群众工作札记丨促进医保服务提质增效

Core Viewpoint - The article highlights the successful implementation of digital transformation in medical insurance services in Baoqing County, Heilongjiang Province, significantly improving the efficiency and accessibility of medical insurance processes for residents [1][2][3][4]. Group 1: Digital Transformation of Medical Insurance Services - The Baoqing County Medical Insurance Bureau has integrated a "Medical Insurance Service" module into its WeChat public account, allowing residents to handle high-frequency services such as cross-regional medical treatment registration and insurance payment online [2][4]. - The process for cross-regional medical treatment registration has been optimized from "offline submission with a 3-day processing time" to "online application with same-day processing" [2][4]. - The new digital services have resulted in an average processing time reduction of 2 working days compared to offline methods, with 17,045 service transactions completed and 6,332 residents registered for the service [3]. Group 2: Addressing Special Needs and Community Engagement - The interface design has been specifically optimized for elderly users, with simplified operation steps and community grid workers providing one-on-one training to bridge the digital divide [3]. - The initiative has effectively improved communication of policy updates and reimbursement notifications through targeted WeChat messages, enhancing public awareness and access to services [3]. Group 3: Oversight and Accountability - A closed-loop supervision mechanism has been established, including weekly scheduling, monthly reporting, and quarterly evaluations to ensure effective problem resolution and accountability among responsible departments [2]. - Since the initiation of oversight in the public welfare sector, 30 problem leads have been accepted, resulting in 15 cases being filed and 14 individuals receiving disciplinary actions [3].