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北京市人社局:医保报销有望新增约500种药品 15种肿瘤治疗靶向药

2017-08-17 22:56:23   央广网

央广网北京8月17日消息(记者 王晓蕾)今天,北京市人力资源和社会保障局召开新闻发布会。记者从会上获悉,北京参保人员看病报销有望新增近约500种药品,其中新增的36种谈判药品中,有15种是肿瘤治疗的靶向药。加上现行可报销的2510种药,届时参保人员看病用药报销范围将达近3000种药品。

报告显示,6月末,北京市企业职工养老、医疗、失业、工伤、生育保险参保人数分别为1474.4万人、1533.2万人、1133.5万人、1077.6万人、997.5万人会上城乡居民养老保障参保人数为214.4万人;城镇居民基本医疗保险参保人数为201.1万人,新型农村合作医疗参合人数为186.1万人。社保卡持卡人数增至1905.6万人。1-6月,本市各项社会保险基金收入1725亿元,支出1176.5亿元,当期结余548.5亿元。

北京市人力社保局党组副书记、副局长陈蓓在会上介绍,上半年,北京市人力社保部门坚持“三医联动”改革,将新设立的医事服务费纳入医保报销范围,在新调整的435项医疗服务价格项目中,除国家明确规定不报销的项目外,其他全都纳入了医保报销范围,完善医保支付政策,医改成效逐步显现。

陈蓓表示,医药分开综合改革以来,医保报销政策共为参保人员减负2297.9万元。特别是统一了职工和居民中精神病患者的报销标准,实行了按床日定额付费,居民精神病患者的个人负担由年均1.8万元左右降至4千元左右。同时,北京市人力社保部门还平稳推进城乡居民医保制度改革,统一城乡居民基本医疗保险封顶线和大病保险起付线,截至6月底,已为2.3万人报销大病保险医疗费2.1亿元。

值得注意的是,截至7月底,北京市所有有床位的676家定点医疗机构接入了国家异地就医结算平台,为来京就医住院的异地患者提供持卡就医直接结算服务。

下半年,北京将创新完善医保制度。据陈蓓介绍,北京将出台新的城乡居民医疗保险政策,明确参保人员的缴费标准和保障待遇,启动制度统一后的首次参保缴费工作,于年底全面实现城乡居民持卡就医实时结算。同时,拟在石景山区启动政策性长期护理险试点,完善试点措施,形成制度成果,为全市推开奠定基础。

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