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视频丨国家医保局出台指导意见 统一规范长护险支付管理_我的网站

非常完美

一 |       国家医疗保障局近日印发《关于做好长期护理保险支付管理工作的指导意见》,明确长期护理保险支付范围、支付方式、支付标准以及基金监管和风险防范机制。

二 |   长期护理保险基金按规定支付定点失能等级评估机构提供的失能等级评估服务费用、定点长护服务机构提供的长期护理服务费用,以及社会力量参与经办管理服务的费用等。

三 |   失能等级评估服务费用由基金和个人承担,避免随意过度使用评估申请权。参保人首次失能评估合格的,按规定开展的定期复查评估费用,由长护险基金按规定支付。    Tel Aviv, Oct 11 (UNI) Israel has reached a historic agreement on maritime border demarcation with Lebanon, Prime Minister Yair Lapid said on Tuesday.
"This is a historic achievement that will bolster Israel's security, bring billions into the Israeli economy and bring stability to the northern border," Lapid said in a statement, as quoted by his office, adding that the deal will be submitted to the government for approval soon.
The office specified that the draft agreement "meets all the security and economic principles laid out by Israel" and it would be submitted for approval to the Security Cabinet and the government on Wednesday.
Lapid’s office specified that intensive negotiations through US mediator Amos Hochstein between Lebanon and the Israeli negotiating team led by National Security Council head Eyal Hulata took place over the weekend and the Sukkot holiday.
At the same time, Lebanon is also content with the agreement, as all of its demands have been taken into account, according to the office of Lebanese President Michel Aoun.
The negotiations on the demarcation of land and maritime borders between Lebanon and Israel have been taking place in Naqoura since 1996 on the basis of the memorandum of understanding under the UN auspices and the US mediation. In June 2022, Israel urged the Lebanese authorities to speed up the talks. It called the Karish gas field its strategic asset and assured Lebanon of the absence of plans to produce gas in the disputed territory.
UNI/SPUTNIK GNK。  在国家规定的长护险服务清单里的护理项目,基金按规定报销;超出清单的服务,需要个人自费。同时分清基本医保和长护险的报销边界,同一服务项目不得重复享受两项保险待遇。  规范长期护理保险支付方式,失能等级评估服务主要按人头付费。护理服务主要按服务时长计费,居家护理一般按小时计费;机构护理服务以床日为付费单元。  今后,国家层面将探索对纳入长期护理保险支付范围的智能化护理服务、支持性辅助器具等项目,采取按定额或按项目付费等方式。  护理服务报销标准结合当地经济发展水平、职工平均工资、失能等级及护理服务类型等分档设定。参保人年度长护险基金最高支付额度,不超过当地上一年度城乡居民人均可支配收入的50%。各地要统筹考虑居家、机构、社区等护理服务形式,鼓励使用居家和社区护理服务。

四 |   各地医保部门将加强基金监管,将长护险基金使用纳入飞行检查等常态化监管范围,探索建立长期护理保险信用管理制度。动态监测评估机构、护理机构的服务收费价格,保障参保人权益。

五 | 责任编辑:曹睿潼。

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Published on:03:20:19