Medical insurance generally refers to the basic medical insurance, is a social insurance system established to compensate workers for the economic losses caused by the risk of disease. Here I bring you a summary of the work of medical insurance, I hope you like it!
Medical insurance work summary1
20__ year in our hospital leadership attaches great importance to, in accordance with the medical insurance bureau arranged the work plan, follow the "grasp the spirit, understand the policy, vigorously publicize, steadily promote, and pay close attention to the implementation of the" the overall idea, and seriously carry out all the work. Carry out all the work, after the hospital medical staff *** with efforts, our hospital health insurance, the new rural cooperative work has achieved certain results, now our hospital health insurance section work is summarized as follows:
First, the leadership attaches great importance to the propaganda
In order to standardize the behavior of diagnosis and treatment, to control the irrational growth of medical costs, low prices, quality services, to ensure that the health of medical management and sustained development, our leadership team attaches great importance to, unified, unified, unified, unified, unified, unified, unified, unified, unified, unified, unified, unified, unified, unified, unified, unified. Our leadership team attaches great importance to unify thinking, clear objectives, strengthened organizational leadership. Established by the "a hand" is responsible for the hospital medical insurance management committee. The business dean specifically grasped the medical insurance work leading group. The clinical departments accordingly set up to the section chief as the leader, the head nurse for the deputy leader of the working group, to be responsible for this section of the medical insurance, the overall management of the work of the agricultural cooperation, focusing on this section of the specific implementation of the medical insurance system and the implementation of the system of incentives and penalties.
In order to make the majority of cadres and workers have a deeper understanding of the new health insurance policy and system and a comprehensive grasp, we have carried out a wide range of publicity, education and learning activities, one is to convene the entire hospital staff conference, the middle cadres meeting, etc., to explain the new health care policy, the use of meetings to deepen the understanding of the work of the health insurance. Secondly, training courses on medical insurance knowledge, blackboard posters, distribution of publicity materials, closed-book examinations and other forms of enhancing the staff's ability to operate the daily work of medical insurance. The third is to strengthen the information management of the hospital, with the help of the hospital information center, through the medical insurance software management, can be more standardized, more convenient. The occurrence of errors has been greatly reduced. Fourth, through the TV album to publicize the health insurance policy, so that the majority of health insurance personnel, urban residents, students and other friends really understand the benefits of participating in the insurance, to understand the mode of operation of the two hospitals, and actively participate in the health insurance activities.
Second, the measures are effective, strict rules and regulations
In order to make the medical insurance, agricultural patients, "clear medical treatment, clear consumption," the hospital is published in the hospital outside the medical insurance, agricultural consultation flow chart, medical insurance, agricultural patients hospitalization instructions, so that the insured patients at a glance. And in the hall arranged a full-time guide, responsible for the relevant patients to provide medical insurance policy advice. Second, the configuration of the computer touch screen, electronic display screen, the charges, fees, drug prices announced to the public, accept the group from the supervision. Third, the full implementation of inpatient costs "one-day list system", and require patients or patients' families to sign the list, and the implementation of health insurance accounts open public system, consciously accept supervision. So that hospitalized patients clearly consumption. In the provincial leaders and municipal price bureau leaders to hospital inspection, was fully affirmed. Fourth, by the hospital health insurance management committee formulated health insurance management penalty regulations, held quarterly hospital health insurance management committee, summarize and analyze the recent problems in the work, the policies and measures into practice. In order to further strengthen the responsibility to standardize the behavior of medical services, from the admission registration, hospitalization, discharge compensation for the three links to regulate the behavior of health insurance services, the strict implementation of accountability, strict treatment of the responsible person. Fifth, the hospital staff to carry out star service, card system, with civilized manners, quality service, excellent technology by the patient praise.
