Hit bully bilk to protect: 2018 what to do, 2019 how should do_News

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Cure protects fund to superintend is a long-term and formidable task, it is the crucial act that ensures our country broad ginseng to protect person interest, all the time since superintend a system in medical treatment safeguard there is significant position in construction. Be in especially the near future " cheat protect " the blow that disturbance and country unite deploy is cheated false after defending special action, more make this job turns into the heat that whole society pays close attention to is sensitive problem.

After bureau of safeguard of national medical treatment holds water, established in orgnaization setting accordingly " fund superintends department " , the purpose depends on strengthening cure to protect fund to superintend, the inspect control that boosts safeguard of our country medical treatment in the round then spends organizational system. Can say, just is a turning point that advances superintendency system and construction in the round now. So, how does national level develop cure to protect fund to superintend the job? Next, how consider again and to how consider again and devise the system mechanism that fund superintends? Let small protect take you to be combed together.

Cheat the account that keeps a problem to emerge in endlessly

"Bully bilk is protected " the case that has made a kind of general, much hair now, not only it is clear to be engaged in cure protecting practitioner, countrywide people can look get. Investigate its reason, because the ideal existence error of fund is protected to cure since the home is long-term greatly,basically be, think " the money that fund is a country, did not scoop up brushstroke to be in an unfavorable situation " , but actually, can damage every ginseng to keep a person instead so personal interest. So bully bilk protects a phenomenon to protect a system to build in cure 30 old since ban repeatedly all the time more than, had arrived to must weigh allusion to control random rate now.

Defend action to current bully bilk, ever had an expert with " nod many wide chain long, behavior is secret it is difficult to superintend " will describe, this shows is cheated protect pattern to put much, impossible to defend effectively. But on the whole, it is roughly OK that bully bilk protects cent is the following 3 sort:

The first be in cold blood bilk. This kind of circumstance happens in medical establishment normally, cheat keep a person with be being protected from cure gain profit in fund for the purpose, use forge the method such as the case of illness, be in hospital that hang a bed to cover take cure to keep fund, property is more abominable, for instance in November 2018, the bully bilk of hospital of two civilian battalion protects CCTV exposure Shenyang the case attributes this kind of situation.

The 2nd it is to cover take individual cure to keep fund account. Express the very much now drugstore that decide a dot to be able to protect card to buy articles for daily use with cure, every ginseng protects a person to be able to be participated in more or less among them, the occurrence of this kind of phenomenon and calm dot drugstore are violated compasses manage about, but also with the consciousness that enters the lack that keep a person to defend fund safety and fail to understand use of individual account fund adequately to have very big concern.

The 3rd it is excessive medical treatment. Excessive medical treatment is the problem that medical establishment exists generally, also be cure in changing, fail to solve all the time " dense disease " . In light of the point of view that defends from cure, because cure protects the main fund source that fund is public medical establishment, because this a lot of medical establishment can be passed,decompose the means such as be in hospital, big prescription, excessive examination to cover take cure to keep fund. Although its property is done not have in cold blood bilk is abominable, but it is however a kind let cure secretly keep fund of a large number of prediction of a person's luck in a given year cheat protect a medium.

Appear these problems, past cure is protected use what pay fee by the project for a long time " hind pay make " reason, also medical treatment serves a process not to superintend the reason that reach the designated position. But will look from more deep-seated face, because,still be our country from since building medical treatment to guarantee a system, put main energy in " want beneficial result to increment " , protecting fund to superintend to cure so is the Yu Kuan that break relatively, break at soft, in legal system respect of construction, system construction, superintendency team construction fails to catch up with.

