广东快乐十分

【领导访谈】进一步推进医保信息系统建设,提升便民服务能力

2019-11-04 17:09:39 来源:  作者:

主持人

各位网友,大家好,欢迎来到本期“领导在线访谈”节目,我是主持人张婷。今天我们很高兴的邀请到了南平市医疗保障局副局长池义明,他将就“进一步推进医保信息系统建设,提升便民服务能力”这一主题和大家进行在线的交流。池副局长,您好!

南平市医疗保障局副局长池义明

ZHUCHIRENHAO!GEWEIWANGYOU,DAJIAHAO!

主持人

大家都知道,医疗保障是一项综合的、系统性民生工程,事关人民群众健康福祉。南平市医疗保障局保成立之后,提出了医保信息系统建设计划,计划用二年的时间打造更加便捷、更加高效的南平智能医保。池副局长,那医保信息系统的建设会为大家的医疗保障带来哪些变化呢?

南平市医疗保障局副局长池义明

广东快乐十分XINXIHUASHITISHENGYIBAOBIANMINFUWUDEJISHUZHICHENG,DUIWOMENKAIZHANYILIAOBAOZHANGGONGZUOFEICHANGZHONGYAO。YIQIANDAONANPINGSHIYIWAIDEYIYUANKANBINGZHUYUAN,YAODAOCANBAODIKAIJUZHUANYUANZHENGMING,ZIJIXIANDIANQIAN,RANHOUCHUYUANHOUNAZHEFAPIAOHUIDAOCANBAODIDEYIBAOJINGBANCHUANGKOUSHOUGONGBAOXIAO。XIANZAI,YOULEXINXIHUAZHICHENG,KUASHENGYIDIZHUYUANFEIYONGYENENGZHIJIEJIESUANBAOXIAOLE。YIBAOBUMENDUIJIJINDEJIANKONGSHENHEHEZHIFU;CANBAODUIXIANGJIUYIDEFEIYONGJIESUANBAOXIAO、FEIYONGSHIYONGQINGKUANGDECHAXUN、YAODIANGOUYAOJILUDECHAXUNYIJIKUASHENGYIDIJIESUANBAOXIAO、YUANCHENGYILIAOFUWUDENGDENG,DOULIBUKAIXINXIHUADEZHICHENG。JIEXIALAI,HENKUAIJIUKEYIYONGERWEIMAZAISHOUJISHANGJIESUANLE。

网友“疯狂的洒脱”

记得原来异地医保报销尤其是要到省外医院住院的,从开转院证明到就医回来之后的报销手续不但繁琐,而且耗时。那现在能在住的医院里直接结算报销吗?如果可以的话,要办理哪些手续呢?

南平市医疗保障局副局长池义明

广东快乐十分BANLILEKUASHENGYIDILIANWANGJIESUANBAOBEISHOUXUDE,KEYIZAISHENGWAILIANWANGYIYUANZHIJIESHUAKAJIESUAN。

KUASHENGYIDIJIUYIZHIJIEJIESUANFENSANBUZOU,XIANBEIAN、XUANDINGDIAN、CHIKAJIUYI。CHENGXIANGJUMINCANBAODUIXIANGKETONGGUOCANBAODIYIBAOJINGBANCHUANGKOUHUODIANHUAZIXUNBANLIZHUANWAIJIUYIBEIANDENGJI,BUXUYAOTIGONGZHIZHICAILIAO。BEIANDENGJIZHIJIEDAOJIUYIDISHI,BIRU:BEIANJIUYIDIWEIGUANGZHOUSHI,NEIMEGUANGZHOUSHISUOYOUJIERUKUASHENGYIDIJIUYIGUOJIAPINGTAIDEYILIAOJIGOUJUNKESHUAKAJIESUANZHUYUANFEIYONG。RUGUOSHIZAISHENGNEIYIDIMEIYOUBAOBEIDE,DOUKEYIZHIJIEJIESUAN,ZHIBUGUOBAOXIAOBILIBUYIYANG。

网友“打不死的小强”

那如果在医院住了院,想要了解费用报销情况,有没有快速查询的方式呢?

