医保监管如果还停留于费用发生之后对医疗处方、服务项目等进行监督检查,这些年屡见不鲜的医保资金成“唐僧肉”问题就只会是水里按葫芦——此起彼伏。为此,一些统筹地区的医保管理部门不断改进监管方式,比如宁夏回族自治区统筹规划三级网络监控系统,把医疗机构、医院科室、医保医师信息库建设作为突破口,大大拓展了医保监控范围,并发现了更深层次的医保违规行为。再如天津市,变传统监管方式为医保实时监控,即通过信息化技术,对 Medicare supervision If you still stay after the cost of medical prescriptions, services and other supervision and inspection, these years are not uncommon medical insurance funds into “Tang monk meat ” The problem will only be the water according to gourd - one after another. To this end, a number of co-ordinating regional health care management departments continue to improve the regulatory approach, such as Ningxia Hui Autonomous Region, overall planning of three network monitoring system, the medical institutions, hospital departments, medical insurance physicians database construction as a breakthrough, greatly expanded the scope of health insurance monitoring and Found a deeper level of health insurance violations. Another example is Tianjin, change the traditional monitoring methods for real-time monitoring of health insurance, that is, through information technology, right