新冠患者医保报销政策明起调整！
<section data-role="outer" label="edit by 135editor" data-mpa-powered-by="yiban.io"><section data-role="paragraph"><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section data-role="outer" label="edit by 135editor"><section><p style="text-align:justify;line-height: 2em;text-indent: 2em;"><span style="color:#595959;">3月30日，国家医保局、财政部、国家卫生健康委、国家疾控局发布《关于进一步做好新冠患者医疗费用保障工作的通知》。</span></p></section><p style="text-align:justify;line-height: 2em;text-indent: 2em;"><span style="color:#595959;">《通知》要求，</span><span style="color:#0070C0;"><strong>将新冠患者住院费用全额保障、门诊专项保障等特殊保障政策转为常规医疗保障政策；基本医保、大病保险按规定支付后，个人负担仍然较重、符合医疗救助条件的，按规定给予分类救助。</strong></span></p><p style="text-align:justify;line-height: 2em;text-indent: 2em;"><span style="color:#595959;">《通知》还明确，国家新冠病毒感染诊疗方案内未纳入医保目录的新冠治疗药品，被列入《关于完善新冠治疗药品价格形成机制实施分类管理的通知》中“疗程治疗费用与医保目录内同类药品差异较小”类别的，可临时性纳入医保基金支付范围，支付水平可在目录内乙类药品的基础上适当下调。</span></p><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="color:#595959;">具体内容如下：</span></section><section data-tools="135编辑器" data-id="122629"><section style="margin: 10px auto;border-width: 1px;border-style: solid;border-color: rgb(189, 214, 251);padding: 5px;box-sizing: border-box;"><section data-autoskip="1" style="line-height: 1.75em;letter-spacing: 1.5px;font-size: 14px;background: rgb(242, 247, 255);padding: 10px;box-sizing: border-box;"><p style="text-align:center;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><strong><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">国家医保局 财政部 </span></strong></p><p style="text-align:center;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><strong><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">国家卫生健康委 国家疾控局</span></strong></p><p style="text-align:center;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><strong><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">关于进一步做好新冠患者</span></strong></p><p style="text-align:center;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><strong><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">医疗费用保障工作的通知</span></strong></p><p style="text-align:center;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">医保发〔2023〕11号</span></p><p style="text-align:justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">各省、自治区、直辖市及新疆生产建设兵团医保局、财政厅（局）、卫生健康委、疾控主管部门：</span></p><p style="text-align:justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><br/></span></p><section style="text-align: justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">自2023年1月8日新冠病毒感染实施“乙类乙管”以来，相关部门认真贯彻落实《关于实施“乙类乙管”后优化新型冠状病毒感染患者治疗费用医疗保障相关政策的通知》要求，扎实做好新冠病毒感染患者医疗费用保障工作，相关政策先行执行至2023年3月31日，助力群众平稳度过了感染高峰期，有力支持了疫情防控平稳转段。为贯彻落实党中央、国务院决策部署，做好4月1日后相关医疗费用保障工作，现就有关事项通知如下：</span></section><section style="max-inline-size: 100%;cursor: text;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><br/></section><section style="text-align: justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="color:#0070c0;"><strong><span style="max-inline-size: 100%;cursor: text;font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">一、调整新冠患者医保报销政策</span></strong></span></section><section style="max-inline-size: 100%;cursor: text;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><br/></section><section style="text-align: justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><strong><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">将住院费用全额保障、门诊专项保障等特殊保障政策转为常规医疗保障政策</span></strong><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">，参保患者符合规定的新冠医疗费用与其他乙类传染病实施相同的医保报销政策，各级医保部门对符合规定的新冠病毒感染患者医疗费用要及时进行结算。基本医保、大病保险按规定支付后，个人负担仍然较重、符合医疗救助条件的，按规定给予分类救助。</span></section><section style="max-inline-size: 100%;cursor: text;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><br/></section><section style="text-align: justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="color:#0070c0;"><strong><span style="max-inline-size: 100%;cursor: text;font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">二、将符合条件的诊疗方案内的医保目录外新冠治疗药品临时性纳入医保支付范围</span></strong></span></section><section style="max-inline-size: 100%;cursor: text;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><br/></section><section style="text-align: justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">国家医保局完善新冠治疗药品价格形成机制，根据价格水平实施分类管理。