In order to grasp the work of health insurance, the hospital combined with the actual work, first, the hospital has formulated the management rules and regulations of health insurance services, there are regular evaluation of health insurance services (service attitude, quality of care, cost control, etc.) work plan, and regular evaluation, the development of improvement measures. Secondly, it strengthens the management of wards, makes frequent ward visits, carries out bedside policy propaganda, solicits patients' opinions, solves problems in time, checks whether there is any phenomenon of hanging up beds, whether there is any phenomenon of impersonation, whether there are two certificates and one card for hospitalized patients, and the Medical Insurance Section will not approve any patient who does not meet the requirements for hospitalization. Strengthen the department charges and medical staff of the diagnosis and treatment behavior of supervision and management, supervision and inspection, timely and serious treatment, and to be informed and exposure. This year, my department did not have a major error accident, the hospital no major disciplinary violations.
Third, improve service attitude, improve medical quality.
The new health insurance system to the development of our hospital has brought unprecedented opportunities and challenges, because of the work of the health insurance has a correct understanding of the hospital cadres and workers are actively engaged in this work, hard work, each in his own role, each responsible.
The deputy head of my department regularly attends morning meetings in the wards to convey new policies and feedback on the quality of care found in the audit process of the Bureau of Medical Insurance, to understand the ideas of clinical medical staff on the medical insurance system, timely communication and coordination, and require all medical staff to master the medical insurance policy and business, standardize the diagnostic and treatment process to achieve a reasonable examination, rational use of medication, to eliminate indiscriminate examination, large prescription, favored party and other irregularities occurring. It also requires all medical staff to be proficient in medical insurance policy and business, standardize the diagnosis and treatment process, do reasonable examination, reasonable medication, eliminate indiscriminate examination, large prescription, favored party and other irregularities, and hand over the unqualified medical records to the responsible doctors for modification. By paying close attention to medical quality management, standardized operation, purified medical unreasonable charges, improve the management of medical staff, medical insurance awareness, improve the quality of medical care for the insured to provide a good medical environment.
In the process of handling employee health insurance and participation in the process of farmers, my window staff actively to each of the insured workers and farmers to publicize, explain the relevant provisions of health insurance, the relevant policies of the new rural cooperative, the subsidies, and seriously answer all kinds of questions, and strive to do not let a patient or family members of the insured with dissatisfaction and doubt to leave. We always put the highest priority on "providing quality and efficient services for insured patients". In the process of medical insurance operation, the majority of insured and enrolled patients are most concerned about the compensation of medical expenses. In line with the "convenient, efficient, clean, standardized" service purpose, the staff of my section strict control, friendly operation, the implementation of one-stop service, on-the-spot delivery of medical assistance costs, greatly improving the satisfaction of the insurance.
Fourth, the work of the summary
Through the staff of my section and the whole hospital related staff of the *** with efforts, serious work, sincere service to patients, the successful completion of the beginning of the year the established tasks. 20 ___ admission of medical insurance, residents of the medical insurance hospitalized patients more than, the total cost of more than 10,000 yuan. Reception of our hospital fixed point of retired cadres, municipal leaders and cadres, disabled soldiers. 20__ years I hospital agricultural patients, total costs of 10,000 yuan, the occurrence of direct subsidies of 10,000 yuan, greatly reducing the burden of the masses to see a doctor.
This year, in the medical insurance, agricultural cooperation work in the better departments are:; do a better job of doctors are:
I hospital medical insurance agricultural cooperation work in the process of carrying out the city health insurance bureau, health bureau, the management of the Office of the leadership and the staff of the support plus the leadership of the hospital's leadership, the hospital leadership of the correct leadership, the whole hospital of the medical staff vigorously cooperate with the work of the medical insurance agricultural cooperation to be able to successfully carry out. In 20__ years of work, although we have made some achievements, but there are still some shortcomings, such as: due to the implementation of the new rural cooperative provisions of the specific rules are not clear enough, the software system is not mature enough, the problem is trivial, staff tension, resulting in our work in a more passive, communication and coordination of resistance to the big; the whole hospital of the work of the health care insurance feedback will be less.
In the future work, the need to strictly policy, starting from the details, seriously sum up the experience, and constantly improve the system, seriously deal with the internal operation mechanism and external window service relationship, standardize the business process, simplify the procedures, and strive to more and better for the medical insurance and agricultural cooperation personnel services, and strive to our hospital's medical insurance and agricultural cooperation work to a new height, for the city's medical insurance and agricultural cooperation work to contribute to the smooth development of the work.
