On the morning of November 23, 2021, Nanning Medical Insurance Bureau held a press conference on the phased effectiveness of Nanning’s long-term care insurance system in the conference center of Nanning International Convention and Exhibition Center. Lu Qin, Party Secretary and Director of Nanning Medical Insurance Bureau, Liang Tao, member and deputy director of Nanning Medical Insurance Bureau, and Huang Xiaobin, head of Nanning Medical Insurance Management Center, introduced relevant work and answered questions from reporters.

Live record

Ladies and gentlemen, friends from the press,

Hello everyone! Welcome to today’s press conference. I am Liang Tao, the host of today’s conference.

Promoting the implementation of the national pilot program to expand the long-term care insurance system is an exploration and practice for Nanning to actively respond to the aging population, implement the strategy of strengthening the capital of the autonomous region, and actively improve people’s livelihood and well-being. In September, 2020, Nanning was listed as one of the 14 national pilot cities to expand the long-term care insurance system and the only pilot city in Guangxi Zhuang Autonomous Region. Since March 1 this year, the city has established and implemented a long-term care insurance system covering employees, which has been more than August so far, and has gained certain results and enlightenment; With the deepening of the pilot, guided by the changing market situation and the growing demand of the masses, the focus of the long-term care insurance system pilot has changed from smooth landing to deepening reform, which contains a new round of opportunities and challenges for consolidation, deepening and expansion, and also marks that the pilot work is about to enter a new stage. With the approval of the Municipal People’s Government, today we held a press conference on the phased effectiveness of the pilot long-term care insurance system in Nanning, and invited friends from major news media in Guangxi, the autonomous region and Nanning to introduce the implementation of the long-term care insurance system to friends in the news media, interpret relevant policies and answer media concerns. At the same time, responsible comrades of relevant departments directly under the municipal government of Nanning, responsible comrades of medical security departments of counties (cities, districts) and development zones, and responsible comrades of commercial insurance institutions and some nursing service institutions that undertake long-term care insurance services were invited to attend the press conference.

Next, I would like to introduce the leaders attending today’s press conference. They are: Comrade Lu Qin, Party Secretary and Director of Nanning Medical Insurance Bureau, and Comrade Huang Xiaobin, Deputy Director of Nanning Medical Insurance Management Center.

Today’s press conference has four agendas. Let’s proceed in turn. First of all, please introduce Comrade Lu Qin, Party Secretary and Director of the Municipal Medical Insurance Bureau.

Friends of the press:

Good morning everyone! I am very happy to meet with friends from the media, and I would like to take this opportunity to thank you for your long-term concern and support for the pilot work of the long-term care insurance system in our city. In September, 2020, Nanning was listed as one of the 14 national pilot cities to expand the long-term care insurance system and the only pilot city in Guangxi Zhuang Autonomous Region. Under the unified deployment and careful guidance of the National Medical Insurance Bureau and the Ministry of Finance to expand the long-term care insurance system, Nanning Medical Insurance Bureau has conscientiously implemented the strategy of strengthening the capital of the autonomous region and the deployment arrangements of the municipal party committee and government. After in-depth and detailed exploration and scientific and systematic demonstration, the long-term care insurance system in Nanning was implemented on March 1 this year. After the system landed smoothly, the policy effects in supporting people’s livelihood, releasing employment vitality and empowering industrial development have become increasingly apparent, and achieved phased results. Below, I will make a brief briefing on the situation.

First, the main practices and results

Promoting the exploration of long-term care insurance system is an important measure taken by the CPC Central Committee and the State Council to deal with a series of social and livelihood problems brought about by the rapid aging of China’s population, and it is also an important institutional arrangement to improve people’s livelihood and well-being. Nanning has promoted the establishment of the long-term care insurance system, with the attribute of social mutual aid security, optimized the integration of resources as the "skeleton" and urged the system construction as the "wing". Since it was put into operation for more than 8 months, it has achieved remarkable results:

The first is to make up for the vacancy in the social security system. For a long time, under the background of the implementation of the family planning policy for many years, the trend of miniaturization of family units, the aging process of the population, and the rapid development of economy and society, the disability of family members has brought heavy burdens to many families, and the problem of insufficient social security has become more and more prominent. As of October 31st, 2021, the long-term care insurance system in Nanning has covered 1,540,600 insured employees (including 1,290,600 in-service employees and 250,000 retired employees), and 3,487 people have been assessed according to the application, of which 2,689 people meet the standard of enjoying treatment. Nanning’s long-term care insurance system provides the insured persons who have been assessed as severely disabled with the necessary nursing services and double guarantees of funds on a monthly basis, which, to a certain extent, reduces the expenditure of disabled persons’ families on purchasing long-term care services, brings standardized and professional long-term care services to disabled persons, effectively reduces the burden of long-term care needs of disabled persons due to old age, illness, disability and other reasons, and focuses on solving the basic care security needs of severely disabled persons.

