北京安贞医院2025年医保工作大会圆满召开

Core Points - The Beijing Anzhen Hospital held a conference on July 28, 2023, to promote the "Standardized Diagnosis and Treatment Behavior, Reasonable Use of Medical Insurance Fund" initiative for 2025, in line with the directives from the central government [1][15] - The conference aimed to enhance the management of medical insurance funds and ensure their safe and reasonable use, addressing issues of corruption and improper practices in medical services [1][9] Group 1 - The hospital established a "Responsibility Letter for Standardized Diagnosis and Reasonable Billing" in accordance with the requirements of the Beijing Medical Insurance Service Agreement [3] - Representatives from five party branches signed the responsibility letter, committing to prioritize the safety of medical insurance funds alongside medical safety [3] - The hospital recognized 10 individuals as "Outstanding Medical Insurance Managers" and 10 as "Outstanding Price Managers" for their proactive and responsible work in managing medical insurance risks [3] Group 2 - The hospital's Vice President, Cai Jun, highlighted the establishment of a smart, professional, and standardized medical insurance management system, which has improved staff awareness of policies and risk management [7] - The hospital's Party Secretary, Zhang Hongjia, emphasized the importance of understanding the complexity and sensitivity of medical insurance work, urging strict adherence to regulations and the establishment of a robust management system [9] - A report on the practical enforcement of medical insurance fund supervision was presented, warning against fraudulent practices and emphasizing the need for professional integrity [11] Group 3 - Training sessions were conducted on topics such as standardized diagnosis behavior, medical insurance payment qualification management, and pricing billing [14] - The conference aimed to promote legal, compliant, and reasonable diagnostic services across all clinical and technical departments, reinforcing the responsibilities of department heads and medical staff [14] - The hospital plans to continue guiding staff to adhere to diagnostic norms and protect the integrity of the medical insurance fund, ensuring patient rights are upheld [14]