V. Next Steps
1, to strengthen the management of medical care, compensation and other services quality, the establishment of positive, scientific, reasonable, simple, easy to carry out the reimbursement work procedures, convenient to the people, to win the trust of the people.
2, do a good job of coordination with the Bureau of Health Insurance.
3, to strengthen the hospital medical staff of health insurance policy publicity, regular medical staff for medical insurance work feedback.
Medicare Work Summary 2
Time passes quickly, and a tense and fulfilling year has passed. In this year, I worked and studied here, and constantly honed my working ability in practice, so that my business level has been greatly improved. This is inextricably linked to the help of the leadership and the support of everyone, here I am y grateful!
As a settlement of this post, every day is a different face, sitting in front of the computer with a smile mechanically repeat a collection of a simple operation, does not require a high level of technical content, but also do not have to be like the other sections of the doctor to bear the enormous pressure of life, which may be in the eyes of the charge of the work it. In fact, the work of the billing clerk is not only to collect money and ensure accuracy, the billing clerk not only represents the image of the hospital, but also to maintain the image of the hospital at all times, a good billing clerk will be in the shortest possible time to let the patient get a spring breeze of service, satisfied with the charges, I also made clear the new direction of their work and goals: minimize the hospital's refusal to pay, and at the same time more mastery of the policy of medical insurance. In order to realize this direction and goal, I also made a small planning, and strive to accumulate more in the work, learning more thinking, found that the problem more feedback.
__ year I want to work harder:
1, to further improve the level of service, reduce errors, to ensure the quality of service, so that the patient is satisfied, patient satisfaction is the best praise for my work;
2, serious study of health care knowledge, master the health care policy, in accordance with the requirements of the hospital with the Office of the health insurance to do a good job in real-time card work in the preparatory work;
3, strictly abide by the outpatient charges hospitalization charges of the system, to ensure that the money is aligned; strengthen the communication and collaboration with various departments, maximize the use of existing hospital resources, services to patients, for the development of hospitals to contribute to their own modest efforts.
Finally, I would like to thank the hospital leadership and colleagues in the work and life of my trust and support and care to help, which is the biggest work on my determination and encouragement, I sincerely thank you! In the future work in the shortcomings, I implore the leadership and colleagues to give correction, your criticism and guidance is my motivation to move forward, here I wish our hospital to become a flag in the health care system.
Medicare Work Summary 3
As a member of the Center for Health Insurance Settlement Information Unit, I have a grateful heart, serious learning, dedication and dedication to do their jobs. Now a year's work is summarized as follows: over the past year, under the direct leadership of the director and strong support, in the close collaboration and enthusiastic help, we settle the information unit to "maintain a smooth network" for its own responsibility to "serve the sick workers" for the purpose of. Serious study, positive enterprising, due diligence, better fulfillment of post goals and tasks, and strive to do "work with heart, treat people sincerely, think differently, affectionate service".
First, study hard to improve the quality
As the old saying goes: Learning is like rowing against the current, not to advance is to retreat. First adhere to the political theory study, recognize the historical mission, set up a correct world view, outlook on life, values and concept of honor and shame, and actively involved in the "emancipation of the mind to study and discuss" in the solid learning documents, serious note-taking, carefully written insights, to broaden thinking, awareness-raising, and guidance for the purpose of practice. Secondly, we insist on business learning, study labor security policies and regulations, professional knowledge of health insurance reform, learn advanced experience and practices in foreign countries, and improve the level of policy and business and practical ability. The third focus to practice, to the side of the advanced models to learn, learn from others, make up for their shortcomings, and constantly correct themselves, improve themselves, perfect themselves.
Second, do your duty, pragmatic work
Settlement claims more standardized. The settlement of the reimbursement is an important part of the management of health insurance, the relationship between the smooth operation of the health insurance fund, the relationship between the sick workers can enjoy the due health insurance treatment, the relationship between the insured workers to the satisfaction of the health insurance policy.