The second is to establish a financing model with equal rights and responsibilities. First of all, unlike other cities in China, which mainly rely on medical insurance funds and financial subsidies, Nanning focuses on building long-term insurance into a stable and sustainable independent insurance, taking the lead in implementing independent financing in the country, and the premiums are shared by units and individuals in the same proportion, reflecting the principle of equal rights and responsibilities and social assistance. Secondly, break through the information barriers of medical insurance and tax departments, and take the lead in realizing the synchronous collection of the payment part of long-term insurance units and the medical insurance premiums of employees in the country, and the individual payment is realized by transferring personal accounts. Third, in view of the problem of socialized management of retirees and no unit payment, we should take the lead in exempting the unit payment part of retirees and reducing the financial burden. Fourth, in order to further optimize the business environment and ensure that the long-term insurance system is implemented without increasing the burden on enterprises. Nanning took the initiative to adjust the enterprise unit payment rate from 7.3% (employee medical insurance+maternity insurance) to 6.95% (employee medical insurance+maternity insurance+long-term insurance), and the overall rate was 0.35 percentage points lower than that in 2020. Moreover, the insured employees were upgraded from double security to triple security, and the burden of enterprise insurance payment was directly reduced by more than 337 million yuan by October 2021, effectively alleviating the double burden brought by epidemic prevention and economic downturn.

The third is to empower the long-term care service industry. In order to solve the problems of "unable to find, difficult to find" and "nonstandard and irregular" in the nursing service industry, we took the opportunity of implementing the pilot project of long-term nursing insurance system, implemented the access evaluation mechanism for the nursing service institutions in Nanning, and established a diversified nursing service supply system that takes care of both home care and institutional care in form and life care and medical care in content. The long-term nursing service institutions shall be managed by agreement, and the access conditions of excellent chain enterprises in other places shall be appropriately relaxed to accelerate the landing of service resources and accelerate the balance between supply and demand. For nursing service personnel, the medical insurance department should strengthen the linkage with civil affairs and health care, strengthen training and supervision as the starting point, and introduce corresponding management measures to improve the service ability and level of the industry. By October 2021, a total of 110 applications for fixed-point access assessment had been accepted, and 87 nursing service institutions met the access requirements, attracting 24 home-based nursing service chain institutions with mature operation experience in first-tier cities in China to enter our city for the first time, such as Fushoukang (Shanghai) Medical Pension Service Co., Ltd. and Yi (Guangzhou) Healthy Pension Industry Development Co., Ltd., which set up branches in Nanning. While investing in people and property, More importantly, it has also brought advanced management concepts and means, which has played a very good role in promoting the quality and efficiency of nursing service industry in Nanning, stimulating the employment and entrepreneurship market, and promoting the structural reform of the supply side of the pension industry.

The fourth is to establish an agency service system that is jointly built and shared by the government and market players. Under the framework of national guidance, starting from improving management efficiency and handling efficiency, under the premise of ensuring fund safety and effective supervision, first, set up functional institutions. In the municipal medical insurance agencies to increase the long-term insurance management functions, set up a separate nursing insurance management department, responsible for the city’s handling management. Second, the 13 service points of the city’s medical security agencies have opened long-term insurance windows simultaneously, providing convenient services for the insured in the city to be handled by the whole city and accepted by one window. Third, establish a social and business cooperation mechanism. Through government purchasing services, we will introduce three professional commercial insurance institutions and set up a special long-term insurance service center to provide policy consultation, disability assessment, service organization, fee payment and other services for the insured in the city, further improve the accessibility of long-term insurance services, effectively use the integrated resources such as insurance services, comprehensive supervision and back-office support of commercial insurance institutions to participate in the joint construction of people’s livelihood security, and release the direct benefits of enterprise development, government efficiency and mass convenience.

Generally speaking, the long-term care insurance system in Nanning has built a clear institutional framework, a financing mechanism with equal rights and responsibilities, an objective and fair evaluation system, a scientific and reasonable treatment standard, an efficient and convenient information system and a standardized and orderly handling system, which has made up for the vacancy of the social security system in our city. The implementation of this system is not only conducive to reducing the double burden of disabled people and their families’ economy and affairs, but also to resolving the social risks of the aging population demand. At the same time, it broadens the employment channels for aged care services and nursing practitioners, and promotes the coordinated development of aged care services, health industry and insurance industry. Since the pilot implementation of the long-term insurance system, it has run smoothly, achieved remarkable results and received good response from all walks of life. Some people sent letters and calls, some sent banners, thanked the party for its good policies, thanked the government for its care, and praised the long-term care insurance for improving the quality of nursing services and happiness index of disabled people.

