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2024年09月04日
第02版：要聞 PDF版

做實(shí)做細(xì)以案促改 維護(hù)醫(yī)保基金安全

本報(bào)訊（記者 邱一帆 通訊員 郭俊偉）8月31日，周口市醫(yī)療保障局召開(kāi)違法違規(guī)使用醫(yī)?；鹨园复俑聂呔窘逃髸?huì)。會(huì)議通報(bào)了華中科技大學(xué)同濟(jì)醫(yī)院、鄭州市第六人民醫(yī)院、三明市第一人民醫(yī)院等20起違法違規(guī)使用醫(yī)保基金和欺詐騙保典型案例，分析了當(dāng)前醫(yī)保基金使用監(jiān)督管理的形勢(shì)。

醫(yī)保基金是人民群眾的看病錢(qián)、救命錢(qián)，市紀(jì)委監(jiān)委駐市人社局紀(jì)檢監(jiān)察組要求各級(jí)各部門(mén)要提高政治站位，切實(shí)增強(qiáng)維護(hù)醫(yī)?；鸢踩呢?zé)任感與使命感，嚴(yán)厲打擊欺詐騙保行為，堅(jiān)決剎住欺詐騙保不正之風(fēng)，確?；鸨O(jiān)管工作取得實(shí)效。

會(huì)議指出，按照2024年全國(guó)打擊欺詐騙保專項(xiàng)整治工作部署，專項(xiàng)整治工作聚焦重點(diǎn)領(lǐng)域和重點(diǎn)藥品、耗材，嚴(yán)厲打擊虛假就醫(yī)、藥品倒賣(mài)等重點(diǎn)騙保行為，加大監(jiān)管力度。

會(huì)議要求，要增強(qiáng)法治意識(shí)、底線意識(shí)，依法監(jiān)督規(guī)范服務(wù)，合法合規(guī)使用醫(yī)保資金。針對(duì)市政府督查指出的問(wèn)題，各醫(yī)共體要強(qiáng)化內(nèi)部制度建設(shè)；各定點(diǎn)醫(yī)藥機(jī)構(gòu)要強(qiáng)化診療規(guī)范，認(rèn)真開(kāi)展自查自糾；全體醫(yī)務(wù)人員要涵養(yǎng)良好醫(yī)德醫(yī)風(fēng)，避免因小失大葬送前途。

會(huì)議強(qiáng)調(diào)，要壓實(shí)責(zé)任、各司其職、真抓真改，切實(shí)做好以案促改。醫(yī)保部門(mén)要強(qiáng)化責(zé)任擔(dān)當(dāng)，守好基金監(jiān)管總閘門(mén)；醫(yī)共體和醫(yī)藥機(jī)構(gòu)要強(qiáng)化行業(yè)自律，管好基金使用責(zé)任田；醫(yī)務(wù)人員要強(qiáng)化法規(guī)學(xué)習(xí)，守護(hù)好基金使用最前線。②11

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