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What does the catalog in the medical insurance catalog mean?

What does the catalog in the medical insurance catalog mean?

2024-09-11 10:24
1 answer

The medical insurance catalog referred to the specific contents of drugs, treatment items, and medical services that should be included in the fund payment as stipulated in the medical insurance system. The purpose of the medical insurance catalog was to control medical expenses and ensure that patients received reasonable medical services. At the same time, it also needed to ensure the reasonable use of funds. The categories in the medical insurance catalog varied according to the country and region. They usually included drugs, treatment items, medical services, and other categories. For example, China's medical insurance catalog mainly included a list of drugs, a list of medical treatment items, and a list of medical service facilities. It should be noted that the contents of the medical insurance catalog were not static. Instead, they were adjusted and updated according to the medical insurance policy, medical technology, and drug development. Therefore, patients needed to pay close attention to changes in medical insurance policies and use them according to relevant regulations when using medical insurance services.

What are the relevant provisions of the medical insurance catalog?

The full name of the medical insurance catalog was the National Basic Medical insurance, Work Injury insurance, and Maternity insurance drug catalog. The relevant provisions were as follows: 1. ** Part **: Composed of medical insurance drug catalog, medical treatment item catalog, and medical service facility scope catalog. The medical insurance drug list consisted of five parts: general prescriptions, western medicine, Chinese patent medicine, negotiated drugs during the agreement period, and Chinese herbal slices. 2. ** Setting Authority **: - Starting from 2018, the state will formulate the "Basic Medical insurance Drug Catalog" in a unified manner. In principle, it will be adjusted once a year. All regions are not allowed to adjust the drug varieties, remarks, and A and B classifications in the catalog. - The medical insurance department of each province (autonomous region, directly under the central government) may, based on the national Medical Protection Drug Catalog, adjust the authority and procedures stipulated by the state to include the qualified ethnic medicines, medical institution preparations, and Chinese herbal slices into the payment scope of provincial medical insurance, and implement it after filing with the medical security administrative department of the State Council according to regulations. 3. ** Range and Discrepant **: - Western medicine, Chinese patent medicine, and the types of drugs negotiated during the agreement period were the same all over the country. These belonged to the drug part of the National Health Care Drug List. However, the ethnic medicines, medical institutions 'preparations, and Chinese herbal pieces that were included in the provincial medical insurance payment according to regulations varied across the country. - The drugs that could be repaid were the drugs in the Medical insurance Drug Catalog formulated by the state, as well as the ethnic medicines, medical institution preparations, and Chinese herbal slices that were included in the provincial medical insurance payment. 4. ** Drug classification and out-of-pocket ratio **: - The drugs in the Medical Care Drug Catalog were divided into Class A and Class B. Among them, the classification of western medicine and Chinese patent medicine was determined by the national medical insurance department, and all the drugs negotiated during the agreement period were Class B; the "Class A and B" of Chinese herbal pieces were determined by the provincial medical insurance department, and the ethnic medicines and medical institution preparations that were included in the provincial medical insurance payment according to regulations were usually Class B. - The proportion of individual out-of-pocket payment for Class B drugs was determined by the provincial or regional medical security administrative department, which varied from place to place. 5. ** Drug Requirement **: The drugs to be included in the Drug Catalog must meet one of the following conditions: - Medicines recorded in the Pharmacopeias of the People's Republic of China (current edition); - The drugs that meet the standards issued by the national drug administration; - The commodities that have been approved by the State Drug Administration for official import. - The drugs that cannot be included in the scope of basic medical insurance include drugs that mainly have nutritional and nourishing effects, some animals and animal organs that can be used as medicine, dried (water) fruits, various wine preparations made from Chinese medicinal herbs and Chinese herbal slices, fruit flavor preparations in various drugs, oral foaming agents, blood products, protein products (except for special indications and first aid and rescue), and other drugs that are not paid by the basic medical insurance fund as stipulated by the labor security administrative department at or above the provincial level. - The Class A List was selected on the basis of the National Essential Medicines. It was issued by the state to be necessary for clinical treatment in the country. It was widely used, had good efficacy, and was cheap among similar drugs. The "Class B List" was selected on the basis of the "National Essential Medicines" and was formulated and promulgated by the state. The provinces, autonomous regions, and cities directly under the central government could, according to the local economic level, medical needs, and medication habits, make appropriate adjustments to the drugs that could be used for clinical treatment, had good efficacy, and were slightly more expensive than the drugs in the "Class A List" among the similar drugs within the range of the sum of the added and reduced varieties not exceeding 15% of the total number of drugs in the "Class B List" formulated by the state. <a href="/?from=ask_words" style="color:red" target="_blank">Read more exciting novels for free</a>