Second, the next work plan

The first is to expand and extend the scope and connotation of protection. On the basis of consolidating the effectiveness of the pilot project, taking the establishment of an evaluation index system for long-term care needs in Nanning as a breakthrough point, and considering the disease distribution, economic and social development level, fund financing and treatment in Nanning, the care needs and corresponding care levels of disabled and semi-disabled people are reasonably defined, and the corresponding nursing service methods, assistive devices needs and the amount of guarantee funds related to related services are determined according to the results of disability evaluation. At the end of 2022, the policy of including the rental service fee of assistive devices into the payment scope of long-term care insurance fund is studied and introduced.

The second is to deepen the resource integration and policy convergence of relevant industry sectors. At the present stage, there are multi-faceted and multi-dimensional policy arrangements from the central government to the local government to cope with the aging population and meet the health needs of the masses, and the finance has also invested a lot of money. At present, many commercial insurance institutions have shifted their development focus to the field of healthy old-age care, but the funds and policies are scattered in related fields and it is difficult to form a joint force. Promoting and participating in the construction of long-term care insurance system is not only to improve the social security function, but also an important means for the government to regulate the allocation of resources in related fields, and to promote the supply-side structural reform, safeguard social equity and protect the most basic interests of the people. It requires the joint planning, coordinated development, mutual integration and mutual promotion of various government departments and enterprises.

The third is to improve supporting policy support and innovate the management of handling services. At present, the focus of the pilot work of the long-term care insurance system in our city has changed from ensuring a steady landing to deepening the pilot reform. To deepen the pilot work, it is necessary to promote the coordination of government departments, focus on system vacancies and market demand from the perspective of industry management, and constantly improve the system to provide more comprehensive and better guarantee services for the masses. At the same time, we will deepen the cooperation between medical insurance and commercial insurance in building a long-term care insurance handling service system, adhere to the problem-oriented, demand-oriented and effect-oriented, further clarify the functional orientation of long-term care insurance, improve the demand assessment mechanism, improve the service supply capacity, continue to strengthen the close cooperation between cities and counties, do a good job in the innovation of information-based integrated management means such as "unified management by one network" and "unified management by the whole city", empower the management of long-term care insurance, and push the mode of government-enterprise co-construction in the field of building public service system to a new level.

I’m here to introduce you. Thank you.

Just now, Director Lu Qin made a press release on the phased results of the pilot long-term care insurance system in Nanning and the next work plan. Below, I will make a major policy interpretation on the recently issued Interim Measures for the Management of Nursing Service Personnel in Nanning Long-term Care Insurance:

First, the connotation of long-term care insurance system pilot

The Fifth Plenary Session of the 18th CPC Central Committee proposed to "explore the establishment of a long-term care insurance system". The Fifth Session of the 19th CPC Central Committee proposed to "steadily establish a long-term care insurance system". In March 2021, the 14th Five-Year Plan for National Economic and Social Development in People’s Republic of China (PRC) and the Outline of Long-term Objectives in 2035 adopted by the National People’s Congress and the National People’s Congress made arrangements for the establishment of a long-term care insurance system. Promoting the exploration of long-term care insurance system is an important measure for the CPC Central Committee and the State Council to deal with a series of social and livelihood problems caused by the rapid aging of China’s population.

For ordinary people, the long-term care insurance system is an important supplement to life-cycle health protection, providing economic compensation and long-term care service guarantee for the insured who cannot take care of themselves due to old age, illness, disability and other reasons.

With the deepening of the pilot work, how to mobilize resources from all sectors of society to provide professional, high-quality, efficient and stable long-term care services for disabled insured persons is the key to the deepening and refinement of the long-term care insurance system pilot.

Second, the background of the introduction of the interim measures for the management of long-term care insurance nursing service personnel

According to the deployment of the national pilot project to expand the long-term care insurance system, after careful and pragmatic research, the long-term care insurance system has been implemented in Nanning since March 1, 2021. Since the pilot operation for nearly 8 months, the city has actively explored the institutional framework, policy support, handling services and standardized management. Up to now, the city has accepted 110 applications for admission assessment of designated institutions, and 87 nursing service institutions meet the admission conditions, covering medical institutions, old-age care institutions and home care service institutions, and registered 1,330 long-term nursing service personnel. The establishment of the long-term care insurance system has reduced the double burden of family economy and affairs brought by the long-term care needs of the insured severely disabled people in our city. The timely introduction of the interim measures for the management of long-term care insurance nursing service personnel is conducive to further standardizing the long-term care service behavior, promoting the formation of long-term care service industry, driving a group of nursing service institutions to enrich the market supply of long-term care services, forming healthy competition and beneficial interaction, and further promoting the process of institutionalization and standardization of long-term care services in our city.

Third, the main content

(1) General requirements. The management objective of the present Measures is to ensure that those who enjoy long-term care insurance in our city can obtain safe, standardized and effective long-term care insurance basic nursing service items and services, consolidate the socialized service support of the long-term care insurance system, avoid developing into a welfare system, and put forward specific requirements for those who provide long-term care services.

