANYEHEJIANKANGbbinGUANFANGYEFAZHAN,SHEHUIGEFANGDUISHIDIANZONGTIPINGJIALIANGHAO,YAOQIUQUANMIANJIANLIZHIDU、TUIKAISHIDIANDEHUSHENGHENGAO。

2019NIANZHENGFUGONGZUOBAOGAOTICHU“KUODAZHANGQIHULIBAOXIANZHIDUSHIDIAN”。bbinGUANFANGZAIZONGJIEQIANQISHIDIANJINGYANDEJICHUSHANG,QICAOLE《YIJIAN》,NIZAIGENGDAFANWEIJIANYANSHIDIANCHENGGUO,JINYIBUTANSUOSHIYINGWOGUOGUOQINGDEZHANGQIHULIBAOXIANZHIDUKUANGJIA。

二、扩大试点的目标和基本原则

TANSUOJIANLIZHANGQIHULIBAOXIANZHIDUSHIDANGZHONGYANG、GUOWUYUANJIJIYINGDUIRENKOULAOLINGHUADEZHONGDAZHIDUANPAI。ZHANGQIHULIBAOXIANZHIDUZAIGUANLILIANTIAO、GUANLIHUANJIE、BAOZHANGNEIRONGSHANGDOUYOUZISHENDEDUTEXING,BAOZHANGGONGNENGTONGGUOXIANYOUSHEHUIBAOXIANZHIDUTUOZHANWUFASHIXIAN。《YIJIAN》ZHEYANYUJIANLIDULIXIANZHONG,MINGQUEZHIDUSHIDIANMUBIAO,TICHULIZHENGZAI“SHISIWU”QIJIAN,JIBENXINGCHENGSHIYINGWOGUOJINGJIFAZHANSHUIPINGHELAOLINGHUAFAZHANQUSHIDEZHANGQIHULIBAOXIANZHIDUZHENGCEKUANGJIA,TUIDONGJIANLIJIANQUANMANZUQUNZHONGDUOYUANXUQIUDEDUOCENGCIZHANGQIHULIBAOZHANGZHIDU。

JIEHEDANGQIANJINGJISHEHUIFAZHANSHIJIHEQUNZHONGJIBENBAOZHANGXUQIU,CONGCUJINZHIDUZHANGYUANKECHIXUKAOLV,MINGQUELEKUODASHIDIANDE6XIANGJIBENYUANZE: YISHIJIANCHIYIRENWEIBEN,JUJIAOQUNZHONGPOQIEXUYAOJIEJUEDEZHONGDUSHINENGRENYUANZHANGQIHULIBAOZHANGWENTI。ERSHIJIANCHIDULIYUNXING,TUIJINZHIDUDULISHEJI、DULITUIJIN。SANSHIJIANCHIBAOZHANGJIBEN,ZHELIMANZUQUNZHONGJIBENDEZHANGQIHULIBAOZHANGXUQIU。SISHIJIANCHIZERENGONGDAN,HELIHUAFENCHOUZIZERENHEBAOZHANGZEREN。WUSHIJIANCHIJIZHICHUANGXIN,TANSUOKECHIXUFAZHANDEYUNXINGJIZHI,TISHENGBAOZHANGXIAONENGHEGUANLISHUIPING。LIUSHIJIANCHITONGCHOUXIEDIAO,ZUOHAOYUXIANGGUANSHEHUIBAOZHANGZHIDUJISHANGYEBAOXIANDEGONGNENGXIANJIE,XINGCHENGBAOZHANGHELI。

三、资金筹集政策

WANSHANDUOYUANCHOUZIJIZHI,JUNHENGGEFANGZEREN,JIANLIWENDING、KECHIXUDEDUOYUANCHOUZIQUDAO,TICHU3FANGMIANCUOSHI:

