inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji";font-size:15px;line-height:1.7;color:rgb(5,7,59);text-wrap:wrap;">inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji";font-size:15px;text-wrap:wrap;background-color:rgb(253,253,254);">一、多层次保障体系构建
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji"!important;font-weight:600;">政策调整与优化：2024年，东莞医保政策明确以“治理年”为工作主线，围绕“调结构、稳费率、优待遇、保衔接”的原则，对医疗保障制度框架进行梳理和优化。新修订的《东莞市医疗保障办法》于2024年1月1日正式实施，进一步明确了职工医保和居民医保的分类保障，同时建立了大额补助制度，作为有益补充，确保参保人待遇不受改革影响。
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji"!important;font-weight:600;">“莞家福”惠民保障计划：作为构建多层次医疗保障体系的重要举措，“莞家福”紧密衔接东莞医保，不限年龄、职业、户籍、病史，只要是东莞市基本医疗保险参保人均可参保。其保障范围涵盖医保内、医保外的住院和门特医疗费用，并纳入“港澳药械通”费用，保额最高达330万+。此外，“莞家福”还针对罕见病患者、重度失能人群等特殊群体提供额外保障，彰显政府关怀。
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji"!important;font-weight:600;">三重制度与商业保险补充：东莞推动基本医保、大病医保、医疗救助三重制度与商业健康保险、慈善救助、医疗互助共同组成全市多层次医保体系。通过总结“莞家福”工作经验，指导共保体持续优化保障服务，满足人民群众对高质量、多元化的医保服务需求。
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji";font-size:15px;line-height:1.7;color:rgb(5,7,59);text-wrap:wrap;">二、智慧治理与创新服务
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji"!important;font-weight:600;">移动支付与刷脸支付：东莞医保致力于高效办成一件事，争取国标版移动支付覆盖范围至社区卫生服务机构。对已上线国标版移动支付的医院，推广使用惠民就医平台，创新推进“刷脸支付”，使医保服务更加便捷。
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji"!important;font-weight:600;">“一件事”事项与网上办：启动生育保险待遇申领、医保零星报销、异地就医备案及门慢门特登记变更、多收退款等“一件事”事项，推动更多医保服务下沉基层。同时，在“粤医保”小程序上拓展东莞市个性化服务，如查询家人门诊就医点、生育医疗费用待遇线上申领、个账一次性支取业务等功能，实现医保服务全程网办、无需邮寄资料。
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji"!important;font-weight:600;">智能监控与风险防控：东莞持续用好用活智能监控知识库、规则库，年底前在全市定点医药机构完成智能监控事前提醒、事中预警功能上线应用，构建全流程监管的基金安全防控机制。此外，推进“人脸识别”项目，开展住院病人“人脸识别”身份核验工作，进一步防范冒认他人住院的欺诈骗保行为。
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji";font-size:15px;line-height:1.7;color:rgb(5,7,59);text-wrap:wrap;">三、提升群众医保民生质感
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji"!important;font-weight:600;">门诊高额医疗费用保障机制：东莞将探索建立门诊高额医疗费用保障机制，对参保群众门诊就医的大额医疗费用再给予一定比例支付，以减轻大病患者医疗费用负担。
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji"!important;font-weight:600;">定点零售药店纳入门诊统筹：推动定点零售药店逐步纳入门诊统筹试点的落地工作，进一步拓展参保群众就医购药的便捷性。
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji"!important;font-weight:600;">医保药价公示与比价：上线医保“药价通”查询平台，将全市定点医药机构的医疗服务和药品耗材信息进行集中统一公示，实现参保群众就医、购药、比价信息“掌上查”，增强医保服务的透明度和可及性。
inkMacSystemFont,"SegoeUI",Roboto,Ubuntu,"HelveticaNeue",Helvetica,Arial,"PingFangSC","HiraginoSansGB","MicrosoftYaHeiUI","MicrosoftYaHei","SourceHanSansCN",sans-serif,"AppleColorEmoji","SegoeUIEmoji";font-size:15px;line-height:1.7;color:rgb(5,7,59);text-wrap:wrap;">综上所述，2024年东莞医保政策新动向主要体现在多层次保障体系的构建和智慧治理的推进上。通过政策调整与优化、“莞家福”惠民保障计划的实施、三重制度与商业保险的补充以及智慧治理的创新服务措施，东莞医保将不断提升群众的医保民生质感，推动医保事业高质量发展。