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Jilin Daily News (reporter Liu Guiyun)2019 is a key year for poverty alleviation. How to solve the cumbersome procedures, network blockage, complicated procedures, manual accounting and other problems in the reimbursement of medical poverty alleviation has always been the livelihood of Lishu County Party Committee and county government. The county pays close attention to the goal and task of "two do not worry about three guarantees", makes full use of active policies, innovatively implements the "one single clear" settlement mechanism of medical poverty alleviation reimbursement subsidy, gives full play to the role of various policies and systems such as basic medical care, serious illness insurance and medical assistance, and effectively improves the benefit level of medical security for the poor population.
Since the beginning of the year, in accordance with the requirements of national institutional reform, Lishu County has incorporated the original new rural cooperative medical system compensation and reimbursement system, civil assistance and subsidy system and serious illness insurance reimbursement system into a platform based on the original provincial new rural cooperative medical system, integrating the new rural cooperative medical system of the Health Bureau, the medical insurance of the Human Resources and Social Security Bureau, the medical assistance of the Civil Affairs Bureau, and the pharmaceutical price management of the National Development and Reform Commission. Successfully developed a "single clearing" network settlement system for medical poverty alleviation reimbursement subsidies, which solved outstanding problems such as different business departments before transfer, self-use of compensation reimbursement network system, time-consuming and laborious settlement of multiple Windows for rural cooperative medical reimbursement settlement, numerous printing of compensation bills, and failure to settle the next business due to problems in the previous link. With a "poverty alleviation cover compensation settlement list", integrate the new rural cooperative medical care, medical assistance, serious illness insurance and serious illness cover four reimbursement payments. The original need to run several departments to find a few people to do things, now to a window 1 person can be completed, not only improve the efficiency of medical institutions, reflects the "one-stop" convenience, benefit the people's service purpose, but also effectively improve the satisfaction of poor people.
Zhao Wanchun, deputy director of the Medical insurance Bureau of Lishu County, said: "Through a platform, the past four Windows and four groups of personnel are respectively handled into the current one window and one platform, which mainly solves the problem of the past one kilometer after the medical security policy of the masses in the reimbursement process, and realizes the purpose of running only once for the convenience of the people."
"Since the implementation of the poverty alleviation policy, our hospital has received more than 2,000 poverty alleviation patients, and after the implementation of 'one-stop' service, poor patients have truly experienced the convenience and benefits brought by the poverty alleviation policy." Lishu County, a people's hospital medical insurance section director Zheng Shujing said.
Through the "four single in one" and "one-stop" service, the service function of the poverty alleviation reimbursement subsidy "one single clear" network settlement system is enhanced, the accuracy of settlement is ensured, and the reimbursement link is simplified, and the whole process of reimbursement is completed in one window. Since July this year, the system has been gradually installed and normally used in designated medical institutions in Lishu County and township level. In September, the poverty alleviation reimbursement subsidy "One single clear" network settlement system developed by Lishu County was promoted and used throughout the province by the Provincial Medical Security Bureau.
