Core Viewpoint - The integration of the employee mutual assistance program with medical insurance has significantly streamlined the process for employees to claim medical assistance, allowing for online applications and faster payouts, enhancing the overall efficiency and accessibility of the service [1][5][6]. Group 1: Service Transformation - The "Employee Home" APP has enabled over 95% of employees in Heilongjiang Province to apply for mutual assistance funds online, marking a fundamental shift in the process [1]. - The mutual assistance program has evolved into a "secondary medical insurance" system, allowing employees to claim funds online without the need for physical paperwork [1][3]. - The integration with local medical insurance data has reduced the claim processing time from 5-10 days to just 8-12 hours, increasing efficiency by 15 times [5]. Group 2: Data Integration and Efficiency - The Heilongjiang office became the first in the country to achieve real-time data sharing with 5000+ medical institutions and seamless integration with banking systems [2]. - The mutual assistance program reported a significant increase in participation, with nearly 26.18 million insured individuals and over 1.27 million claims processed, resulting in mutual assistance payouts exceeding 1.358 billion yuan, both figures showing over 17% year-on-year growth [5]. Group 3: Employee Experience - Employees have expressed high satisfaction with the new system, highlighting the ease of application and the quick receipt of funds, which alleviates financial pressure during medical emergencies [3][4]. - The program has fostered a sense of trust and support among employees, as they can now apply for assistance without disclosing their medical conditions to their employers [2][3]. Group 4: Future Directions - The mutual assistance program aims to further enhance service precision and digitalization, focusing on improving claim efficiency and expanding differentiated coverage [6]. - The initiative aligns with the broader goal of providing more accessible and accurate support to employees, ensuring that the mutual assistance policy is effectively implemented and meets the needs of workers [6].
【四中全会精神在基层·探会】工会速度:职工“二次医保”一天到账
Xin Lang Cai Jing·2025-12-21 20:41