The medical insurance department in Zhizheng District, Yantai City comprehensively improves the service level

Based on their own responsibilities, the Zhizheng District Medical Insurance Bureau has strengthened the supervision of the medical insurance fund to maintain the help of the people's life -saving money; accurately enhances services to make the masses feel practical and convenient.

Comprehensive capacity, maintain the safety of medical insurance funds

Coordinating and coordinating, all -round three -dimensional pulling up the medical insurance fund supervision team. The District Medical Insurance Bureau organizes all staff to learn all the policy knowledge of medical insurance through the "Medical Insurance Night School" and irregularly decentralized learning methods, conduct professional training every year, and improve the quality of cadre teams. Establish a professional law enforcement team. From the regional medical institutions and insurance companies such as third -party institutions, personnel with exquisite technologies and excellent styles to form a fund supervisory talent pool of about 200 people, randomly extracted the supervision and inspection in daily audit. Establish a joint law enforcement team. Joint health and health, market supervision, public security and other departments, transfer professionals to set up joint law enforcement teams to conduct special inspections on designated pharmaceutical institutions. Through the effective collaboration of the "three teams", the blind spots and weak points of cracking down on fraud are eliminated.

Intelligent supervision, to win the fund "dripping" schedule efficiently. Relying on the Ping An Smart Medical Insurance Service Platform, comprehensively build a supervision and inspection network combining online and offline, combining and after -the -event, daily inspection and flight inspection, to achieve full coverage, no dead ends, and zero tolerance. Through the service platform every month, the doubts of all hospitals in the area under the jurisdiction are reviewed one by one, focusing on the audit of the complaint of medical institutions, and whether the reimbursement data for the comparison of the ground latitude system will be uploaded according to the specific uploading appeal materials.

Precise efforts to comprehensively improve the service level

Consolidate the foundation and allow the medical insurance service station to "reach" and "bloom everywhere." At present, all 12 streets are equipped with a medical insurance service station based on the community health service center (station). According to the classification of people, various medical insurance service stations are targeted with personalized service facilities such as caring seats and old flower mirrors. The medical insurance center implemented the service matters declared by the medical insurance service station one by one, and publicized the service matters at the site of the medical insurance service station. The designated pharmaceutical institutions with agreement management comprehensively use the medical insurance WeChat system, and at the same time establish a questioning group on Yantai Medical Insurance Mobile Economic Office, so that each designated pharmaceutical institution can receive first -hand information.

Strengthen the management to help the quality of medical insurance windows to the new level. Strictly implement the first responsibility system and a one -time notification system to ensure that it is done at a time, and the "I do practical things for the masses" on the minds of the masses. Strengthen the awareness of responsibility of guides, and vigorously implement online and hand -up. Set up Tucao Finding the Finding Window, unblock the channels for supervision, and use the voice of the people and the people to further establish the people -centered philosophy and consciousness.

Normal force apply for strength to ensure that your own quality is excellent

Strengthen theoretical training, further improve the theoretical level, consolidate the business foundation, and make medical insurance cadres a "policy pass" and "live dictionary" and experts in their posts. Implement the "1314" working mechanism, and strengthen organizational guarantee by establishing a leadership system; implement three lists of responsibilities to give full play to the "geese effect" of the team members; pay close attention to the four basic work, focus on benefiting the people and the people, so that the party style and clean government will have the construction of a clean government. Zhang can follow. At the same time, regularly hold a warning education work conference on the construction of party style and clean government, and use cases around the case to warn all agencies cadres to form an effective deterrent. Witches the mind and innocence for everyone, and ensure that the medical insurance team can stand the test and test.

Self -refining and creating a "medical insurance army" that can stand the inspection of the masses. Do a real service enterprise commissioner system, maintain close contact with subcontracting enterprises, listen to the current difficulties of the company at any time, actively assist in solving, and take the initiative to promote medical insurance policies. Highlight the party building leadership, establish and improve the integration system, and "help each other" with the community, and jointly shoulder the prevention and control tasks of epidemic.

- END -