In order to fully protect the rights and interests of the masses in medical insurance and improve the enthusiasm of the masses to participate in insurance, the Honggu District Medical Insurance Bureau has made efforts from the four dimensions of policy publicity, business training, interview supervision, and optimization of services, with multi-level and wide coverage, and all-round "after-sales service" after the masses participate in insurance.
Full coverage of business training to break through the obstruction in the service. Some medical insurance policies are not implemented at the grassroots level, which leads to the masses questioning the work of participating in insurance, and the enthusiasm for participating in insurance has declined. In this regard, the Honggu District Medical Insurance Bureau carried out in-depth research activities on the "four grassroots", carefully sorted out the problems and blockages in the service of the masses in the designated medical institutions, and successively organized designated medical institutions, town and street medical insurance professionals, village doctors and other groups to carry out 9 business training sessions such as insurance registration, fund collection, medical assistance, outpatient co-ordination, settlement and reimbursement, audit supervision, DRG payment, flight inspection, etc., with 580 participants. Case analysis, guide the staff to grasp the medical insurance policy more deeply, provide more efficient, convenient and in-place medical insurance services for the insured people, fully open up the last mile of medical insurance services, and make the "after-sales service" after insurance more secure.
Full coverage of policy publicity, singing the good voice of medical insurance. The medical insurance policy stays in the hospital is the biggest shortcoming of the current publicity, and the masses only inquire about the medical insurance policy after they get sick, and even miss many opportunities to enjoy the policy. On the basis of doing a good job in business training, let the medical insurance policy fly into thousands of households is the key to protect the rights and interests of the masses in medical insurance and improve the enthusiasm of participating in insurance, in this regard, the Honggu District Medical Insurance Bureau continues to carry out the "1247+" policy publicity activities, that is, 1 key publicity subject per month, through the "resident medical insurance" and "employee medical insurance" 2 types of insurance, grouping "four into" towns and streets, villages, medical institutions, large enterprises, and resident farmers, and actively coordinate the 7 towns and streets in the jurisdiction. Factory workshops, residential buildings, supermarkets and restaurants, focusing on the needs of the masses, fully covering the policy explanation activities such as remote medical treatment, newborn insurance, chronic disease reimbursement, etc., have distributed more than 12,000 copies of promotional materials such as handbags, fans, aprons, and pumping paper, and more than 8,000 propaganda color pages, communicated with the insured people more than 10,000 times, and answered more than 5,000 questions, effectively singing the good voice of medical insurance around the masses, and laying a solid foundation for the next step of insurance work.
Full coverage of interview supervision and build a strong medical insurance firewall. In order to standardize the service behavior of designated medical institutions, prevent fraud and insurance fraud, maintain the safety of the medical insurance fund and the vital interests of the insured people, and severely crack down on corruption and unhealthy trends in the field of medical insurance, the Honggu District Medical Insurance Bureau has carried out collective interviews in batches and layers. At the same time, relying on the anti-corruption work in the field of medical and medical insurance, the reporting telephone number was publicized in all medical institutions, and medical institutions were ordered to carry out a comprehensive self-examination, so as to eliminate the occurrence of corruption from the source, and build a solid discipline dam for guarding the "life-saving money" of the people.
Full coverage of service optimization, weaving dense service Tianzi network. The core of "after-sales" is service, and medical insurance service is the key to improving the happiness and sense of belonging of insured patients. With the tenet of "where the masses are, the medical insurance service will be extended to", the Honggu District Medical Insurance Bureau thinks about what patients think and worries about patients, and adds reading glasses, power banks, water dispensers, umbrellas and other service facilities for the people in the district medical insurance service window. The intimate and high-quality service has effectively realized the "after-sales service" of "380" to the door and intimate escort.
Correspondent: Cao Xuesong
Editor: Li Wei Cheng Wei
Executive Producer: Bao Zhen
Director: Xie Tian