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    我省安陽開封信陽入選試點名單
    時間:2019-06-13 08:22:14    來源:河南日報    返回首頁

      6月12日,記者從省醫保局獲悉,國家醫保局將在全國開展基金監管“兩試點一示范”工作,我省安陽市成為基金監管方式創新試點城市、開封市成為基金監管信用體系建設試點城市、信陽市成為醫保智能監控示范點城市,入選地區將在基金監管方面進行積極探索,進一步管好人民群眾的“救命錢”。

      據介紹,基金監管方式創新試點將積極引入信息技術服務機構、會計師事務所、商業保險機構等社會力量參與監管,建立健全數據篩查、財務審計、病歷審核等合作機制;同時,加強與衛生健康、公安、市場監管、藥監等部門協作,構建聯動監管機制。

      基金監管信用體系建設試點將建立基金監管信用評價指標體系、定點醫藥機構動態管理機制,建立健全定點醫藥機構分級管理制度和醫保醫師、醫保藥師積分管理制度等。醫保智能監控示范點將重點提高智能監控的覆蓋面和精準度,運用智能監控系統加強對臨床行為的過程監控,并推廣視頻監控、人臉識別等新技術應用,開展藥品進銷存適時管理,并建立省級集中監控系統。

      “計劃利用2年時間,在試點(示范點)地區形成可借鑒、可復制、可推廣的經驗、模式和標準,提高醫保基金監管力度。”省醫保局相關負責人表示。(記者曹萍)

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