Henan yu two departments of 2.7 million of communication to repeat the cure
Urban medical insurance (hereinafter referred to as the town cure) and the new rural cooperative medical (hereinafter referred to as the new farmers is the national solution), urban and rural medical care, expensive and the huimin policy.
According to the regulation, urban and rural people, only one of the corresponding ginseng. But in YuZhouShi, because these two by two department organizes and medical insurance in last year’s work, they lack of communication and verification, cause 27,000 people repeated ginseng. Yesterday, reporters here to yu to look into these issues.
The audit storm.
11 million, total ginseng insufficient repeat ginseng 27,000
On August 30, 2009 ShenJiTing issued the provincial budget implementation and other budgetary revenues and expenditures of the audit report and notify the investigation of a series of problems.
In the report, in the province of disclosure ShenJiTing province town worker and residents of the medical insurance fund, repeat audit shows, including general situation, the ginseng of urban residents YuZhouShi medical insurance and the new rural cooperative medical 27160 da. Repeat ginseng
And YuZhouShi relevant departments YuZhouShi statistics show that in town last year of new agricultural insurance and total about 11 million people. 11 million ginseng is 2.7 million people among the ginseng of belong to repeat.
What is YuZhouShi related departments to implement the medical insurance? Why the number of repeat ginseng so high? Yesterday morning, the reporter interviewed the related departments.
The reason survey.
Health: insurance center situation. Master
Yesterday, YuZhouShi in October, is in charge of bureau deputy director of NCMS WuRongXin introduces to the reporter said, YuZhouShi social medical insurance are divided into two parts, one is that part of the town is the new agricultural insurance.
The former YuZhouShi by inductrial injury medical treatment of birth insurance center (hereinafter referred to as the insurance center) is responsible for the health, the latter by departmental and responsible for and charge.
He said, YuZhouShi from 2007 to farmers and the new. In the new NongGeGong YuZhouShi bureau of rural people, the family unit is adopted, in line with the government RuBao voluntarily, the principle of NCMS, handle, at work, they can all subordinates grassroots department.
The main targets of ginseng for farmers and landless farmers and urban better-paying jobs. WuRongXin said, according to the regulation, farmers cannot attend urban health care. But because of insurance center to not accurate, causing some farmers and downtown yu land-losing farmers participated in the town. He explained the repeat last year, yu with bureau, ginseng without any relationship.
Insurance center: information cannot share
According to WuRongXin, journalists and then to get insurance center, vice director ZhouJianBo verification.
According to ZhouJianBo said, yu downtown office and four shenhou, farmers there in township account relationship has been identified as urban residents, accord with a condition, so for urban cure for these people, they handle the town.
ZhouJianBo explained, the town of time is dealt with in the medicare July to October, while the new farmers with time is 10 months later, apparently health systems in the implementation of the new NongGeGong lax, causing some people strictly repeat ginseng.
ZhouJianBo introduced, including this year, insurance and health center in town, medical and new NongGeGong, each have a ginseng protect personnel information platform, which can realize two platform of information sharing, causing some repetitive ginseng and check out the phenomenon.
A YuZhouShi bureau of anonymity, said chief introduction in the town of insurance and NCMS, superior departments in the process of implementation of these two companies annually in insurance number and proportion of ginseng to a target.
Both the actual figures, they should not be below index in the medical work to finish the task and index, did not communicate between two departments, serious identity verification ginseng to keep staff, that there is a repeated ginseng phenomenon.
[afterwards action.
The medical department has two tightly
According to the provincial ShenJiTing disclosure, YuZhouShi 2.7 million last year, after repeated problems caused by the ginseng of YuZhouShi channels and two levels of government.
Therefore, YuZhouShi September 3, YuZhouShi together again in the morning and insurance center director bureau held meeting, the two units, future requirements must be strictly the cure, resolutely prevent similar incident has occurred.
Insurance ZhouJianBo, deputy director of the center, said that the province in ShenJiTing report immediately after the 26 labor have issued a notice, they must strict screening ginseng protect personnel, keep repeating ginseng identity.
YuZhouShi bureau deputy director WuRongXin said, they learn it, special meetings, reporting bureau YuZhouShi repetitive events, the ginseng of 26 township in the upcoming new farming and handle the ginseng protect personnel, strict during ShenZhaGuan qualification, resolutely to repeat ginseng phenomenon.
Repeat than actual expenses reimbursement ginseng
September 3 in the afternoon, the reporter YuZhouShi HanCheng offices found a repeat protects a person to wang li (a pseudonym). At home, she has lost land in September 2008 by her bid for the village and town of 2009. Soon, a new farming and began cutting, with dozens of yuan, a new farmers can repeat after medical expense of “sell”, she is a new farming and ginseng.
October 2009, she spent 25 female cesarean section, the multivariate NCMS reimbursement, she took the expense documents came to town for a second medical expense reimbursement. Finally, two reimbursement, she not only paid cesarean section 200 yuan.
Insurance center, vice director ZhouJianBo introduced last year, many people, they repeated ginseng have special requests are relevant departments and channels of reimbursement policy is to repeat the ginseng, in accordance with the relevant personnel should also reimbursed, the general principles for reimbursement ratio is twice, and shall not be higher than the actual amount of reimbursement of medical expenses. Therefore, in accordance with the requirements YuZhouShi will operate.
According to the introduction, the researchers repeated ginseng does not conform to the superior fiscal policies and requirements. Each one, the ginseng of repetition, provincial, municipal and county finance are more financial subsidies, and repeat ginseng should immediately stopped and problems.
And YuZhouShi repeat ginseng, disclosed problems related departments of social harmony, no longer consider for repeat ginseng to keep staff and two medical liability for unit.