(2) Scope of application. These Measures are applicable to those who have been recorded by the medical insurance agencies and long-term insurance contractors in our city, signed relevant management contracts with the designated nursing institutions in our city, and provided Nanning long-term insurance basic nursing service items and services for those who enjoy long-term insurance treatment (collectively referred to as long-term insurance nursing service personnel).

(3) Access scope. Including those who provide in-house nursing and on-site nursing services in designated nursing institutions in our city, who have signed labor, labor and other related subordinate management contracts with their institutions (social caregivers) and severely disabled people or their entrusted agents, who have the ability to provide full-time home (or on-site) long-term nursing services and signed directional nursing labor contracts with long-term nursing institutions (exclusive caregivers). At the same time, under the age of 65 (inclusive), in good health, without any infectious diseases.

The main considerations are as follows: First, rationally distinguish the functional orientation of family care and professional care, further optimize the allocation of long-term care service resources, ensure that the severely disabled people in long-term care insurance get professional and high-quality long-term care protection, and at the same time, provide protection for promoting the socialized use of long-term care service resources. Second, according to Article 15 of the Labor Insurance Regulations and Item 1 of Article 1 of the Interim Measures on Retirement and Resignation of Workers, male workers and employees should retire and enjoy retirement pension subsidies when they reach the age of 60 and female workers and employees reach the age of 50. Accordingly, male farmers who have reached the age of 60 and female farmers who have reached the age of 50 can be regarded as "incapable of working". Combined with the latest classification standards for the elderly, the age of long-term care service personnel should be relaxed to 65; At the same time, the physical health of severely disabled people is extremely poor, and their resistance is weak. Therefore, those who provide long-term care services must ensure "good health and no infectious diseases".

(4) personnel management. The specific requirements for the management of long-term nursing service personnel relying on designated nursing institutions were clarified, and the management responsibilities of medical insurance agencies, long-term nursing contractors and designated nursing institutions for long-term nursing service personnel were clarified. The management object is required not to leave the post without approval.

(5) Personnel training and assessment. Long-term nursing service personnel should regularly participate in professional ethics and business training organized by designated nursing institutions, and the annual training duration should be no less than 20 class hours (one class hour per hour). The main considerations are: quantifying the training duration will help to ensure that the nursing skills of service personnel are optimized and easy to assess.

(6) Others. If the nursing service personnel who have been included in the management in the past are inconsistent with these measures, a three-month transition period will be set up and gradually standardized. Mainly consider promoting the stable and smooth transition of this approach.

The long-term care insurance system in Nanning adheres to the basic principle and development concept of social security and mutual assistance, and makes in-depth exploration on the path of coordinating all social forces to solve the contradiction of long-term care demand. The goal is to establish and improve the long-term care insurance system into a social security system with clear positioning and strong compensation, and provide dual support for the families of disabled people. It needs the active participation, strong support and tolerance of the whole society.

I read here, thank you! Huang Xiaobin, deputy director of the Municipal Medical Insurance Center, is invited to introduce the work of medical insurance handling.

Friends of the press:

Good morning everyone! It’s a pleasure to meet with friends from the media, and I’d like to take this opportunity to thank you for your long-term concern and support for the pilot work of the long-term care insurance system in Nanning. Since the implementation of the pilot project of the long-term care insurance system in our city on March 1 this year, after more than 8 months of operation, the long-term care insurance system has covered 1,540,600 insured employees in the city, including 1,290,600 employees and 250,000 retired employees. A total of 5,118 applications for disability assessment were accepted, and 3,487 people were assessed at home, of which 2,689 people met the conditions for enjoying treatment; A total of 110 applications for fixed-point access assessment were accepted, and 87 nursing service institutions were included as fixed-point agreement management institutions, including 23 medical institutions, 35 old-age care institutions and 29 home-based nursing service institutions, of which 51 institutions provided nursing services for check-in institutions, 31 institutions provided on-site nursing services, and 5 institutions provided both on-site and check-in nursing services; There are 1330 registered nursing service personnel. Here I introduce the progress of long-term insurance handling from two aspects:

First, fine and efficient, high standards to promote long-term care insurance handling services

