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为有效应对医保管理的新挑战,成都市按照人社部“数字人社”建设思路,围绕“经办服务、制度运行分析与监控、决策辅助”三位一体的医疗保险营理体系构架,以丨目息化建设为抓手,全力推进由智目辟甫助审核、实时在线监控、廉政风险防控、社会监督、个人权益维护等5大子系统构成的医保管理体系建设,以期提升医保治理能力和水平,实现精确管理。
In order to effectively deal with the new challenges of medical insurance management, in accordance with the idea of building a “community of people by numbers” of the Ministry of Human Resources and Social Security, Chengdu City, focusing on the “three-in-one health insurance management system framework of” handling services, system operation analysis and monitoring, and decision support " , With emphasis on informatization construction as the starting point, efforts should be made to promote the construction of a healthcare insurance management system consisting of five major sub-systems, including audit, real-time on-line monitoring, anti-corruption risk prevention and control, social supervision and protection of individual rights and interests, Medicare governance ability and level, to achieve accurate management.