南平市医疗保障局副局长池义明

广东快乐十分YOUDE。NIKEYIGUANZHU“NANPINGYILIAOBAOZHANG”WEIXINGONGZHONGHAO,ZAI“GERENZHONGXIN”DE“SHIMINGXINXI”ZHONGSHIMINGRENZHENGHOU,KEYIZAI“GERENZHONGXIN”DE“WODEYIBAO”ZHONGCHAXUNBAOXIAOJILU、ZHUYUANJILU。

“NANPINGYILIAOBAOZHANG”WEIXINGONGZHONGHAO,HUIJISHIFABUYILIAOBAOZHANGZHENGCE, FANGBIANNILEJIEYILIAOBAOZHANGCANBAODENGJI、YIBAODAIYUDENGZHISHI。CHULENENGCHAXUNBAOXIAOJILU、ZHUYUANJILUWAI,HAIKECHAXUNYIBAOXINXI、JIAOFEIJILU、MENZHENJILU、YAODIANJILUDENG;RUGUOKAIQILEJIUYIGOUYAOXINXITUISONGGONGNENG,HAIKESHIXIANCANBAORENYUANCHISHEHUIBAOZHANGKAJIUYIGOUYAOSHISHIJIESHOUDAOJIAOYITIXINGXINXI,TIXINGXINXIBAOKUOJIAOYIJINE、GERENZHANGHUZHIFUE、JIJINZHIFUEDENG。

广东快乐十分LINGWAI,XIEDAINIDESHEHUIBAOZHANGKA,KEYITONGGUOCANBAODIDEYIBAOFUWUZHAN、YIBAOJINGBANFUWUCHUANGKOUYIJIYIBAOJINGBANJIGOUDEZIZHUJIYENENGCHAXUNDAOZHUYUANBAOXIAOQINGKUANG。

网友“Blank 空白”

据了解,这些年有的地方出现了医保基金违规使用的案件,作为医保基金管理部门,我们南平市医保局在风险防控上有哪些举措呢?

南平市医疗保障局副局长池义明

ZHEIGEWENTIDUIYIBAOGUANLIBUMENLAIJIANG,WOMENJIUSHIYIBAOJIJINDE“SHOUMENREN”,DUISHEHUILAIJIANG,XUYAOQUANMINZHIXIAO、QUANMINCANYU、QUANMINZIJUE。SUOYI,WOMENYIBAOBUMENCHULEYOUXIAOSHIYONGYIBAOJIJINJIANQINGKANBINGFUDANWAI,HAIYOUYIFANGMIANJIUSHIZUOHAOYIBAOJIJINJIANGUAN。WOMENZAIFENGXIANFANGKONGSHANGCAIQULE“WUGEQIANGHUA”:

YISHIQIANGHUAZHIDUJIANSHE。JIANLIJIANQUANYIBAOJINGBANJIGOUGEXIANGNEIKONGZHIDU,SHENHUAYIBAOJINGBANYEWUBIAOZHUNHUA、GUIFANHUA、ZHIDUHUAJIANSHE,CONGYUANTOUSHANGFANGKONGYIBAOJIJINFENGXIAN,GUIFANJIJINDEYUNXING,YOUXIAOBAOZHANGLEJIJINANQUAN。

ERSHIQIANGHUAZHINENGJIANGUAN。WOSHIYIJINGSHANGXIANLEYIBAOZHINENGSHENHEXITONG,SHIXIANLEDASHUJUJIANGUAN,GAIXITONGDEJIANLIYOUXIAOTISHENGLEDUIQUANSHIDINGDIANYILIAOJIGOUDEFUWUXINGWEIGENZONGJIANCENENGLI,JISHIFAXIANWEIGUIXINGWEI,CUJINDINGDIANYILIAOJIGOUZHENLIAOXINGWEIGUIFAN,YOUXIAOKONGZHIYILIAOFEIYONGBUHELIZENGZHANG。2018NIANTONGGUOZHINENGSHENHEXITONGGONGSHENHEZHUYUANBINGREN4.32WANRENCI、MINGXIXIANGMU520DUOWANTIAO,ZHUIHUIWEIGUIYIBAOJIJIN553.41WANYUAN。

SANSHIQIANGHUABUMENLIANDONG。JIANLIYIBAOYUWEIJIAN、GONGAN、SHICHANGJIANGUANDENGBUMENDELIANDONGJICHAXIEZUOJIZHI,QIANGHUADUIYIBAOLINGYUWEIFAWEIGUIXINGWEIDEJIZHONGDAJIHEZHUANXIANGZHENGZHI,TONGGUORICHANGJIANCHA、ZHUANXIANGJIANCHA、JIAOCHAJIANCHA、FEIXINGJIANCHADENGFANGSHI,SHIXIANDUIDINGDIANYIYAOJIGOUJIANGUANDEQUANFUGAI。