(a) standardized and orderly, and comprehensively improve the level of handling services. Long-term insurance relies on the medical insurance agencies at all levels in our city to implement the handling management. As the long-term insurance contractor, commercial insurance institutions, under the guidance of the medical insurance department, carry out specific handling services within the responsible area according to regulations. Always adhere to the principle of combining government leadership with market mechanism, and effectively promote the reform and innovation of medical security governance model. The first is to formulate unified handling procedures. The Municipal Medical Insurance Center organized the formulation and implementation of the unified long-term insurance handling service process in the city, actively explored and formulated the long-term insurance handling procedures and service standards at the initial stage of the system pilot, defined the operational processes and requirements of acceptance, handling and auditing, and made detailed and comprehensive arrangements for key handling services such as disability assessment, nursing service and cost settlement. The second is to strengthen the guidance and supervision of the contractors. In order to ensure that the daily handling work is carried out in an orderly manner, the Municipal Medical Insurance Center comprehensively controls the progress of various handling work, sorts out the difficult points in time, strengthens the guidance and supervision of the long-term insurance contractors, and aims at efficient and convenient service, constantly optimizes the handling service process in practice, and comprehensively improves the handling service satisfaction. The third is to strictly control the assessment of disability. The Municipal Medical Insurance Center selected 238 medical experts with high professional quality and familiar with the long-term care insurance policy from designated medical institutions to be included in the long-term care insurance assessor database for unified training and assessment, which provided a strong guarantee for the implementation of disability assessment. Continuously optimize the assessment workflow and promote the establishment of standardized work flow for disability assessment.At the beginning of September, the new evaluation standard was quickly launched in the whole city, and the evaluation work was carried out in strict accordance with the "Evaluation Standard for Long-term Care Disability Level (Trial)" jointly issued by the Office of the National Medical Insurance Bureau and the General Office of the Ministry of Civil Affairs on July 16 (No.37 [2021] of the Medical Insurance Office). The old and new standards were used iteratively and orderly, and the evaluation work was fair and objective.

(2) Take multiple measures to ensure that service supervision is in place. The municipal medical insurance center organizes the handling force to actively carry out the policy and business training for designated nursing service institutions, continuously strengthen the supervision of designated nursing service institutions, and urge designated nursing institutions to improve their management and service level, improve the quality of nursing service, so that severely disabled insured personnel can get a better nursing service experience. First, strengthen daily training and guidance. There were 10 trainings on long-term insurance policy consultation, organization management and nursing service, and information system operation for designated nursing service institutions, involving about 500 people. Guide the designated nursing service institutions to accurately grasp the connotation of the long-term insurance system, find the correct positioning, adhere to the people’s health as the center, solve the basic nursing security needs of severely disabled people as the basis, pursue the provision of safe, reasonable and high-quality long-term insurance nursing services, focus on the supply of high-quality nursing services, carefully organize, set an example, standardize operations and compete fairly. The second is to implement the supervision of designated nursing service institutions. Strengthen the agreement management of designated nursing service institutions through the way that the contractors independently carry out daily audit inspections, and the medical insurance departments jointly carry out special inspections with relevant departments such as civil affairs and health care. On-the-spot inspection of archives and return visits to nursing objects, focusing on the supply of nursing services, scientifically setting inspection contents and indicators, recording inspection problems on the benchmark table and urging rectification to fully protect the legitimate rights and interests of the treated objects. The third is to strengthen the management of nursing service personnel.City medical insurance center is responsible for the establishment of a unified information base of nursing service personnel in the city, relying on the integrated information platform to implement real-name registration system filing management for all nursing service personnel, and comprehensively record the basic information and training and assessment of personnel. At the same time, the designated nursing service institutions are responsible for establishing the registration management system and evaluation system of nursing service personnel in the institutions, and implementing professional and standardized daily business training and professional ethics training for nursing service personnel in the institutions to meet the multi-level and diversified nursing service needs of severely disabled insured persons.

(3) Strengthen publicity and actively guide public expectations. Formulate a publicity work plan, actively plan various publicity work, innovate publicity methods, comprehensively use various platforms, outlets and media resources to carry out publicity activities, actively and positively publicize the long-term insurance policy, properly respond to public concerns, deepen the understanding and support of all sectors of society for the pilot work of the long-term insurance system, broadly gather social consensus, and lead the pilot work of the system to a deeper level. First, online publicity is uninterrupted. With the help of WeChat official account, the WeChat of Nanning Medical Insurance, the column of "Only Long Care" was set up, and the brand of "Only Small Care" was founded, which showed the progress and effect of the pilot work of the long-term care insurance system in an easy-to-understand way, and published more than 50 publicity tweets related to the interpretation of the long-term care insurance policy, the work guide and the public’s evaluation, so that the public could quickly understand the long-term care insurance policy. The second is the promotion of offline publicity. Accumulated and distributed nearly 10,000 publicity materials, including service guides for 13 issues such as long-term insurance policy question and answer and disability assessment application, and distributed them to all service outlets in the city for the convenience of the masses; Actively carry out publicity work in the community, and further enhance the awareness and recognition of long-term insurance through face-to-face communication with community residents, distribution of publicity leaflets and detailed explanation of long-term insurance policies; Hold large-scale activities such as the pilot start-up work arrangement meeting and the awarding ceremony of designated nursing service institutions, and vigorously publicize the phased results of the pilot work. Third, the nursing service has been well received. "Long-term protection guarantees the true feelings, and giving charcoal in the snow warms the hearts of the people". Since the long-term insurance system landed,The medical insurance departments, contractors and designated nursing service institutions received 26 thank-you letters, 22 banners and countless affirmations and praises from severely disabled people and their families, which were praised by the masses and well received by the society.