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2026-07-28 22:21

Medical Specialization Catalog

The medical specialty catalog referred to the specific names and subject settings of each specialty in the medical field. Medical specialty lists were usually developed by medical education institutions and government departments to guide medical education and clinical practice. The medical professional catalog usually includes the following contents: 1. Basic medicine: includes biology, molecular biology, cell biology, genetics, immunity, neuroscience, and other disciplines. 2. clinical medicine: including internal medicine, surgery, gynecology and obstetrics, pediatrics, oncologology, neuroscience, and other disciplines. 3. Dentistry: Including oral biology, oral pharmacology, oral and facial surgery, prosthedic, and other disciplines. 4. Public health: including biochemistry, health statistics, environmental hygiene, nutrition and food hygiene. 5. Medical imaging, including medical imaging, radiology, ultrasound medicine, nuclear medicine, and other disciplines. 6. Medical laboratory science: including clinical laboratory science, medical biostatistics, hemology, molecular biology, and other disciplines. 7. Medical technology, including medical biotechnology, medical image processing, medical computer aided diagnosis, and other disciplines. 8. Traditional Chinese Medicine, including the basics of Traditional Chinese Medicine, Traditional Chinese Medicine Diagnose, Traditional Chinese Medicine, and the study of prescriptions. These are only a part of the medical specialty catalog. The specific specialty catalog may vary according to the region, country, or the development of the medical field.

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2024-09-11 10:15

The Chief Medical Officer's Catalog

The following is a list of novels that may contain elements of the chief medical officer: 1 Medical Officer Chief Medical Officer 3 Medical Director Doctor's Profession 5. The Wind and Cloud of Medicine Medical Empire Chief Doctor Doctor's Professional Guide 9 Medical Life The Doctor's Story

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2025-02-25 00:32

Chief Medical Officer 2's work catalog

I'm just a person who likes reading novels. I don't have any information about the novel 'Chief Medical Officer 2'.

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2024-08-21 06:44

Catalog?

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2024-09-19 16:13

A catalog of the works of Jiao Niang's medical classics

Jiao Niang's Classic of Medicine is a fictional novel, and the list of works has not been determined. The novel may contain multiple chapters, each of which may have a different plot and theme. As the book was a fictional novel, the specific content, author, and publisher could change at any time, so it was impossible to determine the exact content of the work.

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2025-02-25 23:53

Legendary catalog?

Legends usually referred to a series of martial arts novels, often using the fictional world of Jianghu as the background to describe the grudges, love and hate between various Jianghu characters. The legendary story was complicated, the characters were vivid, and the writing was beautiful. It was deeply loved by readers. The common legendary categories included: " Eight Dragons ": It was one of Mr. Jin Yong's representative works that described the grudges between the major sects in the Jianghu during the Northern Song Dynasty. [2] The Deer and the Cauldron: Another famous wuxia novel that narrates the struggles and conspiracies between various forces in the Jianghu at the end of the Ming Dynasty. [3]" Smiling Proud in Jianghu ": It was another famous wuxia novel that described the grudges between the various sects in the Jianghu during the Southern Song Dynasty. [4]<< Blue Blood Sword >>: Another famous wuxia novel that narrates the struggles and conspiracies between various forces in the Jianghu at the end of the Ming Dynasty. 5. The Heaven Sword and Dragon Sabre: Another famous wuxia novel that narrates the struggles and grudges between various sects in the Jianghu at the end of the Yuan Dynasty.

