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打活“開源節流”組合拳 管好人民群眾“救命錢”

冷水江市醫療保障局加強醫保資金監管紀實

2019/8/28 8:58:39  來源:婁底新新網  通訊員:秦潭

這是一個破冰回暖的故事,這是一個逆境突圍的案例,這是一個敢于創新的典型。曾經一度陷入困境,舉步維艱,城鎮職工醫保基金虧損上億,拖欠醫保費用導致定點醫院和協議藥店紛紛鬧事。新領導班子上任后,整章建制、勵精圖治,精準打出一系列“組合拳”,不僅一舉扭轉虧損局面,基金監管得到全面加強,醫保資金使用效率大幅提高,而且實現了幾個率先,成為業界兄弟單位學習的榜樣:率先在全省縣級市中引入“智能審核”平臺,率先在婁底乃至全省推行醫療支付“一事五崗五審”機制,為醫保資金有效監管提供了樣板,它——就是冷水江市醫療保障局。

困境在前勇擔當

lengshuijiangshiyiliaobaozhangjuqianshenweilengshuijiangshiyiliaobaoxianguanliju,chengdanzhuquanshichengzhenzhigonghechengxiangjuminyiliaobaoxian、dabingbaoxianjishengyubaoxiandengjingbanyewugongzuo,guanlizhuquanshi30yuwanqunzhongde“zhibingqian”“jiumingqian”。

2017nian,yuanshiyiliaobaoxianguanlijuhexinxingnongcunhezuoyiliaoguanlibangongshijinxingzhenghe,jianlitongyidechengxiangjuminyibaozhidu,zhenghehoudeyiliaobaoxianguanlijuguanliderenqunshejichengzhenzhigong、chengxiangjumindenggong32wanyumingcanbaozhe。

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weinanchuxiandandang,guanjianshikeganzuowei。2017nian7yue,zhenghehoudexinyijielingdaobanzimianduikunjiongjumian,bujuyali,dailingquanjuganbuzhigongfayang“fengshankailu、yushuijiaqiao”、“banfazongbikunnanduo”dekaituojingshen,shenrudiaoyan、lengjingfenxi,zuzhijingganduiwu,xunsudaxiang“kaiyuanjieliu”fangfengxian、yonghaoyonghuoyibaojindegongjianzhan。

全力開源擴容量

“kaiyuan”jikuodajijinzongliang,weiweihuqunzhongjiankangtigongjianshibaozhang。weishixianzheyimubiao,lengshuijiangyibaojuzhulizailianggefangmianhenxiagongfu。

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多方節流堵漏洞

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ag恒峰yishizhengzhangjianzhizouqianlie。zi2017nian7yuelai,gaijuzuzhishuxiyewudejingganrenma,zhiding、wanshangezhongguizhangzhidujizhengjiao、shenhe、zhifudenggezhongyewucaozuoliucheng60yuli,bianzhi《lengshuijiangshiyibaojuyiliaoshengyubaoxianjingbanfuwuguanlibiaozhunhuibian》gongji20yuwanzi,weizhidudulouhangshijichu,qitaxiongdidanweifenfenxiaofangxuexi。

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ag恒峰liwankuanglanpokunju,chuangxinfazhanpuxinpian。“kaiyuan”“jieliu”dengzuhequandeshishi,linglengshuijiangshiyibaoshiyezouchudigu,qudeleyixiliekexichengji:niuzhuanleyibaojijinlianniankuisunjumian,zaibaozhengduidingdianyiliaojigouhexieyiyaodianbufashengxinqiandetongshi,2017nian,chengzhenzhigongjibenyiliaobaoxianjijinzhengshou15300wanyuan,zhichu16200wanyuan,shixiandafujiankui;2018nian,chengzhenzhigongjibenyiliaobaoxianjijinzhengshou17051wanyuan,zhichu17971wanyuan(qizhonghanzhifulinianyiyuanyingfuweifukuan2600wanyuanhedangnianshijizhichu15371wanyuan),shixiandangnianduyibaojijinanshijishouzhilveyoujieyudemubiao,youxiaohuajielechengzhenzhigongyibaojijinanquanfengxian,weihulechengzhenzhigongyibaojijinzhengchangyunxing,weiyibaozijindeyangejianguantigonglebaoguide“lengshuijiangjingyan”。(tongxunyuan:qintan)

標簽:冷水江市醫療保障局 醫保資金監管 [ 編輯:王星]

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