SISHIQIANGHUAZHENGCEXUANCHUAN。ZAIQUANSHIFANWEINEIKAIZHANDAJIQIZHAPIANBAOJIZHONGXUANCHUANYUEHUODONG,TONGGUODUOQUDAO、DUOTUJING、DUOPINGTAIXUANCHUANYIBAOZHENGCEHEYOUGUANFALVFAGUI,ZENGQIANGDINGDIANYIYAOJIGOUHECANBAORENYUANFAZHIYISHI,XINGCHENGQUANMINQIZHUAGONGGUANTAISHI,YINGZAOQUANSHEHUIGONGTONGWEIHUYIBAOJIJINANQUANDELIANGHAOFENWEI。

WUSHIQIANGHUASHEHUIJIANDU。TONGGUOXINWENMEITI、NANPINGSHI12345BIANMINFUWUPINGTAI、DAIBIAOWEIYUANJIANYIDENGTUJINGDUOFANGSOUJISHEHUIGUANZHUDEYIBAOREDIAN、NANDIAN,HESHEQINGMINYI,TONGSHISHELIJUBAOJIANGLIDENGFANGSHI,GULIQUANSHEHUICANYUYIBAOJIJINJIANGUAN,ZENGQIANGJIANGUANLILIANG。(JUBAODIANHUA:8850002)

网友“旧情歌”

我们知道,除了医保信息系统的建设,医疗保障局成立以来,还采取了一系列措施大幅降低药品和耗材的价格,那降价后药品和耗材的质量和供应有保障吗?

南平市医疗保障局副局长池义明

广东快乐十分ZHEIKENDINGYOUDE。WOSHIYIBAODINGDIANGONGLIYILIAOJIGOUBIXUTONGGUOSHENGYAOXIELIANHEXIANJIAYANGGUANGCAIGOUPINGTAIZIZHUCAIGOUSUOYOUGUAWANGYAOPINHEGUAWANGGAOZHIYIYONGHAOCAI,HAIYOUGUOJIA“4+7”PINGTAI,(SHENMESHIGUAWANG?)SUOWEIGUAWANGJIUSHIBATONGGUOSHENGYIBAOJUSHENHE、FUHEWOSHENGYAOHAOZHAOCAIZHENGCEYAOQIU、NENGZHENGCHANGCAIGOUDEYAOHAOXINXIGUAZAIYOUSHENGYIBAOJUWEIYAOHAOJIAOYIDAJIANDE“WANGLUOJIAOYIPINGTAI”,YEJIUSHIFUJIANSHENGYAOHAOLIANHEXIANJIAYANGGUANGCAIGOUPINGTAISHANG,GUAWANGBENZHISHISHUYUWANGSHANGJINGJIACAIGOU,JIUSHIYAOPINJIAGEDINGQIGONGBUZAIYANGGUANGCAIGOUPINGTAISHANG,YIYUANGENJULINCHUANGXUYAOWEIYONGERCAI、ZIZHUCAIGOU。ZHEIXIEGUAWANGYAOPINHEGAOZHIYIYONGHAOCAIZAIGUAWANGQIANDOUTONGGUOLEGUOJIA、SHENGYAOJIANBUMENHEYIBAOBUMENDEYANGESHENHE,ZHILIANGSHANGSHIYOUBAOZHANGDE。

ZAIBAOZHANGYAOPINGONGYINGSHANG,WOMENCAIQULEBEIANCAIGOU、DONGTAIDIAOZHENG、GONGYINGQINGKUANGMEIYUEYIBAODENGZHIDU,TONGSHIYUNYONGSHENGYAOXIELIANHEXIANJIAYANGGUANGCAIGOUPINGTAIJIANGUANXITONG,DUOQUDAOBAOZHANGYAOPINGONGYING。LINGWAI,YILIAOBAOZHANGBUMENTONGGUOYAOPINHUOKUANDAIWEIJIESUAN,JIANQINGLEBENDIYAOPINPEISONGQIYEDEZIJINYALI,DUZHULEYAOPINCAIGOUDEFUBAIYUANTOU,CUJINPEISONGQIYEZUOHAOYAOPINGONGYINGDETONGSHIYOUMANZULEYILIAOJIGOUHEHUANZHEDELINCHUANGXUQIU,SHIXIANSANFANGGONGYING。

网友“失眠梦”

那市面上现在推行的“互联网+医疗”,这跟医保部门有关吗?

