Ensure that the Medical Insurance Fund rationally uses the Dazhou Medical Security Bureau to go deep into Dazhou Central Hospital to conduct research and discussions and exchanges

Cover reporter Luo Xuan Photography Report

The medical insurance fund is the "life -saving money" for the masses to see the disease and treat the disease. How can the medical insurance fund play a role and use it accurately? On the afternoon of July 14, Tang Zengmin, the party secretary and director of the Dazhou Medical Insurance Bureau, led the members of the team and the person in charge of the relevant departments to the Dazhou Central Hospital to conduct investigations and exchanges, and listened to the opinions and suggestions from the front -line staff of the medical.

Tang Zengmin said that Dazhou Central Hospital, as the largest medical institution in Dazhou, has the most insured people, the widest scope, and the number of medical insurance funds. The people, who made a special trip to the hospital to listen to their opinions and suggestions, and hope to improve some issues in the use of medical insurance funds. Huang Wen and Guan Xiaoyan, deputy directors of Dazhou Medical Insurance Bureau, and Cheng Yingxin, secretary of the party committee of the organs, introduced their own in charge.

According to Li Hongbing, deputy secretary and dean of the Dazhou Central Hospital, in order to adapt to the reform of medical insurance payment methods, the hospital specially established a medical insurance management office in September last year. Through various publicity methods, the employees of the hospital accurately grasped the relevant medical insurance policies in order to lead to direction Explanation of the people of medical treatment. And strengthen supervision, do a good job of preventing and self -examination and self -examination in advance. The medical insurance office conducts daily supervision of price charges and cross -examinations of the hospital in each quarter. The combination of artificial and intelligent methods is used to strengthen the medical insurance and disease coding of clinical medical skills.

According to statistics, since the provincial medical insurance integration platform was launched in October 2021, the accurate networking rate of insured persons, including different places, and insured persons in Dazhou Central Hospital was 100%. From January to June this year, 3,6683 medical insurance was discharged and settled, accounting for 85%of the number of discharge settlements in the hospital; 446 million yuan in medical expenses, accounting for 81%of the total medical expenses of the hospital; 3.64%; the average expenses of the overall plan are 5766.73 yuan, which is far lower than the average cost of 7,500 yuan agreed in the medical insurance agreement; the drug accounts for 25.38%, the first person is 1.05, and the patient's self -payment rate is 45.01%, which are within the medical insurance agreement.

"To ensure the safety of the people's medical treatment, protecting the safety of the medical insurance fund has always been the most important work content in the medical insurance management of Dazhou Central Hospital." Li Hongbing said that in the next step, we will further improve the medical insurance service capabilities and level, and unswervingly unswervingly unswervingly Take the path of rule of law in the medical insurance fund and assume the responsibility and responsibility of the high -quality development of Dazhou's medical insurance industry.

Subsequently, the staff of the relevant departments of the Dazhou Central Hospital discussed and exchanged to the Dazhou Medical Insurance Bureau on the medical insurance problems encountered in actual work. The staff of the relevant departments of the Dazhou Medical Insurance Bureau answered on the spot on the relevant questions, recorded the questions that could not be answered on the spot, and said that they would actively study and seek solutions.

- END -