Hospital medical insurance office performance appraisal rules

Hospital medical insurance office performance appraisal rules refers to the work of the medical insurance organization to assess, rewards and penalties, as well as to improve the efficiency of the work of a management system. The performance appraisal rules of the hospital health insurance office are usually evaluated in terms of the income and expenditure of the health insurance fund, the quality of data, the quality of service, and the level of management.

The development of hospital medical insurance office performance appraisal rules is mainly to improve the efficiency of medical insurance work, but also a necessary part of the health care reform process. Medical insurance fund as the key funds in the field of social security, its income and expenditure, the use of efficiency, data volume and so on are the focus of the assessment. Hospital medical insurance office performance appraisal rules can not only improve the management level of medical insurance organizations, but also promote the reform of the system.

The national and local standards for the formulation of performance appraisal rules for hospital medical insurance offices are different. Some places have introduced more detailed assessment rules and indicator systems, such as focusing on the quality of medical services, the effectiveness of the use of medical insurance funds, medical safety, doctor-patient relationship and other aspects. At the same time, modern information technology has been combined with data analysis and application in the performance appraisal of medical insurance offices, so as to achieve more scientific assessment and management.

The performance appraisal rules of hospital medical insurance office is a kind of quantitative assessment of the work of medical insurance organizations, aiming to improve the efficiency and level of medical insurance work. The assessment indicators and rules vary from region to region, but they all focus on the quality of medical services and the effectiveness of the use of medical insurance funds. Each health insurance organization should strengthen its own construction and management according to the actual situation, improve the level and efficiency of its work, and better serve the society.

Legal basis:

Labor Law of the People's Republic of China

Article 46 Wage distribution shall follow the principle of distribution according to work, and equal pay for equal work shall be implemented. The level of wages shall be raised gradually on the basis of economic development. The State exercises macro-control over the total amount of wages.

Article 47 Employing units shall, in accordance with the characteristics of their production and operation and their economic benefits, independently determine the method of wage distribution and the wage level of their units in accordance with the law.

Article 48 The State shall implement a system of guaranteed minimum wages. The specific standards for minimum wages shall be prescribed by the people's governments of the provinces, autonomous regions and municipalities directly under the Central Government and reported to the State Council for the record. The wages paid by an employer to a worker shall not be less than the local minimum wage standard.