{"id":28103,"date":"2022-07-08T22:53:00","date_gmt":"2022-07-08T14:53:00","guid":{"rendered":"https:\/\/flcube.com\/?p=28103"},"modified":"2025-02-25T22:55:31","modified_gmt":"2025-02-25T14:55:31","slug":"nhsa-sets-2022-goals-for-basic-medical-insurance-funding-and-reforms","status":"publish","type":"post","link":"https:\/\/flcube.com\/?p=28103","title":{"rendered":"NHSA Sets 2022 Goals for Basic Medical Insurance Funding and Reforms"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The National Healthcare Security Administration (NHSA), Ministry of Finance (MOF), and State Taxation Administration (STA) jointly released a notification outlining 2022 work goals for urban employee and rural\/residential Basic Medical Insurance (BMI) schemes, focusing on improving funding standards and expanding accessibility.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Funding Standards<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Per Capita Financing<\/strong>: Set at RMB 960 (USD 143).<\/li>\n\n\n\n<li><strong>Resident Subsidy<\/strong>: Increased by RMB 30 (USD 4.47) to RMB 610 (USD 91) per person annually.<\/li>\n\n\n\n<li><strong>Individual Contribution<\/strong>: Raised by RMB 30 (USD 4.47) to RMB 350 (USD 52.19) per person annually.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Household Registration Relaxation<\/strong><br>The government will loosen restrictions on household registration, allowing out-of-province residents with a residence permit to access reimbursed healthcare and receive subsidies equivalent to local residents.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Inpatient and Outpatient Security<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Inpatient Treatment<\/strong>: Stabilize coverage, ensuring medical expense fund payments within the policy scope remain around 70%.<\/li>\n\n\n\n<li><strong>Outpatient Measures<\/strong>: Expand coverage for hypertension, diabetes, chronic diseases, and critical illness insurance.<\/li>\n\n\n\n<li><strong>Maternity Care<\/strong>: Improve resident medical insurance maternity expense treatment and ensure coverage for insured maternity medical expenses.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Payment Management<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>NRDL Management<\/strong>: Strengthen oversight of the National Reimbursement Drug List (NRDL) and implement &#8220;dual-channel&#8221; drug management.<\/li>\n\n\n\n<li><strong>Access Management<\/strong>: Regulate access for ethnic medicines, hospital preparations, and traditional Chinese medicine products.<\/li>\n\n\n\n<li><strong>Payment Reform<\/strong>: Launch the &#8220;DRG\/DIP Payment Method Three-Year Reform Plan&#8221; to advance outpatient and TCM payment reforms.<\/li>\n\n\n\n<li><strong>Designated Management<\/strong>: Improve healthcare management for medical institutions and retail pharmacies.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Volume-Based Procurement (VBP) and Pricing<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>National and Inter-Provincial VBPs<\/strong>: By end-2022, cumulative drug VBPs to reach 350, and high-value medical consumables to exceed 5.<\/li>\n\n\n\n<li><strong>Platform Functionality<\/strong>: Enhance pharmaceutical procurement platform capabilities and strengthen performance evaluation.<\/li>\n\n\n\n<li><strong>Pricing Reform<\/strong>: Promote pilot reforms for medical service pricing and implement a medical price monitoring project.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Fund Supervision<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Strengthen fund supervision and performance management.<\/li>\n\n\n\n<li>Crack down on insurance fraud.<\/li>\n\n\n\n<li>Advance unified drug use scope nationwide and improve cross-province service handling and direct settlement.<a href=\"https:\/\/flcube.com\/\">-Fineline Info &amp; Tech<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The National Healthcare Security Administration (NHSA), Ministry of Finance (MOF), and State Taxation Administration (STA)&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"googlesitekit_rrm_CAownpewDA:productID":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[4],"tags":[2346,87,39,110,108,67,78,74],"class_list":["post-28103","post","type-post","status-publish","format-standard","hentry","category-policy-regulatory","tag-centralized-procurement","tag-chronic-disease","tag-diabetes","tag-drgs","tag-high-blood-pressure","tag-nhsa-prev-smia","tag-otc-retail","tag-rdl"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.5 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>NHSA Sets 2022 Goals for Basic Medical Insurance Funding and Reforms - Insight, China&#039;s Pharmaceutical Industry<\/title>\n<meta name=\"description\" content=\"The National Healthcare Security Administration (NHSA), Ministry of Finance (MOF), and State Taxation Administration (STA) jointly released a notification outlining 2022 work goals for urban employee and rural\/residential Basic Medical Insurance (BMI) schemes, focusing on improving funding standards and expanding accessibility.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/flcube.com\/?p=28103\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NHSA Sets 2022 Goals for Basic Medical Insurance Funding and Reforms\" \/>\n<meta property=\"og:description\" content=\"Navigate the complexities of China\u2019s pharmaceutical industry with precision and clarity. 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