Cure is protected bureau hold water one year, cheat for blow protect made what effort

On May 31, 2018, national medical service is protected the bureau is formal hang out one's shingle. And the State Council of the Party Central Committee establishs national medical service to protect bureau, among them a serious consideration should safeguard cure to protect fund security namely. Nowadays, review national medical service to protect bureau past one year to protect fund to superintend the job of the respect in cure, can discover its put main energy in " take temporary solution " on, what pass special processing, supervisory inspection namely is comprehensive enclothe, will build blow to cheat the high-pressured state that defend false. Small protect think to go up to be able to differentiate roughly from time for the following 4 phase:

The first phase -- " blow bully bilk is protected " special operation

On September 11, 2018, national medical service protects health of sanitation of bureau, country appoint, bureau of inspect of medicine of the Ministry of Public Security, country combines print and distribute " hit con diddle medical treatment to ensure fund about beginning the announcement of special operation " , put forward to begin blow bully bilk to take medical treatment to ensure fund inside countrywide limits special operation.

This is national medical service is protected bureau the first since establishing special operation, also be cure what hit bully bilk technically to defend action for the first time is national since protecting a system to build special operation. Since special operation is begun, each district is serious organization, careful deploy, check the job to gain active headway oneself, check through systematic intelligence sieve, special examine wait for channel, the lock decides goal of a batch of clew, investigate a batch to break the law violate compasses act.

For instance: The orgnaization of the service that decide a dot that Jilin saves the Changchun City to violate compasses act to 761 existence gives remove cure defends a service agreement, stop a net to rectify, deduct year test cent, instruct rectify and reform wait for punishment, refuse payment violates compasses amount more than yuan 1000; Zhejiang province talks about ginseng keep staff 400 much person-time; Shanxi province processing is violated compasses medical establishment 309 the home, retail drugstore 653, recover cure to keep fund one million five hundred and thirteen thousand five hundred yuan; City of hill of Heibei province the Tang Dynasty suspends this 40 city class nodding medical establishment cure to defend a service surely; City of Shaanxi province Xi'an is recovered violate plan cost one million and sixty-seven thousand three hundred yuan.

The 2nd phase -- blow bully bilk defends special action " look round "

"Blow bully bilk is protected " although special operation is fruitful, each district also was begun by the requirement investigate the work oneself, but these methods fail apparently complete keep within limits lives to cheat the random elephant that protect false. On November 14, CCTV exposure " Shenyang is cheated protect case " , let cure protect fund to superintended a problem to be introduced to again where the wind and the waves are highest, so national medical service is protected bureau began what check oneself quickly on the foundation that each district checks oneself " look round " , farther aggrandizement blow is cheated keep the job. On November 29, held blow bully bilk to defend special action " look round " working deploy is met, hand in to each district in the spot did 228 nations medical service to protect bureau control problem clew.

"Look round " the action is based on cure protects fund to superintend working situation at that time, focusing 3 keys domain: It is medical establishment, the key investigates revulsive ginseng to protect personnel to be in hospital, pilfer is brushed and be risked with ginseng protect personnel social security card, falsify medical treatment document or ginseng of bill, assistance protects personnel to cover take cure to protect fund, empty is written down or write down medical treatment to serve the behavior such as charge more; 2 it is retail drugstore, heavy enumeration place is strung together change medicines and chemical reagents, brush chuck to take the action such as fund; 3 it is to join keep staff, heavy enumeration place passes fund of bill cheat diddle to wait for behavior.

Try hard through this, blow was formed basically to cheat the high-pressured state that defend false inside countrywide limits, formed a series of job mechanisms from this:

It is squeezing ramming responsibility, clear " the problem did not discover is neglect one's duty, discovering a problem to was not handled is dereliction of duty " , supervise and urge branch of safeguard of local medical treatment fulfils responsibility, strengthen management;

2 it is expedite inform against complain channel. National medical service protected bureau and each province to be built inform against a phone, after this opened small letter and mailbox again inform against a passageway. National medical service is protected the bureau will be fixed turn over clew each district cure to keep superintendency department, important to the part clue still can be investigated by oneself. In the meantime, this second action returns those who got door of Ministry of finance to support energetically, national medical service protected bureau and finance department to build inform against promotive mechanism, top award 100 thousand yuan, encourage everybody to inform against clew.

