新型农村合作医疗多元化监管模式的探讨与应用

江油市自开展新型农村合作医疗以来,始终坚持以"惠民、利民、便民"为出发点和落脚点,大胆管理,积极探索一条新型农村合作医疗的多元化监管模式,采取数据指标考核、制定目标责任协议书、实时系统医疗审核、电话回访审核、抽查病历审核、定期或不定期到定点医疗机构稽查审核相结合,确保了新型农村合作医疗基金在可控、可计划的范围内正常运行,规范了定点医疗机构的医疗服务行为,维护了参保人员的合法权益,使农民朋友真正得到了实惠。

Applicasion of pluralism regulation mode and with new rural cooperative medica

Since the our city development of new rural cooperative medical care since,always adhere to the"Huimin,benefit,convenience"as the starting point and goal,bold management,actively explore a new rural cooperative medical care a plurality of supervision mode,take the data index assessment,goal setting responsibility agreement,real-time system of medical audit,audit,inspection records of telephone visit audit,regularly or irregularly to designated medical institutions inspection audit combination,to ensure that the new rural cooperative medical fund in the controllable,can plan the scope of normal operation,standardize the fixed medical institutions in medical service behavior,safeguard the legitimate rights and interests of the insured,so that farmers get the real benefit.