Pasted one for reference only.
It is human nature to seek medical treatment, and the medical insurance system has naturally become a hot topic of concern to the public.
Chaoyang District has tens of thousands of units participating in medical insurance, nearly 1 million people are insured, and there are more than 200 designated medical institutions in the district, accounting for one-fifth of the city's workload.
The department responsible for the medical insurance work in Chaoyang District is the Medical Insurance Section of the Chaoyang District Labor and Social Security Bureau. The section chief, Comrade Qu Yali, is affectionately called a "good steward" of medical insurance work by patients and staff in medical institutions in Chaoyang District.
For the sake of insured patients, you may still remember that during the planned economy, medical treatment and medication were borne by the unit. After the implementation of medical insurance, it will be borne by the medical insurance. This not only reduces the burden on the unit, but also enables patients to receive medical treatment in a timely manner.
The insurance reimburses the drug expenses, which solves the financial burden caused to patients because the unit has no money to reimburse the drug expenses.
Although the medical insurance policy in Beijing has been running smoothly since the implementation of the basic medical insurance system on April 1, 2001, due to the short accumulation time of medical insurance funds, patients still need to bear most of the medical expenses after reimbursement. Supplementary medical insurance and
Medical assistance to extremely poor people is imperative.
All beginnings are hard.
On the one hand, patients are overburdened with medical expenses; on the other hand, the unit focuses on unit efficiency and is unwilling to pay for it to employees; on the other hand, the costs of medical institutions remain high.
With a sense of responsibility of "thinking everything for the insured patients", Qu Yali went deep into enterprises and hospitals to explain policies, reasoning, patients' difficulties, and the situation of medical insurance, helping enterprises to improve the significance and related aspects of establishing supplementary insurance.
Understand the medical assistance policy, accelerate the pace of supplementary insurance and medical assistance for extremely poor people in our district, and help patients solve medical assistance problems.
Retired employee Mao Junying is the first kidney dialysis patient to receive assistance after Beijing launched the assistance policy.
He has been suffering from uremia for 10 years and needs dialysis three times a week to maintain his life.
When Qu Yali and her colleagues came to Mao Junying's home to offer condolences, they were shocked by the sight in front of them. There were only a few necessary old furniture in the small room, and there was not a single electrical appliance in the house.
Because of the arrival of guests, the host turned on the dusty light bulb hanging from the roof.
She and her husband earn more than 800 yuan a month. In addition to paying for their children's education, all the money the family saves is used for her treatment.
Considering Mao Junying's practical difficulties, Qu Yali made many contacts with a hospital in the area that was close to the patient's home. In the end, the director of this hospital was dismissed by Director Qu who took the trouble to help the patient who was not a relative.
Later, he was moved and agreed to accept the patient.
In this way, Mao Junying's dialysis at this hospital is not only close to her home, but also partially exempted from the cost, thereby alleviating some of her family's difficulties.
Afterwards, Mao Junying came to the Medical Insurance Department in person and sent a letter of thanks full of gratitude.
She believes that by making one more phone call, writing one more request for instructions, and going to the hospital a few more times, although she has a little more trouble, she can reduce the number of people who have to run away, and many things that are difficult for the people can be properly solved.
It's worth the trouble because we are the people's servants.
All services for medical institutions The management of medical institutions is a regular and important task of the Medical Insurance Department.
In view of the characteristics of small but numerous designated medical institutions in our district, Qu Yali presided over the formulation of the "Supplementary Service Agreement for Designated Medical Institutions in Chaoyang District", which is the first supplementary agreement in the management of designated medical institutions in our city.
The introduction of the "Supplementary Service Agreement" makes medical insurance management more operable and more binding for medical institutions, thereby making medical insurance management more transparent and open.
Two years of practice have shown that this agreement has achieved positive effects and good results in supervision and management, and has been promoted throughout the city.
In order to promptly grasp the problems existing in the medical insurance work of designated hospitals above the second level in the region and provide guidance on medical insurance work to medical institutions, the directors in charge of medical insurance work in each hospital should attend the meeting on time no matter what happens.
It is said that regular meetings allow managers and those being managed to become one family. A good housekeeper in the family is Director Qu. Attending meetings can not only strengthen communication, but also learn a lot of policies and knowledge at each regular meeting. Regular meetings are a "good job" for us to do a good job.
stand".
In 2003, a medical institution in our district was stripped of its designation as a designated hospital by the Municipal Medical Insurance Center.
Qu Yali patiently helped them analyze the causes of problems, identify gaps, and formulate corrective measures, thereby improving the overall management level of the hospital.
Qu Yali seized the opportunity and communicated with relevant city departments many times to win the opportunity to restore the hospital's designated status, thus making this hospital a hospital that had its qualifications reinstated after being disqualified.
This is also the only hospital in the city that was reinstated after being disqualified.
In the eyes of Corey's comrades, this was simply impossible.
The dean also said: "Unexpectedly, Director Qu not only gave us severe criticism, but also helped us seize the opportunity to do a good job again." Now the hospital's medical insurance management is among the best among first-level hospitals, and it is led by a
The violator becomes an advanced model.
She sets an example for her colleagues in everything she does. "She handles all matters reported by the masses seriously, properly and quickly." This is Comrade Qu Yali's overall evaluation of her work.
Under her influence, the staff of the Medical Insurance Department will listen carefully, explain patiently, and handle them properly whenever they receive visits or calls from the public.