Second, strive for perfection, continue to promote long-term insurance with high quality and achieve practical results

(1) Overall improvement of nursing service level. High-quality nursing service is the key for the long-term insurance system to be stable and far-reaching. As the main body of nursing service, people engaged in nursing service industry have always had problems such as older age and low skill level. With the expansion of nursing demand, the number of nursing service personnel is growing, the level of nursing service skills needs to be improved urgently, and the standardized training and appraisal system of long-term nursing skills needs to be improved urgently. Recently, Nanning Medical Security Bureau issued the Interim Measures for the Management of Nursing Service Personnel in Nanning Long-term Care Insurance (No.4 [2021] of Nanjian Medical Insurance Regulations), which standardized the management of nursing service personnel at the institutional level, set the entry threshold, defined the training assessment and management requirements, and reasonably established the institutional framework for the management of nursing service personnel, which played a guiding role in the establishment of standardized training system for subsequent nursing service personnel. At the same time, according to the new disability assessment standards, guided by the actual nursing service needs of severely disabled people, we will study and explore the adjustment of existing nursing service items, formulate unified operating norms and standards for nursing service items, and improve the quality and level of nursing service from the aspects of nursing service personnel management and nursing service content optimization.

(2) Reasonably guide the supply of specialized services. According to the investigation, the existing nursing service-related skills or vocational ability training contents in the market, such as nursing staff for the aged, domestic servants, patient care, and elderly care, are highly compatible with the skills required for long-term care services. In view of the particularity and professionalism of long-term nursing service objects and nursing service items, nursing service personnel are encouraged to take up their posts with certificates after they have a certain level of nursing service skills, and the standardized posts of nursing service personnel are further promoted, and a group of nursing service personnel with higher service levels are trained and established, and a group of nursing service institutions with professional service capabilities are cultivated and established. At the same time, the medical insurance department, together with the people’s society and major professional colleges, actively explore the establishment of practical skills upgrading mechanism, integrate existing training resources, optimize the allocation, and provide targeted training services for the majority of nursing service personnel.

(3) Continuously strengthen service supervision and guidance. The medical insurance department, together with the contractors, will continuously strengthen the supervision and guidance of the designated nursing service institutions, and promote the designated nursing service institutions to carry out long-term care services with high quality. Explore the integration of designated nursing service institutions into the comprehensive management of old-age care services, and implement supervision through multi-sectoral cooperation, thus forming a good situation of joint management; Encourage the market to play an active guiding role, activate the nursing service market, and empower and increase efficiency for the development of the nursing service industry; Explore the establishment of an information-based intelligent supervision mechanism to supervise who cares, where to care, the content of care, and the time of care in real time.

(four) to further create a good publicity atmosphere. Actively implement the deployment of the pilot project of expanding the long-term insurance system by the state and the autonomous region, promote the implementation of the publicity work of the mayor’s insurance system as a whole, ensure the planning, unity and timeliness of the publicity work, and create a good atmosphere for implementing the pilot project of the long-term insurance system. First, with the theme of "long-term care, warm care", taking the report on the changes since the implementation of the long-term care insurance system in Nanning as the propaganda starting point, adhering to the working ideas of active planning, highlighting key points and various forms, vigorously promoting the great significance of the long-term care insurance system throughout the city, focusing on the measures and highlights of the long-term care insurance system in the pilot process. Second, actively guide the correct direction of public opinion, organically combine the hot issues focused by the media and the public with propaganda work, study, deploy and promote simultaneously, give full play to the service advantages of the long-term insurance contractors themselves, coordinate the designated nursing service institutions to actively carry out publicity activities, and jointly help the smooth progress of the pilot system.

Disabled people have demands, long-term care insurance must respond, disabled people are in urgent need, and long-term care insurance must take action. Nanning Mayor Care Insurance adheres to the policy of benefiting the people that disabled people can see and touch, and does good things well and practically, so that disabled people can live a happy and dignified life.

After the release, thank you!

Thank you, Deputy Director Huang Xiaobin, for your introduction. Let’s ask questions from reporters. Please inform the news organizations you represent before asking questions. Please raise your hand if you have any questions.

Thank you for your question, which I will answer.

Under the deployment and guidance of the National Medical Insurance Bureau and the Ministry of Finance to expand the pilot work of the long-term care insurance system, Nanning has carried out the exploration of establishing the long-term care insurance system in an orderly manner, which has been implemented throughout the city since March 1, 2021. Based on the pilot concept of "small steps and quick steps", we will establish and improve the disability evaluation system of long-term care insurance from the insured population of employees, initially establish a long-term care treatment guarantee framework for severely disabled people in two scenarios: check-in institutions and home visits, implement fixed-point agreement management for nursing service institutions, establish a unified list and content of long-term care projects in the city (covering 38 nursing service projects in 6 categories such as life care), and the agency will directly review and manage the nursing service plan, and adopt the payment method of project packaging and master control.

