4399在线视频免费观看

近日，曲阜市(shi)積極倡導誠信醫(yi)保(bao)理(li)念(nian)，加強醫(yi)保(bao)信用服務體系建設，加大對違法失信行為的懲戒和打擊力度，維護醫(yi)療保(bao)險基金的運(yun)行安(an)全(quan)。

加強制(zhi)度建設，完(wan)善(shan)信用(yong)管(guan)(guan)理(li)機(ji)制(zhi)。一是完(wan)善(shan)相關管(guan)(guan)理(li)辦(ban)(ban)法(fa)。根據2010 年10 月全(quan)國(guo)人(ren)(ren)(ren)大頒布的《中華人(ren)(ren)(ren)民共(gong)和(he)國(guo)社會保(bao)險(xian)(xian)法(fa)》。曲(qu)(qu)阜(fu)(fu)市人(ren)(ren)(ren)社部門(men)陸(lu)續出(chu)臺了《曲(qu)(qu)阜(fu)(fu)市城鎮(zhen)基本醫療(liao)保(bao)險(xian)(xian)定(ding)(ding)(ding)(ding)點服務機(ji)構(gou)(gou)資格認定(ding)(ding)(ding)(ding)考核辦(ban)(ban)法(fa)》《曲(qu)(qu)阜(fu)(fu)市醫保(bao)定(ding)(ding)(ding)(ding)點醫療(liao)機(ji)構(gou)(gou)違法(fa)處理(li)辦(ban)(ban)法(fa)》《曲(qu)(qu)阜(fu)(fu)市市醫保(bao)定(ding)(ding)(ding)(ding)點零(ling)(ling)售藥店(dian)違反(fan)協議記(ji)分處罰管(guan)(guan)理(li)辦(ban)(ban)法(fa)》《曲(qu)(qu)阜(fu)(fu)市城鎮(zhen)職工(gong)基本醫療(liao)保(bao)險(xian)(xian)定(ding)(ding)(ding)(ding)點醫療(liao)機(ji)構(gou)(gou)和(he)定(ding)(ding)(ding)(ding)點零(ling)(ling)售藥店(dian)審定(ding)(ding)(ding)(ding)辦(ban)(ban)法(fa)》及《定(ding)(ding)(ding)(ding)點醫療(liao)機(ji)構(gou)(gou)違規處理(li)辦(ban)(ban)法(fa)》等管(guan)(guan)理(li)辦(ban)(ban)法(fa)。二是建立失信懲戒(jie)機(ji)制(zhi)。曲(qu)(qu)阜(fu)(fu)市完(wan)善(shan)定(ding)(ding)(ding)(ding)點醫療(liao)機(ji)構(gou)(gou)和(he)定(ding)(ding)(ding)(ding)點零(ling)(ling)售藥店(dian)準入機(ji)制(zhi)和(he)退出(chu)機(ji)制(zhi)建設，對違規失信機(ji)構(gou)(gou)不予準入，對在日常考核和(he)年度考核中不合格的“兩(liang)定(ding)(ding)(ding)(ding)”單位(wei)予以清(qing)退。

健全(quan)信(xin)(xin)(xin)(xin)用(yong)(yong)檔(dang)案(an)(an)(an)，完善(shan)誠信(xin)(xin)(xin)(xin)記錄。一(yi)是建立(li)健全(quan)參(can)保人(ren)(ren)員(yuan)(yuan)的信(xin)(xin)(xin)(xin)用(yong)(yong)檔(dang)案(an)(an)(an)。根據(ju)人(ren)(ren)社部《社會(hui)保險業(ye)務檔(dang)案(an)(an)(an)管(guan)理規定(ding)（試行(xing)）》要求，曲(qu)(qu)阜市(shi)建立(li)健全(quan)參(can)保人(ren)(ren)員(yuan)(yuan)信(xin)(xin)(xin)(xin)用(yong)(yong)檔(dang)案(an)(an)(an)管(guan)理，嚴格按照(zhao)規定(ding)對參(can)保人(ren)(ren)員(yuan)(yuan)的信(xin)(xin)(xin)(xin)用(yong)(yong)檔(dang)案(an)(an)(an)進行(xing)立(li)卷、歸(gui)檔(dang)、整(zheng)理、入庫等，截至目(mu)前，裝訂歷年參(can)保人(ren)(ren)員(yuan)(yuan)檔(dang)案(an)(an)(an)約40000 冊、財務檔(dang)案(an)(an)(an)約16000冊。二(er)是建立(li)醫(yi)(yi)療(liao)機(ji)構(gou)及從業(ye)人(ren)(ren)員(yuan)(yuan)信(xin)(xin)(xin)(xin)用(yong)(yong)檔(dang)案(an)(an)(an)。曲(qu)(qu)阜市(shi)建立(li)定(ding)點(dian)(dian)醫(yi)(yi)療(liao)機(ji)構(gou)醫(yi)(yi)師庫，制(zhi)(zhi)定(ding)定(ding)點(dian)(dian)醫(yi)(yi)療(liao)機(ji)構(gou)和醫(yi)(yi)師信(xin)(xin)(xin)(xin)用(yong)(yong)等級(ji)評(ping)價(jia)制(zhi)(zhi)度(du)，將定(ding)點(dian)(dian)醫(yi)(yi)療(liao)機(ji)構(gou)分為無級(ji)別(bie)、A、AA、AAA 等級(ji)別(bie)，完善(shan)信(xin)(xin)(xin)(xin)用(yong)(yong)評(ping)價(jia)體系。同時(shi)，建立(li)定(ding)點(dian)(dian)醫(yi)(yi)療(liao)機(ji)構(gou)從業(ye)人(ren)(ren)員(yuan)(yuan)的“黑(hei)名單”制(zhi)(zhi)度(du)，完善(shan)從業(ye)人(ren)(ren)員(yuan)(yuan)的信(xin)(xin)(xin)(xin)用(yong)(yong)檔(dang)案(an)(an)(an)記錄。

