Shandong Zouping City Medical Security Bureau: Strong service increase protection and improve the satisfaction of the masses

In the third sessions of the Satisfaction Enhancement Action Series Press Conference, the basic public service masses held by Zou Ping City, in basic medical security, Zou Ping's medical security bureau introduced Zou Ping's work in medical insurance.

Since the beginning of this year, the Zouping Medical Security Bureau has transformed the designated medical institution system, and the settlement time has been shortened by 80%compared to the original. The outpatient clinics and hospitalization of the designated medical institutions are conducted on -site supervision and testing one by one. In response to the problems of strong reimbursement processes reported by the masses, leading cadres went to various hospitals to carry out the process experience, and effectively improved the handling and reimbursement of chronic diseases from the perspective of the masses to enhance the sense of gain and satisfaction of the masses.

Zhang Chengdong, Secretary of the Party Group and Director of Zou Ping City Medical Security Bureau, introduced that the first case was visited in the city hospital. That is, insured personnel are hospitalized or performed at the second and second -level public hospitals at or above -class public hospitals to meet the confirmation criteria of chronic disease treatment for outpatient clinics. "Application Form for Chronic Diseases", the director of the science department reviewed and the staff of the medical insurance service station checked the relevant certification materials, and handled the outpatient chronic disease medical certificate.

The second case is visited at an out -of -city hospital. Participants must copy related medical records, check and laboratory information, and go to the town street health center (community health service center) or town street convenience service center medical insurance workstation, as well as the medical insurance service window of the municipal administrative service hall for application materials, monthly In the end, the Municipal Medical Insurance Bureau organized experts to identify it. If it meets the standards for the confirmation of chronic disease treatment, the outpatient medical certificate is applied.

The Zouping Medical Security Bureau will continue to adhere to the people as the center, focus on the "urgency and sorrow" problem of the people in the medical security field, take multiple measures, really work hard, and practice "Zou Ping Medical Insurance, Love the People" Services commitment to continuously improve the sense of happiness, gain, and security of the participating people.

Zhang Chengdong, secretary of the party group and director of the Zouping Medical Security Bureau, introduced that the insured residents suffer from 43 diseases within the scope of the slow disease disease of outpatient clinics, and may apply for the qualifications of slow special diseases for outpatient clinics. Essence There are five types of A disease such as malignant tumors, uremia, leukemia, organ transplantation, and hemophilia. There are no lines of payment. The annual payment line of category B disease is 200 yuan; the reimbursement ratio is 65%; The limit management is implemented, and the amount of combination of type A disease and hospitalization is combined. The maximum reimbursement of each disease in the type B disease is 3,000 yuan; the limits per person shall not exceed 2 diseases.

Reporter Lin Juyi Report

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