What are the visible changes brought about by the six health care initiatives?

Since this year, under the guidance of the State Health Security Bureau and under the leadership of the provincial committee and the provincial government, Hebei Provincial Medical Security Bureau adheres to the problem-oriented, closely around solving the people's medical security concerns, upsets, worrys, in order to promote business, business forced wind, with real work to respond to the expectations of the masses, in order to see the changes so that people have more sense of medical security.
1. First time response, the implementation of the "epidemic prevention and control style of protection" action to give full play to the role of medical security in the prevention and control of the epidemic, the organization of the vast number of Party members and cadres to invest the first time in the fight against the epidemic resistance, so that policy protection, fund settlement, continuous operation of services, information delivery, publicity and guidance, with practical action to practice the health insurance people's original heart and mission, so that the party flag in the medical security battlefield flying high.
the evening of January 20, Hebei Provincial Medical Security Bureau issued the first emergency notice of epidemic prevention and control.
for the needs of the epidemic, fixed-point medical institutions need to open medical insurance settlement "fever clinic" and "fever area", the establishment of green channels, immediate processing.
From January 20 to the end of April, hebei Provincial Medical Security Bureau has studied and issued 16 emergency notices, issued 19 epidemic prevention and control medical safeguards, and allocated a total of 831 million yuan in advance to more medical institutions that treat patients.
to actively promote the "online office" "extended office" "deferred office" "palm office" "long prescription" to minimize the flow of people caused by the spread of the epidemic security risks.
fully support the resumption of work and re-employment of enterprises, the phased reduction of basic medical insurance costs for employees of enterprises 4.546 billion yuan.
2. To standardize the procurement behavior of pharmaceutical institutions as a breakthrough, the implementation of "to fine management to benefit" action to fine management as the core of improving the level of fund supervision.
provincial level took the lead in the procurement of different medical institutions in the jurisdiction with the common name of the drug price gap is large, high-priced drug procurement, low-cost drug procurement less situation to remind the air.
designated medical institutions to regulate drug procurement behavior by negotiating price reductions with pharmaceutical companies, replacing them with high-quality and low-priced drugs, and eliminating some drugs.
the regulations, 11 medical institutions at the provincial level, enterprises took the initiative to reduce prices by 151 drugs, medical institutions reasonably replaced 241 drugs, medical institutions stopped purchasing 40 drugs.
the 2019 procurement volume estimates, the annual savings are expected to be more than 90 million yuan, procurement funds savings rate of 45.45 percent.
based on the experience gained at the provincial level, 499,000 abnormal drug procurement data from more than 4,800 medical institutions in the province were screened, pushing this work away from the province.
preliminary statistics, the province's annual savings in procurement funds of about 1.435 billion yuan.
this work is a practice in Hebei Province in the field of fund supervision from passive buy-to-let extensive management to active management as a fine management, and as a breakthrough to comprehensively promote the fine fund supervision.
Research has formulated the implementation rules of fixed-point pharmaceutical institutions, "good technology, excellent service, low price, reasonable layout" as the four basic conditions included in the fixed-point medical insurance;
Health Care Administration of Hebei Province as the first typical case of "dividend to reform, benefit to management".
Hu Jinglin, director of the State Health Insurance Administration, said: "Hebei Province Health Insurance Bureau these practices focus on regular, often catch, the goal of health insurance work in the daily management of all links, so as to improve the level of medical insurance management, reflecting the management to benefit."
3. Optimize the process of medical security services, implement the "medical insurance for the people" action to further optimize the operation process, through the integration of service links, compression of processing time and other measures to provide efficient and convenient medical security services for the target audience.
A comprehensive clean-up of supporting materials and procedures, for those who have no legal and regulatory basis, who can be proved by the existing individual license, who can take the applicant's written commitment to solve, all can be verified through the network, all can be verified through the relevant departments issued by the approval, all can be through field visits, investigation and understanding and other ways to obtain relevant information, all after the fact can make up the supporting materials are cancelled, from the source to reduce the burden on the masses.
formulated the List of Government Service Matters for Medical Security in Hebei Province, which simplifies and standardizes the administration services of medical insurance throughout the province, optimizes the process and improves the efficiency of the implementation of medical insurance policies.
Simplify the off-site medical record-keeping documents, cancel temporary residence permits, work permits, referral certificates and other unnecessary materials, to achieve all insured persons in the province can only rely on the ID number 365 days, 24 hours a day online instant filing, the first in the country to achieve "zero running err, do not meet" off-site medical filing services.
The General Office of the State Council has included 100 typical examples of experience in deepening the reform of "discharge" and optimizing the business environment in Hebei Province.
