Create a distributed "Dajing Office" pattern, so that the service is closer and closer

Author:Daily News Time:2022.09.23

Since the reform of the new medical security system, the medical security bureau of Ganyu District is guided by the fundamental interests and practical needs of the masses, and strives to build the district medical security center as the main body of the service. Three -level medical insurance distribution "large -scale agency" pattern. The highlights of the work work, accurate services are close at hand, focusing on facilitating the masses to do things, unremittingly approaching the needs of the masses to do practical things, medical insurance coverage has expanded steadily, and fully supports the masses' "stable happiness".

1. "Turn to the Near" to facilitate the zero distance between the masses

Create the "1+15+N" medical insurance public service system, and extend the medical insurance office service to the grass -roots end. Focusing on service venues, hardware facilities, personnel equipment, strengthen the construction of medical insurance agencies, set up 1 district -level medical insurance service center, 15 town -level medical insurance agency service stations, village (community) -level service outlets 321 One, realize the medical insurance service "nearby".

The first is to deepen the third -level linkage and build a synergy medical insurance. Promote the construction of the three -level medical insurance service system of the district, town, and village to achieve steadily landing to achieve the goal of cooperative medical insurance construction. Realize that the village -level medical insurance is entered into the party group service center, the town -level medical insurance has entered the convenience service center, and the district medical insurance is entered into the government service center. The service environment is warm and comfortable. Introduce third -party commercial insurance institutions to participate in medical insurance services. In the service services, services such as major illness insurance, accidental damage and long -term nursing insurance services are responsible for investigating and supervising the compliance of the treatment of insured personnel, reviewing the rationality of medical expenses, ensuring The legitimate rights and interests of medical insurance and medical insurance funds in the insured person.

The second is to select the best team and optimize personnel configuration. Integrate medical insurance capacity, focus on coordination and cooperation, and form up and down. The employees of the employees are selected among the employees, closely follow the goal of "high -quality medical insurance services", and strive to cultivate a group of "main positions" business backbones and the benchmarks of the service service. Literacy, creating a "business, strong skill, excellent ability" medical insurance iron army to ensure the high -quality development of medical insurance work in the region.

The third is to extend service tentacles and promote business sink. Promote the expansion and extension of high -quality medical insurance services in the district, sink the district -level medical insurance business to towns and villages, and realize the full caliber, homogeneous management, and no different service services of the 13 medical insurance services and district medical insurance service centers of the town and villages Standards, effectively open up the "last mile" to serve the masses, so that the masses can handle medical insurance business at their doorsteps.

2. "One Network Office" serving the people to accelerate the people

Comprehensively implement the "one -network processing" of the medical insurance business, streamline the materials, simplify the processing process, and shorten the time limit for handling, the compression rate is 80%, and the efficiency is obvious. The "One Netcom Office" of the participation registration, the approval of the payment, etc., the annual business volume of more than 56,000, the efficiency of the "One Netcom Office" is comprehensively improved.

The first is to turn on the business movement model and build an integrated business. Service matters forward: The service window is pre -moved, and all medical insurance services are implemented "one window acceptance, integrated service" to provide insured persons, enterprises and institutions with insurance registration, treatment identification, expense settlement, and approval of 32 32 32 32 32 32 Item service. Window handle forward:

Breaking the segmentation mode in the work of the window, the optimization of the original business window was optimized into a comprehensive business window to achieve the "one window" of the general service.

The second is to fully optimize the process of running and promote convenient services. Complete 32 medical security services, compile the guidelines for the establishment, and clearly refine the acceptance conditions, work materials, handling processes, handling time limit, place, and consultation method. Deliven the goal of "one thing", streamlining the process of work process, optimizing the formalities of medical treatment for different places, and other measures, promote the "one network office, one window office, one -time office", so as to "reduce links, reduce time, reduce running" With actual actions, relieve people's worries, relieve the people's difficulties, and warm the people's hearts.

The third is to innovate and benefit the people and achieve diversified services. Internet+medical insurance. Changyun Lianyungang Medical Insurance APP, Jiangsu Medical Insurance Cloud APP, and the National Different Medical WeChat Mini Program, and vigorously promote non -contact methods such as medical insurance filing, medical insurance information inquiry and other business online services. Help for service. The business backbone that carefully selects medical insurance services and are proficient in processing processes as volunteers, provide medical insurance policy consulting and business help services for retired soldiers, disabled patients, elderly people and other special units, so that special groups can fully enjoy the green service service green green service green Expressway. Construct a three -dimensional service network. Explore the construction of the "medical insurance service station" of designated medical institutions, continue to promote the sinking of the medical insurance office services to the grassroots, ensure that all designated medical institutions in the region set up medical insurance service stations to achieve "one -stop" medical insurance services. Send the medical insurance service to the "door of the house" of the masses.

3. "Standardized Office" after management quality and quality

Guided by the scientific development concept, with the core of ensuring the incision of the insured persons, strengthen the management of the service management of the medical insurance office, standardize the process of uniform medical insurance business processing process, improve the level of comprehensive service of medical insurance windows, and make every effort to create a "new medical insurance · heart service" medical insurance service brand Essence

The first is to implement the standard standards of the system and promote standardization of service services. Always unify system specifications as the basic prerequisite for high -quality medical insurance development, strictly implement the provincial service list, and comprehensively implement and implement various policies of the country and province. Promote the standardization of standard service, set up medical insurance window service standards, comprehensively sort out the list of medical insurance service services, uniformly standardize online management matters, and further promote the standardization of government service services for medical insurance. The second is to strengthen the construction of the running team and shape a new image of medical insurance services. Organize the staff of the window to carry out centralized training in medical insurance business to lay a good basis for comprehensive teller systems. After half an hour after get off work, comprehensively study medical insurance policies and business processes to ensure that the comprehensive teller window service reaches "comprehensive". Adhere to the regular meeting system every Friday, carefully study various medical security policies and business processes, and carry out a solid discussion around the problem of "pain and difficulty". Shape the "beautiful image" of people's livelihood.

The third is to improve the quality of the window service and build a new pattern of medical insurance services. Optimize the window settings and implement the "comprehensive teller system". The comprehensive teller window speed up service, strictly implement the one -time notification system and time -limited office system, realize the opening of the front desk medical insurance business, uniformly accepted the background, simplifying the processing process and improving the efficiency of work. The average time limit for each business has been reduced to 5 to 5 Within minute, provide the masses with simple, fast and efficient medical insurance services.

In the next step, the Medical Security Bureau of Ganyu District will combine the actual situation, adhere to the efforts of the medical insurance end, pass the "further development" that cannot be around, continue to promote the high -quality development of medical insurance, achieve convenient and "big services", standardize and efficient efficiency "Dajing Office" allows the masses to be more "medical" and innovate and promote medical insurance work to go to a new journey!

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