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    Home > Active Ingredient News > Drugs Articles > Create a new pattern of medical insurance management, 5 solutions for reference

    Create a new pattern of medical insurance management, 5 solutions for reference

    • Last Update: 2021-05-22
    • Source: Internet
    • Author: User
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    In accordance with the unified requirements of Hubei Province, formulate a work plan for strengthening the construction >

    In accordance with the unified requirements of Hubei Province, formulate a work plan for strengthening the construction >

    1.


    (1) Strengthen the change of staff work >

    (1) Strengthen the change of staff work >

    The first is to fully solicit opinions and conduct self-examination and self-correction in an all-round way.


    (2) Carry out special management work to combat fraudulent acquisition of medical insurance funds to ensure the stable operation of the funds.


    (2) Carry out special management work to combat fraudulent acquisition of medical insurance funds to ensure the stable operation of the funds.


    2.


    2.


    (1) Implement and gradually standardize the "good and bad reviews" system

    In accordance with the "Guiding Opinions of the Provincial Medical Security Bureau on Doing a Good Job in "Good and Bad Reviews" on Medical Insurance Government Service Matters", standardize the work of "good and bad reviews", and promote the "good and bad reviews" to achieve full coverage of 28 government service items claimed.


    (2) Implement the list of government services to facilitate the insured masses

    (2) Implement the list of government services to facilitate the insured masses

    Earnestly carry out the formulation and release of the list of government service items and handling guidelines at this level, and will be fully implemented at the end of August.


    (3) Implementation of policies such as financing treatment

    (3) Implementation of policies such as financing treatment

    In order to implement the implementation as soon as possible to improve the financing treatment of residents' medical insurance financing, the "two diseases" medication guarantee mechanism, and the phased reduction of employee medical insurance, timely communication with relevant departments, serious investigations and calculations, and an implementation plan that combines the actual payment capacity of the medical insurance fund , After the municipal government's special meeting researched and approved, steadily implement and advance, report the work development and existing problems to the upper level in a timely manner, and at the same time report materials and related data on time in accordance with the requirements of the superior.


    3.


    3.


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    5.


    At the same time, we will strengthen the standardized construction of windows, comprehensively improve the medical insurance handling capacity and service level, unify the standardization construction standards of service halls, uniformly publicize the medical insurance handling procedures, job supervision, medical insurance policies, complaint telephones, etc.


    At the same time, we will strengthen the standardized construction of windows, comprehensively improve the medical insurance handling capacity and service level, unify the standardization construction standards of service halls, uniformly publicize the medical insurance handling procedures, job supervision, medical insurance policies, complaint telephones, etc.
    , and strengthen the medical expense review and accounting acceptance office The “one-stop” service is in place, and each business window implements a one-time notification system, a first-inquiry responsibility system, and a time-limited settlement system to avoid people running errands back and forth, and strive to improve the satisfaction of the service people with the window service.
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