Shi Chongliang, director of the National Health Insurance Department, said that the new system of partial burden of health insurance will maintain the status quo for those who were originally exempted from partial burden.

(Photographed by reporter Fang Bin)

[Reporter Lin Huiqin/Taipei Report] The health insurance partly bears the first phase of outpatient medicine in the new system, and the emergency department will be on the road in April at the earliest. In an exclusive interview with this newspaper, Shi Chongliang, director of the National Health Insurance Administration, said that the status quo was maintained for those who were originally exempted from part of the burden. The partial burden of outpatient medicines for 1.34 million people with disabilities and low- and middle-income households will not be adjusted, that is, regardless of the level of medical institutions, the current general medicine fee will be maintained below 100 yuan, and the medicine fee will be exempted from part of the burden. 200 yuan is the limit.

Existing major injuries, mountainous and outlying islands, or low-income households are exempted from part of the burden, and the new system will continue to maintain the status quo.

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As for other disadvantaged persons, according to the original plan of the National Health Insurance Department, low- and middle-income households, those with physical and mental disabilities and financial difficulties can apply for subsidies from the National Health Insurance Department, including the burden of referred outpatient medicines, inspection and inspection, and the basic burden of outpatient services. An estimated 800,000 people were affected.

Physically and mentally handicapped, low- and middle-income households do not adjust

However, after Shi Chongliang took office, he adjusted his approach. Part of the burden of the mentally and physically handicapped households and low- and middle-income households would not be adjusted directly. They will be charged as they are now and in the future. Among them, there are about 920,000 people with physical and mental disabilities. The main consideration is that not all medical institutions have The barrier environment, especially the popularity of grassroots institutions, still has room for growth. It may cause inconvenience for these people to change their medical treatment habits; there are about 420,000 low- and middle-income households. Although they charge a little more money, economic obstacles may affect their demand. It is not the original intention of health insurance, and the system has been adjusted, and the original charges will be maintained for each individual.

Shi Chongliang admits that it is difficult to clearly define the near-poor households who do not meet the eligibility requirements but actually have financial difficulties. Therefore, there are two countermeasures. For general diseases, try to make the medicines that the hospital can prescribe, and the clinics can also prescribe them, so as to keep the medical treatment unimpeded. Special accounts are identified on a case-by-case basis to obtain assistance, and the right to medical treatment is guaranteed.

In terms of emergency department, since the new system has reduced the partial burden of the more serious first- and second-level patients to regional hospitals and medical centers, if it remains the same, the burden will be higher. Therefore, the emergency part of the burden of these two types of patients follows the new regulations.

In addition, the medical community is concerned about whether the outpatient reduction policy of medical centers and regional hospitals suspended due to the epidemic will be restarted?

Shi Chongliang believes that not too many policy changes at once will make the people at a loss, and the characteristics of patients in hospitals at different levels are different. We will first implement part of the burden, let the people have the right to choose, and guide them to grass-roots hospitals for medical treatment. Evaluate whether additional measures are needed based on the results.

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