Objective: The paper analyses the policy differences between outpatient chronic and special diseases in Zhejiang Province to provide a reference for the improvement of the medical insurance system for chronic and special diseases. Methods: This study collects the medical insurance policies related to outpatient chronic and special disease in 11 pooling areas in Zhejiang Province. This paper analyzes the policies of medical insurance between different cities from the perspective of catalogue of diseases, reimbursement amount, filing and reimbursement modes. Conclusion: The results show that the current policy on chronic and special diseases in Zhejiang Province was obviously different between regions, which affects the fairness of medical insurance and causes difficulties of medical insurance integration and management. Suggestions: We should establish and update the unified catalogue of chronic and special diseases, explore the fair and reasonable reimbursement for chronic and special diseases to narrow the gap between regions, optimize the process of filing and reimbursement for outpatient chronic and special diseases, ensure the coherence between policies and enhance the policy promotion.
Key words
urban and rural residents' medical insurance /
medical insurance benefit /
outpatient chronic disease /
outpatient special disease /
health policy
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