Medical insurance work summary 4
_ year, our hospital in the medical insurance center under the leadership of the "Railway Bureau of medical insurance designated medical institutions medical service agreement" and "urban workers basic medical insurance management Interim Provisions," the provisions of the work in earnest, the implementation of a series of health care insurance regulatory measures to standardize the use of drugs, Inspection, diagnosis and treatment behavior, improve the quality of medical care, improve the service attitude, conditions and environment, has achieved certain results, but there are certain shortcomings, for the health insurance designated medical institutions to monitor the quality of service assessment of the content of the service, to do a summary of the following:
First, the establishment of medical insurance organization
There is a sound medical insurance management organization. There is a business dean in charge of medical insurance work, there is a specialized medical insurance service agency, the hospital has a special medical insurance liaison.
The production of standardized patient flow charts to facilitate the majority of patients to clearly and conveniently for medical treatment. The flow charts will be placed in obvious locations in the hospital so that patients can understand the process of their own medical treatment.
The establishment and improvement of health insurance patients, health insurance network management and other systems, and according to the rules of assessment and management of regular assessment.
There are medical insurance policy bulletin boards, opinion boxes and complaint and consultation telephone numbers, and more than 2,000 copies of medical insurance policy leaflets are regularly distributed. The department and the medical insurance department timely and seriously answer the questions raised by patients and their families in the work of medical insurance and solve them in time. The prices of commonly used drugs and treatment items in the hospital are announced on the graphic boards and electronic screens, and the price adjustment information of drugs and medical services is announced in time. Organize hospital-wide special health insurance knowledge training 2 times, with records, exams.
Second, the implementation of health insurance policy
_ June-November, our hospital *** receive railroad workers, family members of hospitalized patients, paid 20 million yuan of the Railway Co-ordination Fund, outpatient card costs 2.55 million yuan. The total cost of drugs is basically controlled in about 40% of the total cost of hospitalization, in terms of reasonable inspection, reasonable use of drugs basically meet the requirements of strict control of the amount of drugs discharged from the hospital, in August this year, the leadership of the medical insurance center to our hospital for medical insurance work guidance, according to the problems and shortcomings pointed out in our hospital to take immediate measures to rectify the situation.
Strengthened outpatient and inpatient management, strict control of the irrational application of drugs, in violation of the provisions of the health insurance over the scope of medication, abuse of antibiotics, over the scope of the examination, over-treatment caused by the health insurance deduction, these losses from the month's bonuses deducted for some of the multiple violations of the behavior of the person to be dealt with seriously until the cessation of the right to prescribe, the results of each health care inspection by the hospital quality control office to issue notices The fines are implemented by the Finance Department to the department or the responsible person.
CT, color ultrasound and other large-scale examination of the strict review of the indications, the examination of the positive rate of more than 60%.
Third, the management of medical services
There are special prescriptions for medical insurance, medical records and statements, the use of drugs with a unified name.
Strictly in accordance with the provisions of the agreement to store prescriptions and medical records, medical records filed and stored in a timely manner, outpatient prescriptions in accordance with the requirements of the health insurance properly stored.
For patients who have reached the conditions of discharge, they are discharged in a timely manner, and a one-day list system of hospitalization expenses has been implemented.
For medicines and treatment items beyond the scope of the medical insurance, the family or the patient's signature can be used.
The medical insurance department plays a good role in communication. When there is a conflict in the understanding of the policies of the two sides, the medical insurance section according to the relevant policies and regulations to stand in a fair position as a good referee, to seek truth from facts and make good communication between the two sides of the interpretation of the clinical staff focus on the policy, the insured focus on professional knowledge of the interpretation, so that the two sides to achieve a unified understanding, and effectively safeguard the interests of the insured.
