The full coverage of the third -level business network covers the "blocking point" of the end of the medical insurance service

Author:China Medical Insurance Time:2022.07.21

Based on the needs of people's livelihood, the medical security bureau of Hubei Province, gradually establishing a three -level service network of the city -township (street) -village (community) -village (community). Construction promotes the construction of wind and construction, and builds a public service brand of Chibi high -quality medical insurance.

First, to the end, to the end, realize the full coverage of the three -level running network

Give full play to the role of the grass -roots public service points of the township medical security service center. On the basis of the city and township levels, the "last mile" of the service network is opened, and the administrative village (community) is the basic unit to reduce the service radius. The 186 administrative villages (communities) of Chibi City set up medical security service outlets, and each outlet was equipped with a professional (part -time) professional grid member. Play the regional restrictions on the administrative village (community), carry out daily medical insurance office services, and strive to create a "15 -minute service radius". Citizens can choose the medical insurance service outlets of the village (community) nearby to handle medical insurance business. "," Limited time -limited settlement "and other related systems, guide citizens to submit relevant information and conduct preliminary examinations, and then submit relevant information to the township medical security service center on time to effectively solve the problem of" difficulty in doing things, complicated work, slow work ". It meets the various business needs of the people participating in the insurance, and achieves full coverage of public services in the medical insurance to the end.

2. Strong empowerment, determine norms, and focus on strengthening the support of grassroots services

The first is to deepen the empowerment of the grassroots and extend the tentacles of the menstruation. Based on the principle of "a batch of maturity, a batch of decentralizations", it is used in batch and step -by -step methods to promote decentralization in order. Deepen the expansion of the medical security function to the townships (streets), villages (communities), and 20 items including the personal account of the insured persons and the hospitalization reimbursement. The service center is processed, high -frequency services such as urban and rural residents 'participation registration, urban and rural residents' participation information change registration, etc. ) The matters that cannot be undertaken, wait for the timing conditions to mature before letting go.

The second is to sort out business lists and formulate standards for running. In accordance with the requirements of the Provincial Medical Security Bureau's "Notice on Further Implementing the Guidelines of the Provincial Medical Security and Advanced Affairs Services" (E -Medical Baofa [2021] No. 51) documents, the city's medical security service matters Combing, in accordance with the principle of "six unifications", the name, matters, materials, processing time limit, processing links, setting basis, etc. On the basis of "re -streamlined materials", further compressing the process, simplifying the procedures, and shortening the time limit of the work. The time limit of 28 medical insurances is reduced by more than 60 %. Council.

3. Grasp training, promote improvement, and promote the optimization of the service service

The first is to strengthen the construction of the running team and promote the integration of "learning and research". In accordance with the principles of "practical, practical, and effective", combined with the actual work, we will focus on the construction of service capabilities at the grassroots level, carry out full -time and full -time business training, and through centralized training, practical follow -up, "one -to -one" There are many ways such as gangs to achieve two -handed theory and practice, and create professional service teams that are compatible with the requirements of medical security public services in the new era. The quality of the staff of the Medical Insurance Office has continued to improve, the service capacity has continued to increase, and the service efficiency of the window has continued to improve.

The second is to deepen the training of designated institutions and realize the "zero distance" of medical insurance policies. On the one hand, the backbone of the audit business will be in -depth designated medical institutions, carry out centralized training of the "Regulations on the Supervision and Administration of Medical Security Fund", and accurately explain relevant policies to various designated medical institutions. On the other hand, combined with the actual work, the newly issued medical insurance policy documents and medical insurance policies such as the service agreement of the medical insurance medical institution in Hubei Province, and the designated retail pharmacy service agreement are summarized and summarized. New policies and new directions, consolidate the foundation of grass -roots medical insurance services.

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