摘要
赣州市自2019年开展医保基金监管信用体系建设试点以来,全面推行医保基金监管“373”精品工程,建成“4+7+X”制度体系。2021年,赣州市完成全市583家定点医疗机构、15064位医保医师、20个经办机构信用评价,建立包括12个行业的23条联合奖惩措施,信用监管基础性、长效性作用更加有力。
Abstract
Since the pilot construction of medical insurance fund supervision credit system in 2019, Ganzhou has fully implemented the "373" high-quality project of medical insurance fund supervision and built a "4+7+X" system. In 2021, Ganzhou completed the credit evaluation of 583 designated medical institutions, 15064 medical insurance doctors and 20 agencies, and established 23 joint reward and punishment measures including 12 industries. The basic and long-term role of credit supervision is more powerful.
关键词
医保基金监管 /
医疗机构 /
信用评价 /
信用指标
Key words
medical institutions /
credit evaluation /
credit index
杨健, 朱靓.
赣州市建设医保基金监管信用体系的探索[J]. 中国医疗保险. 2022, 0(3): 50-52 https://doi.org/10.19546/j.issn.1674-3830.2022.3.009
Yang Jian, Zhu Liang.
Exploration of Ganzhou Medical Insurance Fund Supervision Credit System Construction[J]. China Health Insurance. 2022, 0(3): 50-52 https://doi.org/10.19546/j.issn.1674-3830.2022.3.009
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参考文献
[1] 中共中央,国务院.关于深化医疗保障制度改革的意见[Z].2020.
[2] 国务院办公厅.关于推进医疗保障基金监管制度体系改革的指导意见(国办发〔2020〕20号)[Z].2020.
