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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 |     　　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。

二 | 　　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。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。    Choice Hotels International is asking shareholders of rival chain Wyndham Hotels & Resorts to sign off on a buyout worth nearly $8 billion after Wyndham broke off negotiations, the company said Tuesday. “A few weeks ago, Choice and Wyndham were in a negotiable range on price and consideration, and both parties have a shared recognition of the value opportunity this potential transaction represents, said Choice CEO Patrick Pacious. ”We were therefore surprised and disappointed that Wyndham decided to disengage. While we would have preferred to continue discussions with Wyndham in private, following their unwillingness to proceed, we feel there is too much value for both companies’ franchisees, shareholders, associates, and guests to not continue pursuing this transaction."Wyndham did not immediately respond to a request for comment early Tuesday. Choice, based in Rockville, Maryland, is offering $49.50 in cash and 0.324 shares of Choice common stock for each Wyndham share they own, a 20% premium to Wyndham's last closing price. Choice's proposal allows Wyndham shareholders to choose either cash, stock, or a combination of cash and stock. The proposal also includes giving Wyndham two seats on the combined company’s board. The deal has a total value of about $7.8 billion. When including debt, it's valued at approximately $9.8 billion. Choice first approached Wyndham in April, offering $80.00 per share, with 40% of that cash and 60% Choice stock, but was rejected, Choice said. It bumped the offer to $85 per share, then to $90 per share as the board chairs and CEOs of each company met. But, according to Choice, Wyndham voiced concerns about regulatory approval in September and also the value of Choice stock. Choice operates about 7,500 hotels in 46 countries. It's seeking to absorb a much larger chain in Wyndham, which operates nearly 9,300 hotels under a host of brands including Days Inn, Howard Johnson, La Quinta, Ramada, Super 8 and Travelodge. Wyndham, based in Parsippany, New Jersey, posted a profit of $355 million last year with revenue of $1.5 billion. Like most hotels, it has benefited from booming travel in recent years. The uptick in travel has lead to snarled airports and pilot shortages. That has cooled a bit this year as people become more cost conscious about their trips due to inflation and after spending more freely for more than a year. Wyndham's shares are up more than 170% since it stock price tumbled close to $25 each at the start of the pandemic. Shares of Wyndham Hotels & Resorts Inc. jumped more than 15% before the opening bell Tuesday, to $82.40. Shares of Choice Hotels International Inc. fell more than 2%.。　　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。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。　　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。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。　　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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