Many fixed medical organizations of Hainan are arrested " The cost of hospitalization "

Many fixed medical organizations of Hainan are arrested " The cost of hospitalization "
Many fixed medical organizations of Hainan are arrested " The cost of hospitalization "
This year will come, the social insurance at all levels of our province handles the organization besides strengthening and getting the qualification and authorizing to the pension, still strengthen the check and supervision of the fixed medical organization, take precautions against that makes a false report to take place. As to the thing that the unlawful practice is strengthened and punished, pursue medical differentiated control actively, check and punish solving in hospital, make great prescription, excessive medical treatment,etc. bad behavior firmly, control the unreasonable expenditure of the medical insurance premium, has guaranteed medical insurance fund's security. Deduct the unreasonable expenses of more than 1,220,000 yuan of medical organization in Haikou This year will come, the social insurance of our province each handles organizations and generally signs the medical service agreement with fixed medical organizations, strengthen and spot check the inspection, examine and comment on, has contained the question of excessive medical treatment to a certain extent, have safeguarded the fund security of the medical insurance and joined the sponsor's legitimate rights and interests. The municipal social insurance office of Haikou manages to the medical service organization in grades, examines through checking, deduct the unreasonable expenses of 1,222,600 yuan of medical organization. Sanya goes beyond and refuses payment and amounts to 2,900,000 yuan by norm in the first half of this year The municipal social insurance office of Sanya closes and manages with the expenses as the focal point by agreement management, set up and prevent in advance, monitor in the thing, verify the medical care combined to audit the mechanism afterwards. Especially strictly control the hospitalization cost to verify and close, in first half of the year, the basic medical insurance of the employed in urban areas deducts the fixed amount of money in violation of rules and regulations of 59,800 yuan of medical organization together, go beyond and refuse payment 2,400,000 yuan by norm; The basic medical insurance of urban and rural residents deducts the fixed amount of money in violation of rules and regulations of 37,900 yuan of medical organization together, go beyond and refuse payment 500,000 yuan by norm, control the unreasonable growth of the hospitalization cost effectively. Meanwhile, make the examination standard, implement the dynamic management to the fixed medical organization; Launch investigation of personnel's satisfaction of effecting an insurance, form the supervision mechanism of surveillance by the masses, communal participation, impel the fixed medical organization to standardize the medical service act constantly, improve the service quality. 7 medical service organizations by fixed position in Dan state violate the policy behavior investigated and prosecuted Dan state constructs the medical supervision mechanism of service organization by fixed position, controls the unreasonable expenditure of the hospitalization cost. First, thinning medical service agreement, guarantee the fixed hospital constructs and cures due to illness, checks rationally, uses medicine rationally, treats rationally and charges rationally. Second, insist on daily auditing, spotting check at random and masses' reporting the means to combine, make great efforts to construct the supervision mechanism taken precautions against in advance, supervised in the thing, audited afterwards. In special examination 3 times organizing in the first half of the year, investigate and prosecute 7 medical behaviors of violating policy of service organization by fixed position, circulate a notice of criticism for the whole city, and reduce the unreasonable hospitalization cost of 25,000 yuan. Protect the fixed medical organization of the pavilion and is arrested the expenses of 120,000 yuan in violation of rules and regulations Assuare the pavilion strengthens the supervision inspection to the fixed medical organization, prevent Medical Benefits Funds strictly from running off. Person handling takes and gets in superintending and checking or many ways such as personnel of visiting and effecting an insurance of fixed hospital the medical insurance fixedly or irregularly, serve the situation and launch the regular inspection to the fixed medical organization, reducing and hanging the bed leaves medicine, withhold 120,000 yuan altogether to the fixed expenses in violation of rules and regulations of medical organization in the first half of the year. Has already settled account yesterday with the medical insurance strange land of 14 provinces and cities in the relevant news Hainan, Business reporter knew from the social insurance office in the province, will it be July this year, province the intersection of social insurance and office with the intersection of Jilin and provincial, Changchun city, Daqing city, Jiamusi city, Yichun the intersection of city,etc. and 1 the intersection of province and 4 city the 5 Overall Planning district sign the agreement formally altogether, and begin the medical treatment of strange land of the two-way urban worker's medical insurance formally on September 1 and wouldn't launch to shut to settle account (resident's medical insurance and new and agricultural) . So far, begin from our province started the medical account settlement business of strange land formally on January 1 last year, within less than two years, except that Guangxi is district level, Guizhou provincial and Shanxi provincial closing outside the medical treatment of strange land by the intersection of Heilongjiang and the intersection of provincial, Guangzhou, Tianjin, Nanning, Liuzhou, Gui Lin,etc. and the intersection of the 9 Overall Planning and district with our province, formal and the pool district where our province launches the medical treatment of strange land and closes increases to 14. Person in charge shows the social insurance round medical insurance of the province, different pool can choose to " close immediately " according to the local situation Or " settle account slowly " Two kinds of settlement ways. At present, seek medical advice and close the platform in the strange land that the social insurance office in the province develops, handle the procedure to finish within an hour each hospitalization cost. The whole province will set up 12 strange lands and seek medical advice in the fixed organization Yesterday, province the intersection of social insurance and the intersection of office and the intersection of medical insurance and the intersection of and relevant person in charge introduce, at present, the whole province can realize fixed medical organization that strange land sought medical advice, there are 10. It is reported, there are 7 hospitals of the first, second and third: Province the People's Hospital, the intersection of Hainan and the intersection of medical college and affiliated hospital, the intersection of province and land-reclaimable the intersection of general bureau and hospital, the People's Hospital, the intersection of PLA man and 187 hospitals, land-reclaimable hospitals of Sanya, institute of traditional Chinese medicine of province and city of Haikou. There are 3 two first hospitals: The intersection of Sanya and the intersection of city and the People's Hospital, the intersection of PLA man and 425 hospital, the intersection of Sanya and the intersection of city and institute of traditional Chinese medicine. In order to make it convenient for the people of other provinces lived in Hainan to seek medical advice, the fixed medical organization seeking medical advice in the strange land of our province will also increase 2 fixed medical organizations newly in Qionghai soon, the fixed mechanism of seeking medical advice of strange land of the whole province will reach 12 when the time comes.


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