加(jia)(jia)(jia)大稽(ji)(ji)(ji)核(he)(he)(he)力(li)(li)度，打擊失信行(xing)為。近年來，曲(qu)阜(fu)(fu)市加(jia)(jia)(jia)大了(le)征繳(jiao)稽(ji)(ji)(ji)核(he)(he)(he)和(he)醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)稽(ji)(ji)(ji)核(he)(he)(he)的(de)力(li)(li)度，重點(dian)(dian)打擊醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)險領域違(wei)(wei)規(gui)失信行(xing)為，有(you)效地(di)維(wei)護了(le)醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)險基金的(de)運行(xing)安(an)全。一是(shi)強(qiang)化醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)稽(ji)(ji)(ji)核(he)(he)(he)工(gong)作(zuo)(zuo)。2008年已建立了(le)金保(bao)(bao)(bao)(bao)系統(tong)平臺(tai)，通過信息(xi)系統(tong)開(kai)展(zhan)醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)費用(yong)(yong)稽(ji)(ji)(ji)核(he)(he)(he)，有(you)效地(di)提(ti)高了(le)稽(ji)(ji)(ji)核(he)(he)(he)效率(lv)，同時，在信息(xi)系統(tong)稽(ji)(ji)(ji)核(he)(he)(he)的(de)基礎上結合群眾舉報加(jia)(jia)(jia)大現(xian)場稽(ji)(ji)(ji)核(he)(he)(he)的(de)力(li)(li)度，結合年度工(gong)作(zuo)(zuo)安(an)排開(kai)展(zhan)專項(xiang)醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)稽(ji)(ji)(ji)核(he)(he)(he)活動(dong)(dong)，醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)稽(ji)(ji)(ji)核(he)(he)(he)工(gong)作(zuo)(zuo)取得了(le)明顯的(de)成效。曲(qu)阜(fu)(fu)市通過不斷加(jia)(jia)(jia)強(qiang)“兩(liang)個定(ding)(ding)點(dian)(dian)”管理，全面整(zheng)治定(ding)(ding)點(dian)(dian)醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)服務(wu)(wu)中(zhong)的(de)違(wei)(wei)法(fa)(fa)(fa)、違(wei)(wei)規(gui)和(he)欺詐行(xing)為，加(jia)(jia)(jia)大對騙取醫(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)待遇及(ji)定(ding)(ding)點(dian)(dian)醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)機(ji)構、定(ding)(ding)點(dian)(dian)零售藥店、參(can)(can)保(bao)(bao)(bao)(bao)單位(wei)(wei)及(ji)參(can)(can)保(bao)(bao)(bao)(bao)人(ren)員(yuan)違(wei)(wei)規(gui)失信行(xing)為的(de)懲(cheng)戒和(he)打擊力(li)(li)度。截止2017年4月底(di)，發出稽(ji)(ji)(ji)核(he)(he)(he)通知書58份，共安(an)排現(xian)場稽(ji)(ji)(ji)核(he)(he)(he)60人(ren)次，責令6家(jia)(jia)定(ding)(ding)點(dian)(dian)服務(wu)(wu)機(ji)構限(xian)期整(zheng)改(gai)、暫(zan)停2家(jia)(jia)服務(wu)(wu)單位(wei)(wei)醫(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)服務(wu)(wu)協(xie)議(yi)、暫(zan)停12名醫(yi)(yi)(yi)(yi)(yi)生醫(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)處(chu)方權、取消2家(jia)(jia)定(ding)(ding)點(dian)(dian)單位(wei)(wei)醫(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)服務(wu)(wu)資格、停用(yong)(yong)27人(ren)次的(de)社會保(bao)(bao)(bao)(bao)障卡、稽(ji)(ji)(ji)核(he)(he)(he)扣款67萬元(yuan)。二是(shi)扎實開(kai)展(zhan)對參(can)(can)保(bao)(bao)(bao)(bao)征繳(jiao)的(de)稽(ji)(ji)(ji)核(he)(he)(he)。運用(yong)(yong)法(fa)(fa)(fa)律手段，充分發揮勞(lao)動(dong)(dong)監察(cha)行(xing)政執法(fa)(fa)(fa)職能，強(qiang)化對用(yong)(yong)人(ren)單位(wei)(wei)參(can)(can)加(jia)(jia)(jia)醫(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)的(de)稽(ji)(ji)(ji)核(he)(he)(he)力(li)(li)度，切實做到應(ying)保(bao)(bao)(bao)(bao)盡(jin)保(bao)(bao)(bao)(bao)。目前(qian)，稽(ji)(ji)(ji)核(he)(he)(he)企業110家(jia)(jia)，處(chu)理違(wei)(wei)法(fa)(fa)(fa)失信10多家(jia)(jia)，依(yi)法(fa)(fa)(fa)罰款65萬元(yuan)，新增(zeng)參(can)(can)保(bao)(bao)(bao)(bao)人(ren)員(yuan)4900人(ren)，醫(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)參(can)(can)保(bao)(bao)(bao)(bao)擴(kuo)面工(gong)作(zuo)(zuo)位(wei)(wei)居前(qian)列。