Yumen: Medical insurance benefits the people to make the masses have "medical reliability"

Medical insurance services "zero distance"

Medical security is a people's livelihood project that is related to the health and well -being of the people. "Benefiting the people" and "convenience" have always been the main line of medical insurance work. In order to solve the "difficult pain point" problem of medical insurance for the people, Yumen City focused on the concerns of people's livelihood, and launched convenient service measures to allow the people to share the sun and rain of medical insurance services for the whole people.

Keep the masses "money bag"

"The medicine we bought in the pharmacy is more than 50 yuan, and it only uses more than 30 yuan in the hospital. It is really affordable." The mother of Gao Junxia, ​​a citizen of Yumen, found that the price of drugs needed during the treatment process was much lower than before.

For a long time, it has been difficult for ordinary people to see a doctor and buy medicine. In order to reduce the burden on the masses, Yumen City fully implemented the centralized purchase of national drugs and medical consumables, which truly allowed the masses to enjoy the dividend of medical reform. Up to now, 6 batches of 202 drugs and provincial alliances have been implemented together to procure 75 regulations. Pharmaceutical procurement is 5.5179 million yuan, and high -value medical consumables procurement is 274,000 yuan, allowing 852,100 yuan for patients.

Zhang Dewen, deputy director of the Yumen Medical Security Bureau, told the author, "For example, the glycry insulin insulin injection often used by patients with diabetes, about 180 yuan before the collection, patients' daily expenses of 9-18 yuan, 48.71 yuan after collecting mining, 48.71 yuan after collection The patient's daily expenditure only needs 2-3 yuan, and each patient can save about 4,000 yuan per year, which is very obvious that the effect of reducing the burden on the patient is very obvious. "

A series of reform measures make the people not only enjoy the benefits of "buying the same medicine, spend less money", but also in the field of high -value medical consumables. The burden of medical treatment.

Building a "protective network" for medical insurance funds

Recently, the Yumen Medical Security Bureau conducted outstanding issues such as fraudulent medical insurance funds, drug sales management, and fixed -point retail pharmacy system. Essence

This is just a microcosm of the institutionalization and standardization of the supervision of the medical insurance fund to focus on cracking down on fraud. In recent years, Yumen has integrated inspection forces, increases the frequency of inspection, expands inspection coverage, and establishes a joint inspection mechanism for medical insurance, health, public security, public security and other departments, improves the supervision, supervision and inspection of medical insurance funds, intelligent monitoring, credit management, and awards reports. The system, comprehensive use of agreements, administrative, judicial methods, etc., and promote the movement of supervision.

At the same time, make full use of big data to conduct three -dimensional intelligent monitoring of medical expenses and medical behaviors, and remind violations of regulations to remind and interviews in a timely manner, rectify rectification, notify criticism and administrative penalties. Up to now, the city has carried out 16 on -site publicity and consulting services activities, and has been issued 18,000 propaganda materials. It takes 6 night inspections, checks 12 suspected data, cancels 1 medical insurance service qualification for fixed -point pharmaceutical institutions, recovers illegal medical insurance in accordance with the law according to law The fund is more than 40,000 yuan.

Serve the "Lianxin Bridge" to serve the people

"In the past, the inpatient reimbursement business was required to be referred to the hospital, submitted to the discharge certificate, etc. Now as long as the social security card and the cost list can be done." Wang Xu, staff member of the medical insurance window, said.

In 2018, Yumen City implemented a special operation of "reduction of permits to the convenience", canceled 4 items of 3 window certificates, and "solved" and "weight loss" for the people. It compressed from 15 working days to 5 working days. At the same time, strictly compare the list of categories of provincial and Jiuquan City, screening, claiming, and compilation and improvement of the list of medical security rights and responsibilities in Yumen City, enter the "Internet+" government service platform of Yumen City, "Integrated" government service platform, Gansu Province Government service platforms are unified by provincial, city, county, and township levels.

In order to improve the proportion and work efficiency, Yumen City took the "Iron Man Pioneer" and "Iron Man Pioneer" to strive for the start of the activity. Class permits are fully authorized to approve the approval of the window, which greatly improves the efficiency of handling.

Xu Wei, Guo Xinglin

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