The fixed organization of medical insurance of Hubei implements " Promotion and demotion "

The fixed organization of medical insurance of Hubei implements " Promotion and demotion "
The fixed organization of medical insurance of Hubei implements " Promotion and demotion "
It is reported ' Reporter Jiang Ming) On January 16, human resources and social security drawing room of Hubei have been issued <>Notice. This marks medical organization by fixed position of department of society of all people at all levels within the territory of Hubei, will implement dynamic differentiated control. Reduced the fixed irrecoverable original rank in two years of medical organization of the rank, can't apply to grade in two years by the fixed medical organization that cancels rank. " suggestion " proposes, the fixed grade of medical organization is divided into AAA grade, AA grade, A grade and not had 4 grades of rank. It is to implement the insurance policies and regulations and fulfil the service agreement situation of the medical insurance to examine the main content appraised, respects such as the management, medical insurance information management including managing in basic management, clinic, in hospital, joining sponsor's satisfaction,etc.. To evaluating as the fixed medical organization of AAA grade, can return the earnest money of service qualities of the medical insurance of prior year fully, the fixed medical organization of AA grade returns at least 80% earnest money, A grade can return at least 60% earnest money. To evaluating for the fixed medical organization without rank, do not return last year's medical insurance service quality earnest money at the end of the year, and is regarded as the key unit or individual under inspection. According to the introduction of person in charge of drawing room of society of people in Hubei, in supervising at ordinary times, the fixed medical organization is violated the policies and regulations of medical insurance by reporting of the offence or practises fraud the behavioral one, will assign the notice of timed rectification and improvement; Complain more problematically or cause abominable influence in violating policies and regulations, the masses of medical insurance seriously, will reduce or cancel the rank; To forging the medical document or defrauding of the medical insurance fund by other means, will carry on punishment according to the relevant legal provision, cancel the rank, until cancelling by fixed position.


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