Improve the working measures of urban residents' basic medical security system

Since the basic medical insurance for urban residents in the whole district was taken over by the District People's Labor and Social Security Bureau, the District People's Labor and Social Security Bureau attached great importance to it and worked hard. Up to now, the number of people participating in basic medical insurance for urban residents has reached 68,000, and 97% of the city's target tasks have been completed. In 2019, we will further strengthen organizational leadership, innovate work ideas, take effective measures, and vigorously promote the collection work, and strive to exceed the target tasks.

Strengthen leadership and implement responsibility

The district established the Xinhua District Urban Residents Basic Medical Insurance Work Leading Group, established a contact conference system, signed an annual target responsibility letter with each town street, and incorporated the urban residents' basic medical insurance into the government target assessment system to strengthen the organization and leadership of this work.

Extensive publicity and in-depth mobilization

Adopt various effective forms to further publicize the policies of residents' basic medical insurance, guide urban residents to enhance their awareness of participating in insurance, and improve the enthusiasm of urban residents to participate in urban residents' medical insurance. First, a special propaganda and mobilization team was set up to implement the slogan and responsibility, and to go deep into towns and streets, and all units, individual industrial and commercial households, schools, and community residents to promote the door by door. The second is to make full use of Xinhua public information network and mobile phone newsletter to release relevant information; set up information desks on the street, plaza, etc., distribute promotional materials, on-site answers, etc., widely publicize the meaning of the purpose of the insurance, fundraising policy, guarantee level and payment of benefits, etc. content. Third, the joint education department made a unified deployment, actively carried out the registration work for all primary school students in China, and realized the full participation of primary and middle school students in the district.

Network coverage, enhanced service

In 2019, we will realize the comprehensive networking of medical insurance agencies and community platforms, medical institutions and payment outlets as soon as possible. At the same time, we will establish a public service information sharing platform in the community to realize the sharing of medical information for insured personnel, direct settlement of medical expenses, and registration of residents. Guarantee, information change, policy consultation, medical management, one-stop service. First, relying on the community labor security platform, with the support of the management information system, establish a community health insurance service network platform. Extend the medical insurance regulations, provide policy consultation, collect medical insurance information, handle medical insurance business, and monitor expenditure expenses to the community platform; second, improve information technology office, improve the computerized management level of business data, and promote the standardization and scientific management of fund management. . The third is to use the network resources of the financial system to carry out social services to facilitate residents to pay. The fourth is to strengthen the business training and assessment of the handling agencies and community managers, establish a service system with clear responsibilities and connections between the handling agencies and community service agencies, emphasize service awareness, continuously improve service quality, and provide convenience for the majority of insured residents. Efficient, quality medical services.

Standardized management, strict supervision

Since last year, the District Urban Residents Basic Medical Insurance Management Office has strictly implemented the social security fund management systems such as the “Pingdingshan City Urban Residents Basic Medical Insurance Measures” and other social security fund management systems, and has incorporated the medical insurance fund into the social security fund financial account, and implemented separate accounting and separate accounting. We have earnestly fulfilled the requirements for collection and management. This year, we will fully learn from the practices and experience of other social security fund supervision, strengthen fund management, and ensure operational safety. First, establish and improve the system of budget and final accounts for urban residents' basic medical insurance funds, financial accounting and other systems, and promote the standardization and institutionalization of fund management; second, reasonably determine the scope and proportion of fund payment, strengthen the management of medical expenses, and improve the efficiency of fund use; The third is to establish a fund risk prevention and early warning analysis mechanism to enhance the fund's ability to resist risks; the fourth is to strengthen the internal control system of the handling agency, strengthen the financial supervision and audit supervision of the fund, and effectively control the fund management risk; The publicity system of the situation regularly announces the income and expenditure and balance of the urban residents' basic medical insurance fund to the society, and actively accepts social supervision; the sixth is to establish and improve the accountability system for medical insurance funds. The four departments of finance, labor, auditing and supervision regularly supervise and inspect the income and expenditure of urban residents' basic medical insurance funds.

Department linkage, forming synergy

The basic medical insurance for urban residents involves a wide range of tasks, a large workload, and an arduous task. In 2019, we took the responsibility of our department and actively strengthened cooperation and coordination with other departments, and worked together to do this work. First, in coordination with the financial department, the residents' medical insurance subsidy funds will be included in the budget, the fiscal expenditure structure will be adjusted, and the capital investment will be increased to ensure that the subsidy funds are timely allocated. The second is to cooperate with the health department to include community health service institutions in designated medical institutions for urban residents' basic medical insurance, and to further play the role of community health service organizations in medical security. The third is to cooperate with the civil affairs department to include the “four types of personnel” who are the urban minimum living allowances, the severely disabled students and children, the severely disabled persons with disabilities, and the low-income families over the age of 60. We will strive to achieve full coverage of urban residents' basic medical insurance.