赣州市建设医保基金监管信用体系的探索  

Exploration of Ganzhou Medical Insurance Fund Supervision Credit System Construction

作　　者：杨健 朱靓 Yang Jian;Zhu Liang(Ganzhou Healthcare Security Bureau,Ganzhou,341000)

机构地区：[1]赣州市医疗保障局,赣州341000

出　　处：《中国医疗保险》2022年第3期50-52,共3页China Health Insurance

摘　　要：赣州市自2019年开展医保基金监管信用体系建设试点以来,全面推行医保基金监管“373”精品工程,建成“4+7+X”制度体系。2021年,赣州市完成全市583家定点医疗机构、15064位医保医师、20个经办机构信用评价,建立包括12个行业的23条联合奖惩措施,信用监管基础性、长效性作用更加有力。Since the pilot construction of medical insurance fund supervision credit system in 2019,Ganzhou has fully implemented the"373"high-quality project of medical insurance fund supervision and built a"4+7+X"system.In 2021,Ganzhou completed the credit evaluation of 583 designated medical institutions,15064 medical insurance doctors and 20 agencies,and established 23 joint reward and punishment measures including 12 industries.The basic and long-term role of credit supervision is more powerful.

关 键 词：医保基金监管 医疗机构 信用评价 信用指标 

分 类 号：F840.684[经济管理—保险] C913.7[社会学]