According to the pilot work plan, on the basis of continuously improving the institutional framework, we will expand and extend the scope and connotation of protection, and at the same time explore the establishment and improvement of the evaluation system of nursing demand, the evaluation system of nursing service quality and the construction of nursing talent team around long-term nursing guarantee.

thank you

Thank you for your question, which I will answer.

Disability assessment is the entrance to enjoy long-term care insurance benefits, and we mainly manage it from three aspects: evaluation team construction, standardized evaluation standards and strict evaluation process supervision.

The first is to evaluate team building. In order to ensure the orderly development of disability assessment of long-term care insurance in our city, the Municipal Medical Insurance Center took the lead in setting up a unified disability assessor database and expert database for the implementation of the assessment. All appraisers have professional backgrounds in clinical medicine, nursing, rehabilitation, etc. Among them, appraisers should also have the title of deputy high school or above. After registration, screening, training and examination, an appraiser database with 193 appraisers and an appraiser expert database with 45 experts have been established.

The second is to standardize the evaluation criteria. Since the beginning of September, our city has launched a new evaluation standard in the whole city, and carried out the evaluation work in strict accordance with the Evaluation Standard of Long-term Nursing Disability Grade (Trial) (No.37 [2021] of Medical Insurance Office and the General Office of the Ministry of Civil Affairs) jointly issued on July 16th. On the basis of the Evaluation Form of Activities of Daily Living (Pap’s Table), the cognitive ability evaluation form and the sensory perception and communication ability evaluation form have been added. In order to implement unified standards, unified operation and unified management, we organized all appraisers to hold a training meeting for appraisers on October 14th to ensure that the evaluation standards were iterated orderly and smoothly.

The third is strict evaluation process and supervision and management. After the insured or its entrusted agent applies and passes the examination and approval, the evaluation commissioner of the undertaking institution will accompany two randomly selected evaluators to carry out on-site evaluation, supervise the evaluation operation and scoring process of the evaluators, and record and video the whole process; The municipal medical insurance center randomly checks 10% evaluation videos in each batch of the list to be publicized to ensure that the evaluation operation norms are correct.

thank you

Thank you for your question.

First, the development of nursing service industry has become an important part of the pilot effect of long-term care insurance. Thanks to the smooth implementation of the national pilot project to expand the long-term care insurance system in Nanning, the double burden of family economy and affairs brought by the long-term care needs of long-term severely disabled people has been reduced, the long-term care service behavior has been further standardized, the long-term care service industry has been promoted, and a number of different subjects such as medical institutions, pension institutions and nursing service institutions have been driven to join the long-term care service market supply, forming healthy competition and interaction, further promoting the institutionalization and standardization of service management; At the same time, a total of 110 applications for fixed-point access assessment were accepted, and 87 nursing service institutions met the access conditions, including 23 medical institutions, 35 pension institutions and 29 home-based nursing service institutions, of which 31 institutions provided home-based nursing services, 51 institutions provided nursing clothes for check-in institutions, and 5 institutions provided home-based and check-in nursing services at the same time. Nearly one-third of the 87 nursing service institutions that have been included in the fixed-point agreement management are home nursing service chain institutions that entered our city for the first time, which has a significant driving effect on the development of the health care industry and the supply of nursing services in our city.

Second, exploring the inclusion of assistive devices rental service fees in the long-term insurance fund payment is progressing as planned. The guidance at the national level clearly pointed out that the pilot cities can explore the inclusion of the rental service fees of assistive devices in the scope of fund payment. In the initial stage of formulating the framework of long-term care insurance system, our city has included the lease of assistive devices in the scope of fund payment as an alternative. However, considering that the demand for assistive devices of severely disabled people and the actual operation of the fund were not fully grasped in the initial stage of the pilot, the lease policy of assistive devices has not yet been introduced. The Municipal Medical Insurance Bureau insists on taking the pilot opportunity as an opportunity to continuously improve the construction of the system. After full investigation and demonstration, it is planned to take Nanning as the starting point to build an evaluation index system for the nursing needs of long-term care insurance disability level, and consider the disease distribution, economic and social development level, fund financing and treatment of Nanning to reasonably define the nursing needs and corresponding nursing levels of disabled and semi-disabled people. According to the disability assessment results, the corresponding nursing service mode, the demand for assistive devices and the amount of guarantee fund gap related to related services are determined. At the end of 2022, the policy of including the rental service fee for assistive devices in the payment scope of the long-term insurance fund is studied and introduced, and the relevant work is progressing as planned.

Third, the landing of the accessory rental service industry in Nanning will give better play to the regional radiation efficiency. Nanning, as the capital city of Guangxi, is the only pilot city of national long-term care insurance system in Guangxi, which can play a full driving role in terms of economic and social development level, industrial base of health care services and location advantages. We believe that relevant enterprises should develop the long-term care assistive devices industry in Nanning, and lay out the regional production center, sales center, operation center, logistics storage and decontamination center of assistive devices around the long-term care insurance system as soon as possible, which can not only effectively fill the market vacancy and seize the market opportunity of assistive devices rental service, but also bring mature market operation mode, service mode and long-term care service support to Nanning, serve Nanning and build Nanning. We welcome high-quality enterprises to develop, bring professional, high-quality and efficient services to Nanning citizens, promote the overall development of the industry and improve the service quality of the industry.

thank you

Thank you for your question.