bbin官方YISHIKEXUEQUEDINGCHOUZISHUIPING。ZONGHEBENDIQUQUNZHONGHULIbbinGUANFANGXUQIUHEHULIbbinGUANFANGYEFAZHANQINGKUANG,KEXUECESUANZIJINXUQIU,HELIQUEDINGTONGCHOUDIQUNIANDUCHOUZIZONGE。ERSHIJIANLIZERENJUNHENGDEDULICHOUZIQUDAO。MINGQUEZHIGONGCANBAORENQUNCHOUZIYIDANWEIHEGERENJIAOFEIWEIZHU,JIAOFEIZERENYUANZESHANGAN1:1BILIFENDAN。YOUHUACHOUZIJIEGOU,CAIQUFEILVPINGYIDEBANFA,TICHUCONGDANWEIJIAONADEZHIGONGYIBAOFEIZHONGHUACHUYIBUFENZUOWEIZHANGQIHULIBAOXIANDEDANWEIJIAOFEI,JIANLIZHANGQIHULIBAOXIANDULICHOUZIQUDAO,BUXINZENGDANWEIFUDAN。GERENJIAOFEIBUFENKECONGQIZHIGONGJIBENYILIAOBAOXIANGERENZHANGHUZHONGKOUJIAO。SANSHIDUIKUNNANRENQUNCANBAOJIAOFEIZUOCHUANPAI。GULITONGGUOCAIZHENGDENGQITACHOUZIQUDAODUITESHUKUNNANTUIXIUZHIGONGJIAOFEIJIYUSHIDANGZIZHU,BANGZHUKUNNANQUNTIJINRUBAOZHANGWANG。

四、待遇支付政策

MINGQUEDAIYUZHIFUCHENGXU、FANWEI、SHUIPING,WANSHANGONGPINGSHIDUDEDAIYUBAOZHANGJIZHI,XIHUA4FANGMIANZHENGCE:

YISHIDAIYUXIANGSHOUSHANG,MINGQUESHINENGZHUANGTAICHIXU6GEYUEYISHANGDECANBAORENYUAN,YISHENQINGBINGTONGGUOSHINENGPINGGURENDINGDE,FANGKEANGUIDINGXIANGSHOUXIANGYINGDAIYU。ERSHIZHIFUFANWEISHANG,MINGQUEJIJINZHUYAOYONGYUGOUMAIHEZHIFUXIEYIJIGOUHERENYUANTIGONGDEJIBENHULIbbinGUANFANGFEIYONG。SANSHIZHIFUZHENGCESHANG, MINGQUEJIJINZHIFUSHUIPINGZONGTIKONGZHIZAI70%ZUOYOU,FAHUIBAOJIBENGONGNENG。ZHIFUFANGSHIYUHULIDENGJI、bbinGUANFANGTIGONGFANGSHIDENGXIANGSHIYING。TONGGUOSHISHICHABIEHUADAIYUBAOZHANGZHENGCE,GULICANBAORENGENGDUOLIYONGJUJIAHESHEQUHULIbbinGUANFANG。SISHIYUQITAXIANGGUANZHIDUXIANJIESHANG,FAHUIZHANGQIHULIBAOXIANZIYUANPINGTAIZUOYONG,ZUOHAOZHIDUJIANDEZIYUAN、GONGNENG、bbinGUANFANGXIANJIE,XINGCHENGBAOZHANGHELI。

五、管理bbin官方机制

JIAQIANGJIJINGUANLI、bbinGUANFANGGUANLIHEJINGBANGUANLI,YISHIDIANWEIQIERUKOUTANSUOSHEHUIBAOXIANLINGYUZHILICHUANGXIN,QUEBAOJIJINANQUAN,WEIRENMINQUNZHONGTIGONGBIANJIEGAOXIAODEZHANGQIHULIBAOZHANG。MINGQUE3FANGMIANANPAI:

bbin官方YISHIJIANQUANJIJINGUANLI。MINGQUECANZHAOXIANXINGSHEHUIBAOXIANYOUGUANZHIDUZHIXING,JIJINDANDUJIANZHANG、DANDUHESUAN。ERSHIWANSHANbbinGUANFANGGUANLI。JIANQUANXIEYIGUANLIHEJIANDUJIHEZHIDU,JIAQIANGHEGUIFANbbinGUANFANGJIANGUAN,FAHUIDUIbbinGUANFANGGONGJICEGAIGEDECUJINZUOYONG。TUIJINJIANQUANTONGYIGUIFANDEZHANGQIHULIBAOXIANBAOZHANGFANWEI、XIANGGUANBIAOZHUNJIGUANLIBANFA。SANSHICHUANGXINJINGBANGUANLI。ZHICHIYINRUSHEHUILILIANGCANYUJINGBANbbinGUANFANG,FAHUISHICHANGJIZHIZUOYONG,JIFASHICHANGZHUTIHUOLI。JIANLIJIANQUANXIANGYINGDEJIXIAOPINGJIA、KAOHEJILI、FENGXIANFANGFANJIZHI。JIAKUAIXITONGPINGTAIbbinGUANFANG,SHIXIANXINXIGONGXIANGHEHULIANHUTONG,DAPOXINXIGUDAO。

链接: 国家医保局 财政部关于扩大长期护理保险制度试点的指导意见

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