[Construction of Clean Lianwangcheng] Use "helping money" to make good use of "help", and the people are more firm in "medicine" to see a doctor.

Editor's note: The deployment of the Wangcheng District Party Committee has solidly promoted the construction of "Qinglian Wangcheng". Simultaneous construction, ideological education, discipline restrictions, punishment of corruption, and system building in the same direction, dare not rot or want to rot, do not want to promote it, and let the cleanliness concept go deep into all walks of life, and make cleanliness the conscious pursuit of the majority of party members and cadres. Wangcheng released a column of "Cleaning and Wangcheng Construction", focusing on the integrity construction of all walks of life, promoting the righteousness of the Qingfeng, and inspiring the responsibility.

The medical insurance policy saves most of the medical expenses, and the masses have reduced the burden of seeing a doctor; the Tongmen Pharmaceutical Street Township is full, and I don't have to run around the west ... Facing the people's troubles, worries, and worry about medical security, I hope The Urban Medical Insurance Bureau actively carried out the construction of "clean and honest agencies", implemented medical protection policies, and maintained the safe operation of the medical insurance fund, so that the people to see a doctor "medicine" rely more on!

Lianfeng benefit the people to reduce the burden on the people for the masses

"It's so grateful. Thanks to this policy of benefiting the people, it has saved the cost of more than 10,000 yuan for surgery!" Recently, the elderly in the visiting district disciplinary committee and district medical insurance bureau of Lantang Temple Village, Qiaokou Town The staff said grateful. It turned out that the 71 -year -old Yun Shu old man at the age of 71 this year performed hip replacement surgery at the District People's Hospital. Prior to this, the cost of surgical consumables needed for full hip replacement surgery was as high as more than 18,000 yuan. After the first -volume procurement, the first -time beneficiary patients who enjoy the people who benefit the people use similar products.

Since the beginning of this year, the District Medical Insurance Bureau has taken the construction of the "clean government" as a carrier, focusing on the difficulties of policy implementation, accurately improving policies, and solidly promoting the implementation of the policy of benefiting the people and the people of the people. burden.

At the end of May this year, the District Medical Insurance Bureau planned planning to implement the policy of centralized drugs (special insulin) policies. All public medical institutions in the region actively responded to expand the active participation of special retail pharmacies. In the hands of diabetic patients.

Mr. Zhou, who lives in Gaotangling Street, has been suffering from high blood sugar for 16 years. According to the doctor's medication plan, Mr. Zhou needs to use 15 units of glycry glycry insulin daily, with more than 320 yuan per month. After the procurement, the monthly insulin cost is only 97 yuan, and the cost of this drug alone will be reduced by nearly 70%. "You can buy the need for medicines at your doorstep, which saves money and runs less. The current policy is getting better and better!" Mr. Zhou praised Wangcheng's medical insurance policy.

In response to problems such as small designated pharmacies and inconvenient reimbursement of the masses, and the inconvenient reimbursement of the masses, Wangcheng District has made great efforts to promote the full coverage of Special Pharmaceutical Street Town. Through the independent declaration of retail pharmacies, on -site inspections and evaluations of experts, and list publicity, as of the past few days, a total of 30 special -door pharmacies in 11 streets and towns in the district have opened special services to achieve full coverage of the streets and towns under their jurisdiction. It has provided a lot of convenience to buy medicine nearby.

Wangcheng District insists on the problems found in the inspection and inspection to cut in, further rectify and standardize the order of medical security, effectively solve problems such as inadequate policy implementation and gap in serving the masses, and promote the implementation of medical security policies.

Many supervisors allow medical insurance funds to run safely

"How many hospitalized patients are there today? How much is the provincial, municipal, and district medical insurance? How many patients pay at their own expense?" "Please provide this patient's medical insurance settlement form." Recently, at Wangcheng Ren'ai Hospital, a notice will not be notified. The assault test without saying hello and going straight to the scene is ongoing. This inspection passes the number of inpatients, check the hospitalization information, checked the hospital's medical records, on -site investigation patients, and enters the ward for on -site examination to understand whether the hospital has the act of having an analogy, hanging bed hospitalization, and false hospitalization. Essence Like this, the joint functional department of the District Discipline Inspection Commission's joint functional departments on the designated medical institutions in the jurisdiction has become the norm.

In addition to joint supervision and inspection on the spot, the online intelligence prevention and control of functional departments is also online.

Patients with full process monitoring patients to purchase drugs such as consultation, data comparison and algorithm recognition of inpatient behaviors such as hanging beds, fictional medical services ... In the district medical insurance bureau office, staff is conducting medical insurance fund intelligent through the Hunan Provincial Medical Security Information Platform Supervision review. "The blessing of big data platforms can help us effectively solve the problems of small and many, inadequate professional regulatory forces, and blank blankness of gaps in blind spots in primary medical institutions." The staff member said.

In response to the characteristics of "few people and affairs", the District Medical Insurance Bureau on the basis of using the big data platform for analysis was used to conduct random spot checks on the "irregularity, indefinite point, and personnel" of designated medical institutions in the district to conduct random random inspections to the medical insurance fund The usage is full coverage. At the same time, the intelligent audit platform and on -site audit are used to focus on investigating and dealt with illegal acts such as limited gender, limited treatment, and unreasonable diagnosis and treatment. As of August this year, the intelligent audit deduction fee was 366,000 yuan, which effectively avoided the medical insurance fund. Loss.

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