Joke Collection Website - News headlines - How to standardize the use of medical insurance fund
How to standardize the use of medical insurance fund
Strengthen people's health as the center. ? Will it? "People's health as the center" is integrated into the whole process of medical insurance management and development, and runs through all links in the use of medical insurance funds. To further clarify the principle of fund use, we should follow the principle of legal, safe, open, convenient and sustainable use of medical insurance funds; Further increase the construction of handling management system to provide standardized and standardized handling services for the masses; Further standardize the medical behavior of medical institutions, ensure that they provide medical services according to regulations, rationally use medical insurance funds, and earnestly safeguard people's health rights and interests.
Strengthen the main responsibility of using medical insurance funds. ? Further clarify the main responsibilities of all parties, implement the medical insurance system, study and publish the payment scope of medical insurance funds, improve the business, financial and medical insurance management systems, increase agreement management, strengthen payment supervision, investigate and deal with illegal use of funds according to law, resolutely crack down on any form of fraudulent insurance, and accept social supervision; Medical institutions do a good job in internal management, save the reimbursement data of insured patients, transmit the data in real time, actively investigate and report the risk of hospital fund use, and accept social supervision; The insured person manages the personal medical insurance certificate and enjoys the medical insurance benefits according to the regulations.
Strengthen the construction of supervision system and mechanism. ? Further implement the social supervisor system, guide industry self-discipline and personal trustworthiness with social supervision, and build a new pattern of supervision; According to the model of medical insurance service agreement in the whole province, combined with the management characteristics of our county, the content of service agreement has been refined and increased. The practical content of DRG payment supervision; Strengthen the study of laws and regulations related to medical insurance, introduce information technology and third-party forces, and improve the ability of administration according to law.
Strengthen accountability for violations. ? Intensify the propaganda and interpretation of the Regulations on the Supervision and Administration of the Use of Medical Insurance Funds, combine the typical cases exposed by superiors, do a good job in case interpretation, clarify the behavioral responsibilities and legal consequences of relevant subjects in the use of medical insurance funds, and resolutely investigate cases, mistakes and questions, so as to provide a strong guarantee for the standardized use of medical insurance funds. ?
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