Streamline cash reimbursement materials for medical expenses, outpatient reimbursement, cancellation of prescriptions, inpatient reimbursement, cancellation of a full set of medical records in hospital, maternity reimbursement, cancellation of diagnostic certificates, full medical records, leave personnel due to emergency cash medical expenses reimbursement, cancellation units to provide information notes.
For outpatient chronic (or special) disease identification process complex, frequency is less, the time-ability is not strong and so on, from September 1, 2020, the outpatient chronic disease (special disease) will be adjusted to "individuals at any time to declare, medical institutions review and determine, online publication of the results of the evaluation" of the new management method, the frequency is adjusted from twice a year to once a month.
In-depth promotion of the coordinated development of Beijing-Tianjin-Hebei medical security, has 15 high-quality medical institutions in Beijing, Tianjin 15 high-quality medical institutions into Hebei Province, the realization of the same standards and treatment with the province's medical treatment, so that the hebei insured people can enjoy more Beijing-Tianjin high-quality medical resources and higher levels of medical services.
4. To build a high-quality medical security service window, implement the "window standardization construction" action to strengthen the window system construction, conscientiously implement the window service norms, work discipline, civilized language, service prohibition, to provide a good working environment for the masses.
to study and formulate the "Hebei Province medical security service language and work norms", clearly run the service civilization language 15, answer the telephone civilized language 8, call civilized language 8, work taboo 15, work norms 10.
the implementation of the first question responsibility system, post responsibility system, service commitment system, government publicity system, limited-time closing system, dereliction of duty investigation system and other institutional measures.
the implementation of the service window open process, open service commitments, open staff name and title, open results of the "four open" system.
in accordance with the "do it right away, do it right" requirements, the full implementation of the service to accept zero push, zero distance service mode, zero errors in service quality, zero service results complaints of the "four zero" service commitment.
, The Hebei Provincial Medical Security Bureau commissioned a third-party agency to conduct a special evaluation of the construction of the province's health insurance system.
according to the problems found in the special evaluation, on October 23rd, a video conference on the construction of the style of the province's medical security system was held with the participation of the principals of the medical security bureaus of various cities and counties, and the construction of the wind was re-deployed.
5. Strengthen the publicity of medical security policy, implement the "close contact with the masses" action to integrate publicity work into the performance appraisal important content, set up a press release, policy interpretation, online question-and-answer and other publicity work system, with a concise and easy-to-understand, scientific and accurate way to interpret health insurance policy and information inquiries, treatment measurement and other operational services, so that the insured "can understand" registration payments, treatment reimbursement and other personal rights and interests information, improve the awareness of the broad masses of people's health insurance policy.
Strengthen the work of medical security as an important link between the Party and the government close contact with the masses, established a system of close contact between medical security work, in the province to select 3,200 service objects and deputies to the National People's Congress, CPPCC members, as close contact with the work of medical security, and responsibility everywhere and people, the first time to them to publicize the interpretation of health insurance policy, while actively soliciting their views and suggestions, so that the work objectives to the masses open, the process to the masses commitment, work performance by the masses evaluation.
6. To stimulate vitality and implement the action of "creating model organs" according to the characteristics of medical security work, the study and formulation of the Hebei Provincial Medical Security Bureau working rules, Hebei Provincial Medical Security Bureau staff ten prohibitions, on the reception of contact business contact units provisional provisions" and other institutional measures, pull out a negative list, control every detail.
against the new situation of the "four winds" problem, further improve the management of organs, performance appraisal, intra-Party talks, internal audit and other institutional provisions.
actively carry out patriotic health campaign, organize and carry out "daily cleaning, weekly cleaning" activities to ensure a beautiful, hygienic and clean office environment.
In the global "learning, innovation, promotion" activities, requiring each office unit to aim at the national, provincial first-class level and advanced standards, to develop follow-up, catch up with the "road map", at least one in the year in the country or the province has an impact on the bright spot work, as the unit's brand work.
Focusing on the construction of the efficiency of the organ style, we will promote the overall optimization of the organ style, create a strong atmosphere of civilization, excellent service, strong norms and strict discipline, and strive to build the provincial medical security bureau into a model organ that will reassure the Party and satisfy the people.
hebei Province to combat fraud and insurance special governance, centralized procurement of drugs, off-site medical treatment, medical insurance information construction and many other work in the forefront of the country.
Xu Qin, governor of the Hebei Provincial People's Government, said: "The provincial health insurance bureau took the initiative to carry out special management to combat fraud and insurance, the implementation of centralized procurement of drugs, achieved good results, worthy of full recognition."
title: Hebei Provincial Medical Security Bureau to implement the six major actions of wind construction with practical work to respond to the people's expectations