3 it is to discover a problem from severe, from heavy, from fast processing. To the director that is in charge of directly personnel and personnel of other and direct responsibility have hold of job seniority, lawfully revoke its hold job seniority; Be suspected of crime, move send a judiciary processing.

The 3rd phase -- introduce diversity measure, multidimensional spend blow bully bilk to protect

To January 2019 portion, special operation has entered end. Subsequently national medical service is protected bureau the method that begins to try to introduce other department to manage about supervising and operation method, the form that exploration checks with flying undertakes aggrandizement is superintended. Meantime, introduce a few tripartite orgnaization protects an orgnaization like accountant office, business, still invited media begins flight inspection to the place jointly with superintendency personnel. And flight examination is fruitful really, medical service of nation of a lot of time is protected bureau it is direct below the circumstance that does not have any clew undertake checking to hospital spot, and these local majority had accepted the inspection of local superintendency branch, but the result still discovered a lot of problems.

The 4th phase -- start blow bully bilk to protect " people war "

On March 18, 2019, government of people of city of bureau of safeguard of national medical treatment, Tianjin is held jointly " blow is cheated false protect defend fund safety " concentration publicizes month of ceremony that start. Be in clearly future in a month, the policy code that is sure through publicizing medical treatment extensively, expedite and various cure protects a branch to complain channel, inform against promotive method clearly, exposure part is cheated maintain the pattern such as the case, start blow bully bilk to protect " people war " , promote orgnaization of the medicine that decide a dot to rise honor the agreement, abide by the law consciousness, aggrandizement ginseng maintains consciousness of masses dimension authority and legal sense, compose builds whole society to pay close attention to the good atmosphere that participates in supportive cure to protect fund security jointly.

After national level starts this work, each district starts blow to cheat the concentration that protect to publicize lunar activity false after close also therewith. From this, national medical service is protected bureau from above to below started " people war " , the power that protects superintendency medical service fund expands from superintendency personnel, agency staff numerous people, let cheat protect without but escape form.

Next, cure protects fund to superintend the job to want how to be done

Review in light of, national medical service is protected bureau 2018 the job of second half of the year is the position that attributes passive meet an enemy attack actually, can saying is " made an experience fight " . But this does not mean fund to superintend can be only " have a headache cure head, foot of crural painful medical service " , in front a variety of " take temporary solution " the action just breaths to let illegal element have no longer opportunity, for " effect a permanent cure " gain time, thereby compose builds " dare not cheat, cannot cheat, do not want to cheat " superintend new structure.

Protected a career to stand on new start as countrywide cure 2019 germinant year, fund superintends the job to want to give the matter further thought, cannot again so passive accept a challenge. So on January 10, national level held two meetings -- informal discussion of job of medical treatment safeguard and conference of job of safeguard of countrywide medical treatment, these two meetings superintended the job to raise specific requirement to fund.

Back-to-back, on January 23, national medical service is protected bureau held special job meeting again -- countrywide cure protects fund to superintend the job to meet. This the conference superintended the job to do sufficient and meticulous deploy to the fund 2019, drafted " bureau of safeguard of national medical treatment is good about doing the announcement that medical treatment ensured fund to superintend the job 2019 " (cure protects hair 〔 2019 〕 14) . This file is revised through discussing with all possible means, released formally finally external on Feburary 11.

Not allow doubt, 14 article protect fund to superintend the job to have mark sex sense to cure, mean fund to superintend working make one's bow the procedure that calls protracted battle. 10 when what make clear among them 27 tasks, also be the working key that prospective cure keeps fund superintend, it is respectively:

1. increases blow strength, consolidate high-pressured posture

2. is perfect inform against a system, normative clew investigates and deal with sb

3. advances intelligent monitoring, promotion superintends actual effect

4. perfects superintendency system, raise administration to superintend ability

Audit of 5. normative agency, aggrandizement agreement manages

6. is advanced superintend integratedly, promote a door linkage

7. advances construction of sincere letter system, stimulative industry controls oneself

8. strengthens legal construction, perfect system mechanism

9. increases propagandist strength, aggrandizement public opinion guides

10. strengthens constituent leader, perfect drive asks duty mechanism

Specific for, can generalize for the following respects:

Advance cure to protect superintend " build Zhang Li to make "

In code the system builds an aspect, national medical service is protected bureau intensifying considering to draft " fund of safeguard of primary medical treatment superintends byelaw " . This is to be in " social insurance law " over the foundation more refine can operate, but the code of be born file, can make through it fund superintends working implementation to the law can be occupied, the law can be depended on.