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2024-09-18 11:23

Pokémon Catalog

Pokémon (Nento Switch game series) is as follows: 1 Pikachu 2. Jeni Turtle (Pokémon Sun and Moon) 3. Green caterpillar (Pokémon Yellow) 4 Ice Elves (Pokémon X and Y) 5 Fire Dinosaur (Pokémon Red and Blue) 6 Water Fairy (Pokémon White and Black) 7 Bug Elf (Pokémonxy) Super Dream (Pokémon Ultra Sun and Ultra Moon) Pokémon Ruby and Sapphire Pokémon Ruby Sapphire Emerald Ruby X and Ruby Sapphire 2 11 Pikachu/Jenny Turtle/Green Caterpillars/Ice Elf/Insect Elf/Fire Dinosaur/Water Elf/Insect Elf/Super Dream/Dream/Gold/Silver/Crystal/Black/White/Red/Blue/Yellow/Emerald/Special/Pearl/Diamond/Alliance/XY/Sun and Moon/Ultimate Day/Ultimate Moon/Pokémon Black and White 2/Special 2 12 Pikachu/Jenny Turtle/Green Caterpillars/Ice Elf/Insect Elf/Fire Dinosaur/Water Elf/Super Dream/Dream/Gold/Silver/Crystal/Black/White/Red/Blue/Yellow/Emerald/Special/Pearl/Diamond/Alliance/XY/Sun and Moon/Ultimate Day/Ultimate Moon/Pokémon Black and White 2/Special 2

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2024-09-13 16:27

Pokémon Catalog

Pokémon was a series of video games developed by the Japanese company Nintendo, also known as Pokémon. Since its first release in 1996, the series has become one of the most popular games in the world. Here are some of the main games and works in the Pokémon series: 1 Pokémon game series - Pokémon Series 1: Pokémon #1 - Pokémon Series 2: Pokémon XXX - Pokémon Diamond and Pearl (Part 3) - Pokémon: Pokémon Ruby Sapphire - Pokémon: The Fifth Generation of the Pokémon Series: Pokémon Red Blue - Pokémon Black 2 White 2 - The seventh generation of the Pokémon series: Pokémon XY 2 Pokémon animated series - Pokémon Series 1: Pokémon #1 - Pokémon Series 2: Pokémon XXX - Pokémon Series 3: Pokémon XY - Pokémon Series 4: Pokémon Sword/Shield In addition to games and animations, the Pokémon series also had other derivative works such as movies, comics, novels, and toys.

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2024-09-13 16:31

A catalog of conspiracies

Conspiracy and overt plots were a type of plot that often appeared in novels. The following were some categories of conspiracy and overt plots and common plots: 1. Conspiracy and Overt Conspiracy - Overt plot: refers to a positive, positive, and righteous strategy aimed at achieving a certain goal. - Conspiracy: refers to a sinister, negative, or evil plot aimed at destroying or defeating an opponent. 2. Common Plot of Conspiracy - [Plan: The protagonist plans to achieve a certain goal, but there are often some accidents or loopholes.] - Counter-spy: Use the opponent's suspicions or loopholes to create internal conflicts or external threats. - Ambush: Surprise the opponent and wait for fatigue. - Deception: Using false information and other means to deceive the opponent. - Betrayal: Betray allies or enemies to achieve one's own goals. - [Murder: Deliberately harming and killing the opponent to achieve one's goal.] The advantages and disadvantages of conspiracy - Strengths: Conspiracy and overt plots can often create drama and tension to attract the reader's attention. - Disadvantages: Conspiracy and overt schemes to achieve their goals are often immoral and have potential moral problems. At the same time, it may also cause damage to one's own or others 'interests.

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2024-09-26 09:08
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