The medical insurance section compiled a booklet of relevant policies and regulations on medical insurance, indications for medical insurance drugs, and a directory of self-financed drugs, which was distributed to all medical staff and in-depth training on medical insurance policies and regulations in the departments to strengthen the understanding and implementation of medical insurance policies and to master the indications for medical insurance drugs. Through training and publicity work, the hospital's medical and nursing staff have a better understanding of the health insurance policy, laying the foundation for the clinical implementation and execution of the health insurance policy. Through intensive training for nurse leaders and medical insurance liaison officers, they can strictly grasp the policy, conscientiously implement the regulations, accurately verify the costs in their clinical work, and remind, supervise and standardize the doctors' treatments, inspections and medications at any time in accordance with the requirements of the medical insurance, so as to eliminate or reduce the occurrence of unreasonable costs. Collaborate with the Medical Department and Nursing Department to require each department to unify the number of various reports with the doctor's orders and settlement lists to avoid overcharging or omitting fees; strictly grasp the use of medicines for indications and special treatments, the use of special examination standards, and improve the analysis of the use of medicines in the records of the course of the disease, the results of the special treatments and special examinations; strictly grasp the use of self-payment items, and the signing of self-payment agreement should be clear and specific; work closely with the Finance Department to ensure that the insured persons are admitted to hospitals and hospitals in accordance with the requirements of medical insurance. Close cooperation with the Finance Department to ensure the accuracy of hospitalization identification and discharge settlement of insured persons. Do a check on the patient, to verify whether there is a fake phenomenon; two check the condition, to verify whether it meets the indications for admission; three check the medical records, to verify whether there is a fabrication; four check the prescription, to verify the standardization of medication; five check the list, to verify whether the charges are standard; six check the accounts, to verify whether the reimbursement is reasonable. The first half of the year, no violations, disciplinary phenomenon occurred.
Fourth, medical charges and settlement work
Strict implementation of pricing policies, no over-standard charges, decomposition of charges and duplication of charges. In October of this year, a timely update of the basic medication database and prices of diagnostic and therapeutic items of the 20__ medical insurance, to ensure the smooth progress of the clinical bookkeeping and settlement.
Fifth, the use of health insurance information system and maintenance
According to the requirements of the daily data backup, transmission and anti-virus work. Over the past six months, the system has operated safely, no virus infection and the occurrence of wrong accounts, chaotic accounts, diagnosis and treatment program database timely maintenance, control. Network system management is in place, there is no data loss, resulting in the occurrence of loss.
There are shortcomings in the work: some medical staff do not know enough about the importance of medical record writing: changes in the condition of the medication is not timely; some of the medical and technical departments feedback checklist is not carefully checked, analyzed, resulting in the phenomenon of imperfect medical records; some doctors do not have a clear grasp of the criteria for the scope of chronic drug use, and occasionally there is an ambiguous phenomenon. Insufficient publicity for the insured population, and some insured people do not fully understand the development of our hospital's treatment work. These are the shortcomings we recognize, the future will focus on the shortcomings of serious study, strict management, timely advice to the medical insurance center, in order to promote the hospital's medical insurance work more and more standardized.
Sixth, the next year's work and envisioned
1, increase the assessment of health insurance work. Increase a full-time staff, with the hospital quality control department assessment of health insurance services (service attitude, medical quality, cost control, etc.).
2, strengthen the health insurance policy and health insurance knowledge of learning, publicity and education.
3, to further standardize and improve the quality of writing medical documents, to achieve reasonable inspection, rational use of drugs. Quarterly hospital health insurance work coordination meeting, summarize and analyze and rectify the recent problems in the work, to put the policies and measures into practice.
4, apply to send 2-3 staff to the Railway Bureau each year to learn and improve the management of advanced hospitals.