The Implementation Opinions of Nanning Municipal People’s Government on Nanning’s Long-term Care Insurance Pilot (N.F.G. [2021] No.3) clearly states that the insured can’t take care of themselves due to old age, illness, disability and other reasons, and can’t recover after active treatment, and they have been in a disability state for more than 6 months. On the premise of paying the basic medical insurance and long-term care insurance fees for employees in full and on time, those who are identified as severely disabled after application and assessment can enjoy long-term care insurance treatment according to regulations. I answer this question from three aspects: disability assessment, nursing service and expense settlement.

(1) Disability assessment. The insured person of long-term insurance or his entrusted agent shall submit application materials to the undertaking institution of long-term insurance, including application form, self-assessment form, commitment letter and relevant medical records, etc.; If the conditions for disability assessment are met, the contractor shall organize an assessor to conduct disability assessment and issue an assessment conclusion; For those who reach the standard of severe disability, the evaluation conclusion will be publicized to the public; If there is no objection to the publicity, the organizer shall issue a conclusion notice to the applicant; The applicant shall enjoy long-term care insurance benefits from the second month after the assessment conclusion is issued. If there is any objection to the publicity or the applicant has any objection to the evaluation conclusion, the applicant may apply for re-evaluation to the contractor, and the contractor shall organize the evaluation experts to conduct re-evaluation.

(2) Nursing services. The severely disabled insured person or his entrusted agent independently chooses any designated nursing service institution with long-term insurance to provide nursing service at home or in the institution, and the institution formulates nursing service plan for the severely disabled insured person according to regulations, signs long-term insurance nursing service agreement, and stipulates relevant service items, contents, frequency and duration, etc., and provides long-term insurance nursing service according to the nursing service plan and plan.

(3) expense settlement. Severely disabled persons or their entrusted agents choose designated nursing service institutions to provide nursing services for home visits, check-in institutions and living in different places (outside Nanning, autonomous region), and the nursing expenses related to 38 nursing services in 6 categories will be paid by the Long-term Insurance Fund according to the monthly nursing treatment standard (2,463 yuan) of 75%, 70% and 60% respectively. Among them, the expenses that should be borne by individuals shall be paid by the insured individuals to the designated nursing service institutions; The expenses that should be paid by the fund shall be settled by the long-term insurance contractor and the designated nursing service institution on a monthly basis, so that the insured can enjoy the treatment more conveniently.

thank you

Thank you for your question.

The management objective of the present Measures is to ensure that those who enjoy long-term care insurance in our city can obtain safe, standardized and effective long-term care insurance basic nursing service items and services, consolidate the socialized service support of the long-term care insurance system, avoid developing into a welfare system, and put forward specific requirements for those who provide long-term care services.

At present, some pilot cities have introduced management measures for long-term care service personnel. For example, on May 8, 2018, Suzhou Human Resources and Security Bureau and other four departments issued the Notice on Defining the Conditions of Long-term Care Insurance Home Care Service Institutions and Service Personnel in Suzhou (Trial) (Su People’s Insurance Medical [2018] No.19), which proposed that the personnel engaged in long-term care services should be certified, sign labor contracts, abide by professional ethics, have no criminal record and have no spirit. On June 7, 2021, Tianjin Medical Insurance Bureau and other four departments issued the Notice on Issues Related to Home Care Service of Long-term Care Insurance, which clarified the access scope of long-term care service personnel. Those who failed to obtain the training certificate within the prescribed time limit need to participate in the training and obtain the relevant certificate. Those who failed to obtain the relevant qualification certificate at the expiration date will be cancelled from the scope of long-term care service personnel. In addition, Qingdao, as the first batch of pilot cities of national long-term care insurance system, issued the "Professional Skills Grading Standard for Nurses of Long-term Care Insurance" in the form of local standards, which provided a basis for those engaged in long-term care insurance care, and was conducive to the standardization and development of long-term care insurance services and the improvement of nursing service level of caregivers. Standardizing the management of long-term nursing service personnel in Nanning will effectively solve the problem of "marketization" and "specialization" of long-term nursing service supply, and further improve the accessibility of insured personnel to long-term nursing service by standardizing the access management and skill training of employees.

thank you

Due to time constraints, a reporter asked about this end. Thank you for your wonderful answers, journalists and friends, and welcome you to continue to pay attention to the follow-up progress of the pilot work of the long-term care insurance system in our city. If journalists and friends have other questions to know, please communicate and interview with the medical insurance department after the meeting. This concludes today’s press conference.

Thank you!