Superintendency mechanism field is kept in cure, want work up to be supervised soundly inform against mechanism, intelligent monitoring mechanism, sincere fuse to superintend mechanism, propagandist guiding mechanism and responsibility manage mechanism, integratedly to find out a mechanism, hope to pass these mechanisms build, drive fund to superintend working system to build stage by stage.

Continue to begin special operation

One is special processing. Special processing and the special operation 2018 are different, national level publishs unified plan no longer, those who plan to let a place combine his is actual and respective begin the work, in the light of as a whole the weak point that the area superintends a respect in fund (like basic level medical establishment, civilian battalion medical establishment) undertake special processing. Requirement by March before, the program of special processing work that studies formulate complete province is unified, sign up for bureau of safeguard of national medical treatment to put on record; 4, in August, each plan as a whole the area begins special processing to investigate the work oneself; 9, October, provincial cure protects a branch to begin selective examination check, and in November the bottom is forward newspaper of bureau of safeguard of national medical treatment sends special processing working summary.

Another is had started in countrywide each district, advanced energetically April " blow is cheated false protect, defend fund safety " concentration publicizes lunar activity, the hope borrows this to start war of a people, make people collective participate in safeguard cure to protect fund security.

The innovation that start is pilot and set an example

The first pilot it is superintendency means innovation is pilot. Have two meanings, it is to hope each plan as a whole the area can introduce the society such as insurance company of accountant office, business tripartite force participates in fund to superintend come among the job, alleviate the situation that personnel of current authorized strength is in short supply; Another is to hope each district city can break existing branch superintending on situation of each other intersected, form cure to protect superintendency branch and market to superintend truly thereby, prices superintends the linkage mechanism that waits for other department (if Shanghai and door of the Ministry of Public Security cooperate,begin " carry out a death sentence joins " ) .

The 2nd pilot it is fund superintends sincere letter construction is pilot. A lot of industries are doing sincere letter to build, but protect fund to superintend to cure for how should manage after all, use " blacklist " system, how to produce the function that combines chasten and power, it is to need to pass pilot make clear further.

The 3rd pilot it is the demonstrative place that cure guarantees intelligent monitoring. From the point of current data, countrywide great majority plans as a whole the area is already preliminary built system of intelligent monitoring information. On this foundation, the hope can choose a few areas that visit in front to serve as demonstrative dot of the whole nation, drive action to advance countrywide cure to keep the informatization process of superintendency job quickly through setting an example.

Strengthening cure to maintain superintendency system is construction. In respect of hardware form a complete set, what through advancing the demonstrative point of intelligent monitoring construction boosts intelligent supervisory system is complete enclothe, in the meantime, borrow this to supervise and urge return what did not start supervisory system to plan as a whole the area begins this work as early as possible, strive informatization of the part before the bottom built pilot area to realize medical treatment to ensure the line on intelligent supervisory system to try 2019 move.

The aspect is built in superintendency team, want to accomplish vocational training to be enclothed in the round. The medical service that this establishs newly to each district keeps superintendency troop for especially important. Need national level to groom to saving those who undertake be enclothinged in the round individually not only so, also need each province to be able to superintend personnel to also be begun one round to the fund inside limits of area under administration at the same time groom in the round, the key grooms laws and regulations of fund superintendency law, break the law violate compasses pattern case, investigate means method to wait, with case view, with case education, enhance superintendency team professional ability quickly.