国家新冠病毒感染诊疗方案内未纳入医保目录的新冠治疗药品，</span><strong><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">被列入《关于完善新冠治疗药品价格形成机制实施分类管理的通知》中“疗程治疗费用与医保目录内同类药品差异较小”类别的，可临时性纳入医保基金支付范围</span></strong><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">，支付水平可在目录内乙类药品的基础上适当下调。</span></section><section style="max-inline-size: 100%;cursor: text;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><br/></section><section style="text-align: justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="color:#0070c0;"><strong><span style="max-inline-size: 100%;cursor: text;font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">三、持续优化医保经办服务工作</span></strong></span></section><section style="max-inline-size: 100%;cursor: text;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><br/></section><section style="text-align: justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">各级医保部门要不断完善经办工作流程，提升经办服务水平，落实异地就医结算、长期处方医保支付等相关政策，为参保群众提供更加优质、便捷、高效的医保经办服务。</span></section><section style="max-inline-size: 100%;cursor: text;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><br/></section><section style="text-align: justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="color:#0070c0;"><strong><span style="max-inline-size: 100%;cursor: text;font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">四、加强政策调整的宣传解读</span></strong></span></section><section style="max-inline-size: 100%;cursor: text;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><br/></section><section style="text-align: justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">相关部门要提高政治站位，深入领会疫情防控取得重大决定性胜利、实现平稳转段的深刻内涵，切实履行好部门职责，加强协调配合，共同做好政策调整的宣传解读，确保相关工作平稳有序开展。</span></section><section style="max-inline-size: 100%;cursor: text;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><br/></section><section style="text-align: justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">本通知</span><strong><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">自2023年4月1日起执行</span></strong><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">，以患者入院或就诊时间计算，《关于实施“乙类乙管”后优化新型冠状病毒感染患者治疗费用医疗保障相关政策的通知》（医保发〔2023〕1号）同步停止执行，相关政策视疫情发展形势再行调整。</span></section><section style="max-inline-size: 100%;cursor: text;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><br/></section><section style="text-align: justify;max-inline-size: 100%;cursor: text;line-height: 2.2em;text-indent: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">特此通知。</span></section><p style="text-align:right;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">国家医保局</span></p><p style="text-align:right;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">财政部</span></p><p style="text-align:right;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">国家卫生健康委</span></p><p style="text-align:right;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">国家疾控局</span></p><p style="text-align:right;max-inline-size: 100%;cursor: text;line-height: 2.2em;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;"><span style="max-inline-size: 100%;cursor: text;color: rgb(89, 89, 89);font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;outline: none 0px !important;">2023年3月29日</span></p></section></section></section></section></section><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section style="outline: 0px;max-width: 100%;color: rgb(89, 89, 89);letter-spacing: 0.544px;background-color: rgb(255, 255, 255);line-height: 1.75em;text-align: center;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(0, 112, 192);box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">相关新闻</strong></span></section><p style="text-align:center;margin-bottom: 16px;outline: 0px;max-width: 100%;color: rgb(89, 89, 89);letter-spacing: 0.544px;line-height: 1.75em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(0, 112, 192);box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">医保局医药管理司负责人答记者问</strong></span></p><p style="text-align:justify;margin-bottom: 25px;outline: 0px;max-width: 100%;color: rgb(89, 89, 89);letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">日前，国家医保局<span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;">会同财政部、国家卫生健康委、国家疾控局印发了《关于进一步做好新冠患者医疗费用保障工作的通知》（以下简称《通知》）。