Legal analysis: In order to strengthen the leadership of medical insurance, our hospital has set up a medical insurance work leading group composed of relevant personnel to clarify the division of responsibilities to people and ensure the implementation of medical insurance work objectives and tasks from the system. Organize all the staff to study the relevant documents carefully for many times, find out the gap, and actively rectify according to the actual work in our hospital. Focusing on the future and keeping pace with the times, * * * will discuss the next medical insurance work and create a new situation of harmonious medical insurance. Our hospital regards medical insurance as a major event in the hospital, actively cooperates with the medical insurance department to strictly control non-conforming treatment items and drugs that should not be used, and resolutely puts an end to the illegal phenomenon of defrauding medical insurance funds. Strengthen self-discipline management and promote our hospital to strengthen self-supervision, self-management and self-discipline. Further establish a good image of designated hospitals for medical insurance.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.