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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

一 |     Mogadishu, Oct 10 (UNI) Somali National Army (SNA) said Monday its forces have killed more than 200 al-Shabab militants during an operation conducted in Bulaburte district of central Somalia.



According to the state-owned media, the militants were planning to block the road between Beledweyne and Bulaburde district and stage an attack but the forces received intelligence in time and foiled the attack on Sunday.



"Their intention was to block the road between Bula-burde and Beledweyne towns. But they made a miscalculation, and ended up in fire," the Somali news agency reported.



The Somali forces backed by pro-government militia have liberated more than 40 villages and killed over 500 al-Shabab militants in the past three weeks in operations in central Somalia.



The militant group has lost ground to the Somali government and African Union troops in recent months but still controls some territory in southern and central Somalia.

UNI/XINHUA ING。

二 |     　　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。　　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。　　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。

三 | 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。　　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。

四 | 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。

五 | 　　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。

六 | 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。

七 | 　　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。　　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。责任编辑：曹睿潼。

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Published on:08:11:28