Innovation breakthroughs look at the implementation | Jining's medical insurance business "nearby" to serve the masses "zero distance"

Jining News Network (Reporter Sun Lingmeng) Jining City deepen the "one -time good" reform, optimize the medical insurance settlement process, promote the construction of medical insurance service stations, expand the scope of medical insurance services, create a convenient and efficient medical environment, enhance the sense of gain and satisfaction of the insured people Spend.

Yang Shengju, a villager in Wakqu Village, Tianshuang Town, Zoucheng City, suffers from hypertension and chronic diseases. In the past, he had to go to the town health center to enjoy medical insurance reimbursement every time he purchased antihypertensive drugs. From April this year, she didn't have to go to the town to buy medicine.

Yang Shengju, a villager in Watvi Village, Tianhuang Town, Zoucheng, told reporters: "Now (village clinics) can also be reimbursed, it is taken from here, and the reimbursement is very convenient."

In order to open up the "last mile" of the Medical Insurance Office, the Zoucheng Medical Security Bureau extended the medical insurance service network to rural areas, connected the village -level clinic system to the medical insurance settlement information system to enhance the grass -roots medical insurance service capabilities.

Hu Zhen, Chief of the Division of Zoucheng Medical Security Bureau, introduced: "Realizing interconnection, real -time reimbursement of the real -name system of villagers in the village -level clinics, which facilitates the people participating in the insured and strengthened the supervision of the medical insurance fund."

In recent years, Jining City has vigorously promoted the construction of the "15 -minute medical insurance service circle", giving full play to the role of the medical insurance online service hall, county -town village -level medical insurance service station, and "Jining Medical Insurance" small program. "Help for office" allows the masses to check the insurance information and handle medical insurance business without leaving home. Some time ago, the elderly in Shitang Village, Kangyi Town, Wen Shangxian County wanted to apply for a chronic disease identification, and signed the doctor to take the initiative to help the office, solving his worries.

Bu Xianwu, a villager in Shitang Village, Kangyi Town, Wen Shangxian County, told reporters: "The doctor in the village collected my information and got it in the town to do it for me. After finishing, they took the medicine once a month. send over."

Zheng Benliang, Dean of the Kangyi Health Center of Wen Shangxian County: "Relying on public health and family doctors to sign contracts, actively carry out medical treatment, medicine, and health activities. On behalf of the medical insurance -related business, the personnel have realized the service model of "handle the handle and teach you to do it, and help you to do '."

At present, the medical insurance service station of Wenshang County Hospital has undertaken the 18 categories of medical insurance business, including the application of chronic diseases, medical assistance, medical insurance information inquiry, etc.; , 12 help office services including medical assistance declaration.

Zhang Liyan, director of the Medical Insurance Center of Wen Shang County Medical Security Bureau: "In order to ensure that our village -level helper office service is realized in real time, we have established a smooth channel for medical insurance issues. Let the masses apply for medical insurance to achieve 'zero -run legs'. "

Up to now, Jining has built 229 medical insurance service stations in the medical institution, 156 medical insurance service stations in townships (streets), and 1017 medical insurance services in the village (community), which has realized the secondary and above medical insurance institutions and above the medical insurance service station and Township (street) is fully covered, and the medical insurance online running rate is more than 90%. At the same time, Jining City actively promotes direct settlement of cross -provinces and provinces to simplify the formalities of medical treatment in different places. After the insured personnel are filled in, it can realize the direct settlement of the hospitalization expenses in 45,000 medical institutions across the country, making it more convenient for the masses to seek medical treatment at different places.

- END -