此前，我们在开展民生领域监督走访中，不少群众反映线下办理医保业务流程繁琐、异地就医备案往返 跑腿、政策知晓不及时等问题。县纪委监委立足"监督的再监督"职责定位，迅速组建"室组地"联动监督 组，直奔医保服务大厅、乡镇便民中心等一线，通过实地查看窗口流程、与参保群众面对面座谈、查阅 业务台账等方式，系统梳理出线下办事环节冗余、政策宣传覆盖不全、老年群体操作不便等突出问题， 形成详细问题清单，向县医保局制发纪检监察建议书，明确整改任务及完成时限，层层压实主体责任。 为确保问题整改到位、取得实效，我们建立"周调度、月通报、季评估"闭环监督机制，联合派驻纪检监 察组查看整改进度，每月通报各责任股室落实情况，每季度组织群众代表开展满意度测评，对推诿扯 皮、整改不力的严肃追责问责。在监督推动下，县医保局紧扣群众需求，全力推进医保服务数字化转 型，在"宝清县医疗保障局"微信公众号嵌入"医保服务"功能模块。功能模块不仅实现了个人医保账户查 询、缴费记录查询等基础功能，更整合异地就医备案、参保登记、居民医保缴费等高频业务的在线办理 通道，其中异地就医备案从原来的"线下提交、3个工作日办结"优化为"线上申请，当日即办"。 近日，黑 ...

Core Points - Beijing's Medical Insurance Bureau has announced the addition of 11 new designated medical institutions for medical insurance services, including the Tongzhou Liyuan Gonghe Community Health Service Center [1] - Seven medical institutions, including the Chaoyang District Jian Sheng Nursing Home Medical Room, will no longer provide medical insurance services due to inability to continue [1] - Two designated medical institutions, including Beijing Aerospace Hospital, are now eligible to offer "Internet+" medical insurance services [2] Group 1 - 11 new medical institutions have been added to the designated medical insurance provider list, which will offer standardized, high-quality, and convenient services to insured individuals [1] - Seven institutions have had their agreements terminated and will no longer bear medical insurance responsibilities, with costs incurred at these institutions not covered by the medical insurance fund [1] - Beijing Aerospace Hospital and Huairou District Traditional Chinese Medicine Hospital have signed supplementary agreements to provide "Internet+" medical insurance services [2] Group 2 - 35 designated medical institutions, including Xuanwu Traditional Chinese Medicine Hospital, have undergone information changes [2] - Beijing Changping Traditional Chinese Medicine Hospital has been issued a breach notice for violating medical insurance service agreements [2] - After rectification, Beijing Changping Qianai Clinic has met the conditions to be a designated medical insurance institution, and the yellow card warning has been lifted [2]

Core Points - Beijing has launched a month-long campaign to promote universal basic medical insurance coverage, aiming to enhance accessibility and convenience for residents [1][2] - The city has achieved a basic medical insurance coverage rate of over 95%, meeting the goals set for the 14th Five-Year Plan [1][2] Group 1: Universal Coverage Initiatives - The campaign includes signing cooperation agreements with banks, hospitals, and community representatives to establish standardized "medical insurance service stations" [1] - The city is focusing on optimizing insurance services through data sharing among various departments, ensuring automatic enrollment for eligible individuals [1][2] Group 2: Service Enhancements - The introduction of a one-stop settlement system aims to reduce the financial burden on vulnerable groups, with the threshold for major illness insurance lowered to 30,404 yuan and reimbursement rates increased [2] - Continuous improvements in payment services and the implementation of an integrated online platform are designed to streamline the insurance process for residents [2] Group 3: Community Engagement - During the promotional month, the insurance department will conduct outreach activities in enterprises, rural areas, communities, schools, and hospitals to ensure comprehensive coverage of the campaign [3] - Collaboration with various social entities aims to expand the network of medical insurance service stations, providing essential services within a 15-minute radius for residents [3]

