Jiangxi to health insurance designated institutions designated "red line"

2017-06-16 07:22:13 | Source: Health News

      Recently, the Jiangxi Provincial Social Security Center issued "on the establishment of the provincial level of basic medical insurance sentinel mechanism to withdraw the mechanism of notice" clear, the establishment of the provincial level of basic medical insurance designated medical institutions to withdraw from the mechanism for the designated medical institutions 20 "red line" The more "line" to quit.

      The 20 "red lines" mainly include: "medical institutions permit" "drug business license" and other six documents any cancellation, was revoked or expired failure; to take fraud and other improper means to become a designated medical institutions, for information Change the registration procedures to provide false information, forged evidence; do not match, refused to even obstruct the relevant functional departments in accordance with the law in accordance with the relevant medical insurance related to the daily management, cost audit audit, examination and inspection, information transformation and other work; To continue to provide services for the insured; service agreement within the period due to suspension of service agreement was suspended twice due to violation of medical insurance regulations by the audit department, supervisory department notification or violation of medical insurance regulations by the news media exposure, resulting in adverse social impact; "Integrity red and black list" dishonest list of blacklist or medical security management system blacklist, and other illegal hedging funds, tampering with health insurance settlement data, a major security incidents and other acts.

      The province of clear, designated medical institutions by the existence of "notice" listed in one of the 20 acts, the termination of the provincial level of basic medical insurance sentinel service agreement, exit the provincial level medical insurance fixed-point institutions.