南平市医疗保障局副局长池义明

YOUBUFENGUANXI,ZAIYILIAOFUWUXIANGMUJIAGEZHIDINGHEYIBAOBAOXIAOZHENGCESHANGYUYILIAOBAOZHANGBUMENYOUGUANXI。GUOJIA《GUANYU“HULIANWANG+YILIAOJIANKANG”FAZHANDEYIJIAN》(GUOFABAN〔2018〕26HAOWENJIAN)TUICHU“YUANCHENGHUIZHEN”“YUANCHENGZHENDUAN”YIJI“HULIANWANGYIYUANFUZHENZHENCHA”SANXIANGFUWU。QIZHONGYUANCHENGHUIZHENFEINARUYIBAOZHIFUFANWEI。ZAIXIANYUJINMIXINGYIGONGTINEIBUZHIJIANDEYUANCHENGHUIZHENHEYUANCHENGZHENDUANBUDEXIANGHUANZHESHOUFEI,YOUYILIAOJIGOUNEIBUXIAOHUAJIEJUE,WEIHUANZHEJIANQINGLEYILIAOFUDAN。

网友“星杯骑士”

说,我是农村人,家庭很困难,最近又得了大病,我想了解一下,像我这种情况,能享受医保哪些优惠政策呢?

南平市医疗保障局副局长池义明

广东快乐十分RUGUOYIJINGCANJIALEWOSHICHENGXIANGJUMINYIBAODE,KEYIXIANGSHOUDAOJIBENYILIAOBAOXIANHEDABINGBAOXIANDEBAOXIAODAIYU,JIBENYILIAOBAOXIANDENIANDUZHENGCEFANWEINEIYILIAOFEIYONGFENGDINGXIAN8WANYUAN,8WANYUANYISHANGDEJIUJINRUDABINGBAOXIAN,BUSHENIANDUFENGDINGXIAN。

RUGUOSHIYILIAOJIUZHUDUIXIANGDE,HAIKEYIXIANGSHOUWOSHIYILIAOJIUZHUXIANGGUANBAOZHANGDAIYU,DIYILEIDUIXIANG(CHENGXIANGTEKUNRENYUAN)HEDIERLEIDUIXIANG(DIBAODUIXIANG、JIANDANGLIKAPINKUNRENKOU、ZHONGDIANYOUFUDUIXIANG、GEMING“WULAO”RENYUAN、JIHUASHENGYUTESHUJIATINGCHENGYUAN、ZHONGDUCANJIREN)KEXIANGSHOUTESHUMENZHENJIUZHU,MEINIANDUZUIGAO2000YUANHEZHUYUANJIUZHU,MEINIANDUZUIGAO20000YUAN;DISANLEIDUIXIANG(DISHOURUJIATINGDELAONIANREN、WEICHENGNIANRENHEZHONGBINGHUANZHE)KESHENQINGYINIANYICIXINGDINGEJIUZHU,MEINIANDUZUIGAO2000YUAN;DUIHUANZHONGTEDAJIBINGDEYILIAOJIUZHUDUIXIANG,FASHENGGAOEYILIAOFEIYONG、CHAOGUOJIATINGCHENGSHOUNENGLI、JIBENSHENGHUOCHUXIANYANZHONGKUNNANDE,KESHENQINGZHONGTEDAJIBINGYILIAOJIUZHU,MEINIANDUZUIGAO10000YUAN。

RUGUOSHIJIANDANGLIKAPINKUNRENKOU,GENJUGUOJIAHESHENG、SHIMUQIANDEYILIAOBAOZHANGFUPINXIANGGUANGUIDING,JIANDANGLIKAPINKUNRENKOUDEZHUYUANHETESHUMENZHENYILIAOFEIYONGSHISHIJIBENYILIAOBAOXIAN、DABINGBAOXIAN、YILIAOJIUZHU、JINGZHUNFUPINYILIAODIEJIABAOXIAN、JINGZHUNYILIAOFUPINCISHANJIUZHUDENGBAOZHANG。JINGZHUNFUPINYILIAODIEJIABAOXIAN、JINGZHUNYILIAOFUPINCISHANJIUZHUZHENGCEZHIXINGDAO2020NIANDI,DAOQIHOUYUCHENGXIANGJUMINYILIAOJIUZHUDEZHIDUXIANGXIANJIE,ZHUANHUAWEIZAIJIBENYILIAOBAOXIAN、DABINGBAOXIANHEYILIAOJIUZHUDESANZHONGBAOZHANGKUANGJIAXIAJINXING。

网友“纷乱的茶会”

问,可以在村卫生所用社保卡看病取药吗?