Summary of medical insurance work 5
First, the medical insurance policy publicity efforts to further increase
In order to create a good atmosphere for the whole society to pay attention to the medical insurance, participate in the medical insurance, I make full use of the "May 1" eve of the labor security policy publicity day, October of the labor security policy, the publicity day of the labor security policy. Propaganda Day, October's Labor Security Propaganda Week, take to the streets, take the consultation, leaflets, banners and other forms of medical insurance, the object of participation, payment methods, medical treatment, the preferential policies for groups in difficulty to participate in the insurance was vigorously publicized, the distribution of leaflets 20__ July 20__ year from the start of the county's administrative institutions of the county's basic medical insurance, the county's administrative institutions of the medical treatment of the personnel have been significantly improved; secondly, the introduction of the basic medical insurance, the county's administrative institutions of the medical treatment of the staff. Significantly improved; Second, the introduction of the "___ county urban workers hospitalization medical insurance management approach", fundamentally solve the difficult enterprise workers, has been restructured enterprise workers, landless farmers, flexible employment personnel and other personnel of the medical insurance problem; Third, in order to completely solve the rural household registration key advantageous object of the medical insurance problem, in the city's innovative introduction of the "___ key advantageous object of the implementation of the medical security measures" (for trial), the key advantageous object of the medical security of the rural household. The rural household registration of the key advantageous objects in the new rural cooperative medical insurance on the basis of, and then for hospitalization medical insurance, group supplementary medical insurance procedures, so that they enjoy the "triple insurance"; urban household registration of the key advantageous objects, in accordance with the relevant provisions of the basic medical insurance, 337 key advantageous objects have been handled The insurance procedures.
Second, improve the policy, strengthen management, and constantly improve the level of medical insurance management
The total amount of basic medical insurance fund in our county is small, the number of insured persons is small, only in the improvement of the system, strengthen management, optimize the service on the efforts to ensure the safe operation of the fund: First, the establishment of the fixed-point organization credit rating review system, introduced the county medical insurance fixed-point organization credit rating management interim measures, objectively and impartially to the fixed-point organization, and to ensure the safe operation of the fund, and to improve the management of the fund. Interim Measures, objectively and fairly implement credit rating management of the designated institutions, the establishment of an entry and exit mechanism, to guide its adherence to integrity, standardized operation; Secondly, to strengthen the reimbursement of medical expenses management, the introduction of "on the strengthening of outpatient medical insurance patients and discharge rehabilitation period of the amount of medication management of a number of provisions," at the same time, standardize the hospitalization of medical expenses reimbursement of the operating procedures; Thirdly, through the establishment of the Third, through the establishment of the "four systems", do a good job "five services" and other measures to strengthen the sense of medical insurance services, change the organs and fixed-point service organizations staff work style, and effectively improve the level of management of medical insurance work.
"Four systems" are: the social supervisor system, employing the National People's Congress, the Federation of Trade Unions, the Labor and Social Security Bureau, retired cadres as supervisors, to carry out open and secret, the main supervision of the implementation of health insurance policy, "two fixed-point" institutions and agencies to deal with Regular notification system, in a conspicuous place regularly announced the main drug prices, hospitalization per capita cost, drug costs, out-of-pocket expenses, etc.; fixed-point institutions contact meeting system, holding fixed-point institutions forums, regular notification of health insurance information, take various ways to strengthen communication, to ensure that the immediate interests of the insured; audit disclosure system, regularly invite the audit, financial sector to conduct an audit of the previous financial, timely detection of problems, and to ensure that the public health insurance policy. The previous financial audit, found problems corrected in a timely manner, to ensure the normal operation of the health insurance fund.
"Five services" are: instant service, open health insurance policy, personal account inquiry phone, open touch screen, so that at any time to query the data; door-to-door service, on the intention to participate in the unit, individual and designated medical institutions, will do a good job door-to-door; off-site service, through the service function of the health insurance network, the use of flexible methods, to the insured units, individuals and designated medical institutions. The use of flexible ways, the implementation of off-site hosting of insured persons, etc., to facilitate the insured persons close to the clinic; daily visit services, from time to time to carry out inpatient visit services, a variety of health insurance policy to the hospitalized patients to promote and correct irregularities; supervisory services, inpatient observation of medication through the health insurance network, the implementation of timely monitoring and found that the problem is corrected in a timely manner.
