江西省泰和县医保局从严控医疗费用总量入手,加强医保药费的稽核。主要做法是:严格控制定点医疗机构人均住院费用和医保年度医疗费用支出总额。同时,加强网上监控,分析核查疑点,及时与定点医疗机构进行沟通;加强对大额住院费用病历的实地稽查,对住院人数增加较多的医院跟踪稽查;对屡次违规的医务人员列入重点监控名单,定期对这 Taihe County, Jiangxi Province, Medicare strictly control the total amount of medical expenses start to strengthen the medical insurance drug audits. The main approach is: Strict control of fixed-point medical institutions per capita hospitalization expenses and health insurance annual total medical expenses. At the same time, strengthen online monitoring, analysis and verification of doubtful points in time with the designated medical institutions to communicate; strengthen the large-scale hospital expenses medical records on-site inspection, hospitalization increased the number of hospital follow-up inspection; repeated violations of the medical staff included in the focus of monitoring List, on a regular basis this