国家医保局医药管理司负责人就有关情况回答了记者的提问。</span></span></p><section data-role="title" data-tools="135编辑器" data-id="120362"><section style="margin: 10px auto;display: flex;justify-content: flex-start;"><section style="flex-shrink: 0;display: flex;align-items: center;"><section style="width: 6px;height: 85%;background-image: linear-gradient(rgb(93, 139, 255) 0%, rgb(93, 139, 255) 70%, rgb(255, 190, 16) 70%, rgb(255, 190, 16) 100%);background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box;overflow: hidden;"><br/></section></section><section style="padding-left: 5px;box-sizing: border-box;"><section style="font-size: 20px;text-align: left;letter-spacing: 1.5px;"><span style="color: #0070c0;font-size: 17px;"><strong data-brushtype="text">《通知》出台的背景和主要政策内容是什么？</strong></span></section></section></section></section><p style="text-align:justify;margin-top: 20px;margin-bottom: 16px;outline: 0px;max-width: 100%;color: rgb(89, 89, 89);letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="letter-spacing: 0.544px;text-indent: 2em;caret-color: red;font-family: Helvetica, Arial, sans-serif;">2023年1月8日新冠病毒感染“乙类乙管”以来，国家医保局会同财政部、国家卫生健康委、国家疾控局联合印发《关于实施“乙类乙管”后优化新型冠状病毒感染患者治疗费用医疗保障相关政策的通知》（医保发〔2023〕1号），制定了新冠患者医疗费用临时特殊保障政策，</span><strong><span style="letter-spacing: 0.544px;text-indent: 2em;caret-color: red;font-family: Helvetica, Arial, sans-serif;">一是</span></strong><span style="letter-spacing: 0.544px;text-indent: 2em;caret-color: red;font-family: Helvetica, Arial, sans-serif;">扩大医保支付的药品范围，</span><strong><span style="letter-spacing: 0.544px;text-indent: 2em;caret-color: red;font-family: Helvetica, Arial, sans-serif;">二是</span></strong><span style="letter-spacing: 0.544px;text-indent: 2em;caret-color: red;font-family: Helvetica, Arial, sans-serif;">对住院费用实施全额保障，</span><strong><span style="letter-spacing: 0.544px;text-indent: 2em;caret-color: red;font-family: Helvetica, Arial, sans-serif;">三是</span></strong><span style="letter-spacing: 0.544px;text-indent: 2em;caret-color: red;font-family: Helvetica, Arial, sans-serif;">对基层门诊费用实行专项保障，参保患者在基层医保定点医疗机构发生的与新冠病毒感染救治有关的门急诊费用，原则上不设起付线和封顶线，报销比例不低于70%。上述政策先行执行至2023年3月31日，有效保障了新冠患者就医用药需求，缓解了大医院医疗压力，助力群众平稳度过感染高峰期。</span><br/></p><p style="text-align:justify;margin-bottom: 25px;outline: 0px;max-width: 100%;color: rgb(89, 89, 89);letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">面对疫情的冲击和考验，全党全国各族人民同心抗疫，取得疫情防控重大决定性胜利，目前全国疫情已趋平稳，防控形势总体向好。为贯彻落实党中央、国务院关于新冠疫情防控平稳转段的决策部署，因时因势动态优化医保政策，按照《中华人民共和国传染病防治法》等法律法规中关于乙类传染病的防治要求，国家医保局会同有关部门印发了《通知》，明确了4月1日后新冠患者医疗费用保障政策，总体考虑</span><strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">一是</span></strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">调整新冠特殊医疗保障政策至常规医疗保障政策；</span><strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">二是</span></strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">对新冠诊疗方案内尚未正式纳入医保目录的药品，如符合有关条件，可临时性纳入医保支付范围；</span><strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">三是</span></strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">对个人负担较重、符合救助条件的新冠患者及时给予医疗救助。此外，《通知》还对持续优化医保经办服务、加强部门协调配合等提出了要求。</span></p><section data-role="title" data-tools="135编辑器" data-id="120362"><section style="margin: 10px auto;display: flex;justify-content: flex-start;"><section style="flex-shrink: 0;display: flex;align-items: center;"><section style="width: 6px;height: 85%;background-image: linear-gradient(rgb(93, 139, 255) 0%, rgb(93, 139, 255) 70%, rgb(255, 190, 16) 70%, rgb(255, 190, 16) 100%);background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box;overflow: hidden;"><br/></section></section><section style="padding-left: 5px;box-sizing: border-box;"><section style="font-size: 20px;text-align: left;letter-spacing: 1.5px;"><p style="text-align:justify;line-height: 1.5em;"><span style="color: #0070c0;font-size: 17px;"><strong data-brushtype="text">政策调整后，尚未正式纳入医保目录的新冠治疗药品中，哪些可以报销？</strong></span></p></section></section></section></section><p style="text-align:justify;margin-top: 20px;margin-bottom: 16px;outline: 0px;max-width: 100%;color: rgb(89, 89, 89);letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="letter-spacing: 0.544px;text-indent: 2em;caret-color: red;font-family: Helvetica, Arial, sans-serif;">目前，部分国家新冠诊疗方案内的新冠治疗药品尚未正式纳入医保药品目录。