Third, retired cadres, deputy county treatment of leading cadres of medical treatment is guaranteed
In accordance with the establishment of the retired cadres medical expenses of the two mechanisms of the requirements of the county's 78 retired cadres and more than 70 deputy county treatment of the medical expenses of the personnel above the implementation of a separate co-ordination, separate accounting, account management, account registration, to ensure that their medical treatment; at the same time, and actively provide quality services to the retired cadres. At the same time, actively provide quality service for retired cadres, in early May this year, the organization of the county's retired cadres for free physical health checkups, and the establishment of the "_ County Retired Cadres Health Records", timely feedback to them on the results of the physical examination, by the unanimous praise of the retired cadres;
Fourth, strengthen the collection, improve the system, the basic balance of the medical fund income and expenditure
A year, in the fund management, to further strengthen the medical insurance fund, the medical fund, the medical fund, the medical fund and the medical insurance fund, the medical fund and the medical fund. In terms of fund collection, it mainly adopts telephone reminders, issuing reminders, door-to-door reminders, and providing flexible and diversified payment methods, such as cash, transfer, collection, and maximizing the satisfaction of the requirements no matter whether the payment is made on an annual basis, quarterly or monthly. Through this series of measures, from January to November this year, the medical insurance fund income of 3.8 million yuan, the current collection rate of 99.5, an increase of 750,000 yuan over the previous year, an increase of 19; the fund expenditures of 3.1 million yuan, the current balance of the integrated fund and the accumulation of personal accounts were 300,000 yuan and 400,000 yuan; the accumulated balance of 590,000 yuan in the integrated fund, the cumulative accumulated balance of the individual account 1.45 million yuan.
Fifth, strengthen learning, standardized management, self-construction is further strengthened
First of all, to further improve the learning system, every Friday regularly organize cadres and workers for political theory, labor security policies and regulations and medical insurance business knowledge learning, and required to do a good job of learning notes to implement occasional inspections, and focus on improving the "five competencies" in accordance with the requirements of the Department of Labor and Social Security, and the "five competencies". Five capabilities" requirements, strict management, standardized procedures, innovative mechanisms, so that the cadres and workers of political thinking, business level and the ability to strengthen.
Second, the establishment of a sound working system, the full implementation of the target management system of responsibility, the beginning of the year, combined with the "20 ___ the city's health insurance management work target management evaluation methods", the work of the detailed arrangements, responsibility to the person, the task to the person, standardize the operation process, and develop the appropriate incentives and penalties, to ensure that the year's goals and tasks are accomplished.
Third, improve the medical insurance computer network construction, improve the management of scientific and standardized level. The county's health insurance computer network management system has been running with the county's 14 fixed-point institutions networking, May 1 this year, all the county's insured personnel can be based on the health insurance ic card in the city's fixed-point service institutions to swipe the card for medical treatment and purchase of medicines, referred to as "health insurance card", the majority of the insured personnel can enjoy the convenience of networked management, The majority of participants can enjoy the network management convenient, fast service.
Fourth, closely around the work of medical insurance, strengthened information reporting, increased publicity efforts, 1-11 months, the number of articles in the municipal information above 15, of which: 9 municipal, 3 provincial, 3 national.
Fifth, actively participate in the county party committee, the county government's central work, according to the arrangement, this year, I Bureau of new rural construction of the construction site is in the village of Jinkeng Township Yuantian on the Au Kou, in the case of fewer personnel, still send a cadre to focus on this work, in addition to the required to submit the new rural construction of the 'cost, but also from the tight office funds to squeeze out of funds to support the construction point of the construction of the new rural areas, a better job in the new rural construction. The new rural construction of the work of the task.
Sixth, there are problems
1, the publicity of medical insurance policy is not strong enough, the form of a single is not innovative enough, coverage is small, the total amount of funds is not large, anti-risk ability is not strong.
2, retired cadres and deputy county-level treatment of the personnel of the medical expenses of a separate mechanism has been established, but the normal overspending of the integrated fund lacks a strong protection mechanism.
3, to further strengthen the "two fixed" supervision and management and the coordination of the relationship between the doctor, insurance, patients, and increase the fixed institutions, participating in the exchange of information, to ensure that the agency, the fixed institutions and participating in the timely exchange of information between the unit to better serve the participants, to ensure that their medical treatment.
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