南平市医疗保障局副局长池义明

ZAIYIKAITONGYIBAOZHONGDUANDECUNWEISHENGSUOSHIKEYIYONGSHEBAOKAKANBINGQUYAODE。ZAINANPINGSHICANJIAJIBENYILIAOBAOXIANRENYUAN,WULUNNISHISHENGHUOZAIZHEIGECUNDE,HAISHILINSHIDAOZHEIGECUNDE,ZHIYAOZHEIGECUNDEWEISHENGSUOYIJINGKAITONGLEYIBAOZHONGDUANFUWU,YONGSHEHUIBAOZHANGKADOUSHIKEYIKANBINGQUYAODE。

MUQIAN,WOMENGENJUWEIJIANBUMENTIGONGDEFUHETIAOJIANDECUNWEISHENGSUOMINGDAN,YIJINGKAITONGLE988JIA,XIAYIBU,WOMENHAIJIANGZHUBUKUODAYIBAOZHONGDUANFUWUKAITONGDAOCUNWEISHENGSUODEFANWEI,ZHIYAOSHIWEIJIANBUMENRENDINGFUHETIAOJIANDECUNWEISHENGSUOMINGDAN,WOMENJIUHUIKAITONG。

网友“碎花裙”

听了池副局长前面的介绍,真的感到信息化建设对智慧医保相当重要。近期,市委、市政府正在打造南平“健共体”,这是一项重大的民生工程,我们的医保局做好准备了吗?

南平市医疗保障局副局长池义明

广东快乐十分NANPING“JIANGONGTI”JIANSHE,SHINANPINGSHIWEI、SHIZHENGFUGUANCHELUOSHIDANGDESHIJIUDATICHUDE“JIANKANGZHONGGUO”ZHANLVEJUECEDEZHONGDAJUCUO;WORENWEI,ZHEIDUIYUZHULIJIANKANGNANPING、ZHIHUINANPINGYILIAOJIANSHE,ZAIGENGGAOQIDIANSHANGZENGJINQUNZHONGJIANKANGFUZHIJUYOUZHONGYAOYIYI。

NIANCHUYILAI,SHIYILIAOBAOZHANGJUZAIZHIFUFANGSHIGAIGEZHONG,YIJINGZAIQUANSHI10GEXIAN(SHI、QU)QUANMIANSHISHIXIANYUJINMIXINGYIGONGTIDABAOZHIFU,CHENGWEIQUANSHENGWEIYIYIGEQUANMIANTUIJINDESHEQUSHI,TONGSHI,DAOJISHITUIJINZHINENGYIBAOXINXIHUAZONGHEFUWUGUANLIPINGTAIJIANSHE,YINGGAISHUO,ZHEILIANGXIANGGONGZUODETUIJIN,WEIWOSHI“JIANGONGTI”XIANGMUJIANSHEKAIHAOJUDAJIANLEYITUOPINGTAI。

主持人

好的,非常感谢谢池副局长作客我们的访谈节目,同时也感谢网友们的收看。由于时间关系今天的节目就到这里,我们下期节目再见。

南平市医疗保障局副局长池义明

广东快乐十分XIEXIEZHUCHIREN!YEFEICHANGGANXIEGEWEIWANGYOUHESHEHUIGEJIEDEPENGYOUMENDUINANPINGYILIAOBAOZHANGSHIYEDEGUANXINGUANZHU。WOMENJIANG“BUWANGCHUXIN,LAOJISHIMING”,WEINANPINGDEBAIXINGSHOUHAO“JIUMINGQIAN”,WEINANPINGDEBAIXING“KANDEQIBING”,WEIJIANSHEJIANKANGNANPING、GAISHANYILIAOBAOZHANGMINSHENGHUANJINGGONGXIANYIBAORENDELILIANG。


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