此前对有关新冠治疗药品的医保临时性支付政策将于3月31日到期。为了降低社会负担，引导医疗机构使用质量可靠、价格适宜的药品，也为了进一步丰富临床用药选择，提升新冠治疗药品的可及性，《通知》明确，</span><strong><span style="letter-spacing: 0.544px;text-indent: 2em;caret-color: red;font-family: Helvetica, Arial, sans-serif;">国家新冠诊疗方案内且被列入“疗程治疗费用与医保目录内同类药差异较小”类别的新冠治疗药品，可临时性纳入医保基金支付范围。</span></strong><br/></p><p style="text-align:justify;margin-bottom: 25px;outline: 0px;max-width: 100%;color: rgb(89, 89, 89);letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">近日，部分药品生产企业积极响应国家医保局前期出台的新冠治疗药品价格分类管理政策，发布了有关药品的价格公告。目前，</span><strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">氢溴酸氘瑞米德韦片（民得维）</span></strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">、</span><strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">先诺特韦片/利托那韦片（先诺欣）</span></strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">的最新价格，以及</span><strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">来瑞特韦片（乐睿灵）</span></strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">的首发报价，均不高于医保目录内小分子新冠药最大疗程治疗费用的1.8倍（即630元/疗程），符合“疗程治疗费用与医保目录内同类药品差异较小”等条件，</span><strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">将临时性纳入医保支付范围</span></strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">。后续，其他新冠治疗药品的价格如果符合条件，医保也将按规定临时支付。</span></p><section data-role="title" data-tools="135编辑器" data-id="120362"><section style="margin: 10px auto;display: flex;justify-content: flex-start;"><section style="flex-shrink: 0;display: flex;align-items: center;"><section style="width: 6px;height: 85%;background-image: linear-gradient(rgb(93, 139, 255) 0%, rgb(93, 139, 255) 70%, rgb(255, 190, 16) 70%, rgb(255, 190, 16) 100%);background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box;overflow: hidden;"><br/></section></section><section style="padding-left: 5px;box-sizing: border-box;"><section style="font-size: 20px;letter-spacing: 1.5px;"><p style="line-height:1.5em;"><span style="color: #0070c0;font-size: 17px;"><strong data-brushtype="text">除了符合条件的药品可临时纳入医保报销外，《通知》对报销政策还有什么调整？</strong></span></p></section></section></section></section><p style="text-align:justify;margin-top: 20px;margin-bottom: 16px;outline: 0px;max-width: 100%;color: rgb(89, 89, 89);letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">为适应新冠感染平稳进入“乙类乙管”常态化防控的形势，《通知》明确将“住院费用全额保障”“基层门诊专项保障”等特殊保障政策回归至常规医疗保障政策，</span><strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">参保患者符合规定的新冠医疗费用，将与其他20余种乙类传染病实施相同的医保报销政策。</span></strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">同时，为避免个别患者因病情较重、费用较高而产生沉重的经济负担，《通知》专门提出各地要加强对新冠患者医疗的费用监测，</span><strong><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">对符合救助条件、个人负担较重的患者按规定及时给予医疗救助。</span></strong></p><p style="text-align:justify;margin-bottom: 16px;outline: 0px;max-width: 100%;color: rgb(89, 89, 89);letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">下一步，国家医保局将实事求是，密切跟踪疫情变化，根据防控形势、新冠药品供需与价格等情况，不断完善新冠医疗费用保障政策，发挥好基本医保保障功能，切实减轻包括新冠患者在内的全体参保人医疗费</span><span style="outline: 0px;max-width: 100%;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;">用负担。</span></p><p style="text-align: justify; margin-bottom: 16px; outline: 0px; max-width: 100%; color: rgb(89, 89, 89); letter-spacing: 0.544px; line-height: 2em; text-indent: 0em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="font-family:Helvetica, Arial, sans-serif">来源：国家医保局</span></p><section style="margin-right: -15px;margin-bottom: 0px;margin-left: -15px;outline: 0px;max-width: 100%;font-size: 14px;background-color: rgb(255, 255, 255);height: 0px;overflow: hidden;font-family: Helvetica, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><section data-role="splitline" data-tools="135编辑器" data-id="us-4274872" data-darkmode-bgcolor-16651024464389="rgb(25, 25, 25)" data-darkmode-original-bgcolor-16651024464389="#fff|rgb(255, 255, 255)|rgb(255, 255, 255)" data-darkmode-color-16651024464389="rgb(163, 163, 163)" data-darkmode-original-color-16651024464389="#fff|rgb(0, 0, 0)" style="margin-bottom: 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