Core Points - The implementation of direct payment of maternity benefits in Shaanxi Province has significantly improved the efficiency of the application process for insured female employees [1][2] - The new policy allows maternity benefits to be deposited directly into the personal accounts of insured women, eliminating the previous lengthy process involving multiple steps and delays [1] - The initiative is expected to benefit approximately 120,000 insured employees annually, with an estimated expenditure of nearly 2 billion yuan from the medical insurance fund [1] Group 1 - The first beneficiary of the new direct payment policy received 31,919.19 yuan within 24 hours of application, showcasing the speed of the new system [1] - Previously, the application process for maternity benefits required extensive paperwork and could take over a month to complete [1] - The new policy was initiated on October 1 by the Shaanxi Provincial Medical Security Bureau, which aims to enhance the efficiency of maternity benefit disbursement [1] Group 2 - The Shaanxi medical insurance information platform will automatically verify eligibility for maternity benefits, ensuring that funds are allocated correctly and preventing fraudulent claims [2] - Female employees can now apply for maternity benefits through the "Shaanxi Medical Insurance" app or via WeChat and Alipay, simplifying the application process [2] - The measures are designed to protect the rights of insured female employees, improve operational efficiency, and encourage higher birth rates [2]

Core Points - The launch of the "One Code Payment" service in Guangdong Province significantly enhances the medical experience for insured individuals by allowing them to complete medical reimbursements and out-of-pocket payments with a single scan or facial recognition, eliminating the need for multiple platforms and scans [1][2] - The "One Code Payment" integrates third-party payment channels with existing medical insurance code functionalities, streamlining the entire medical process from registration to payment [1] - The service employs advanced security measures, including facial recognition and real-name verification, to protect personal information and prevent fraudulent activities related to medical insurance [1] Industry Developments - Shenzhen's Medical Insurance Bureau has been actively promoting reforms in medical insurance services, transitioning from a "card era" to a "code era" and "face era" through the implementation of electronic medical insurance credentials and mobile payment options [2] - Over 18.98 million medical insurance codes have been activated in Shenzhen, with more than 99% of designated medical institutions supporting full-process applications of the medical insurance code [2] - The Medical Insurance Bureau aims to further develop smart medical insurance services and expand the application of "One Code Payment" and facial recognition in medical services, enhancing the overall experience for insured individuals [2]

Core Insights - Qingdao's Medical Insurance Bureau has implemented a digital reform to enhance the convenience and efficiency of transferring medical insurance relationships for mobile workers, resulting in increased satisfaction among participants [1][2]. Group 1: Digital Transformation and Efficiency - The introduction of the "fully online" service allows participants to submit applications through the Qingdao Medical Insurance Bureau's website and WeChat mini-program without any paper documents, reducing processing times significantly from 45 working days to 15 days for inter-provincial transfers and 9 days for intra-provincial transfers, with some transactions completed on the same day, achieving an efficiency improvement of over 80% [2]. - From January 2022 to May 2025, over 113,000 online medical insurance relationship transfers have been processed, with the online transaction volume increasing from 36.17% in early 2022 to 98.51% by early 2025, marking a growth of nearly 62.34% [2]. Group 2: User Experience and Satisfaction - The "no application required" service for intra-provincial transfers allows participants to have their medical insurance registration and relationship transfer completed simultaneously, with a satisfaction rate exceeding 98% among the 1,231 participants who have utilized this service since its launch in December 2023 [2]. - The Qingdao Medical Insurance Bureau has also introduced remote processing options for participants who are away from the city, enabling them to complete their applications through online systems after identity verification, promoting a "zero-contact" service experience [3]. Group 3: Future Developments - The Qingdao Medical Insurance Bureau plans to further enhance its "Internet + Medical Insurance" reforms by expanding "intelligent fast processing" and "cross-provincial processing" scenarios, aiming to improve service speed and increase the sense of gain and happiness for mobile workers [3].