广东拟推出“医保信用积分”！
<section data-tools="135编辑器" data-id="104754" style="margin-bottom: 0px;"><section><section><section><section data-autoskip="1"><p style="text-align: left; outline: 0px; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; background-color: rgb(255, 255, 255); text-indent: 0em; margin: 0px; line-height: 1.6em;"><span style="text-indent: 0em; color: rgb(68, 68, 68); outline: 0px; visibility: visible; font-size: 15px; letter-spacing: 2px;">近日，广东省医疗保障局发布《广东医疗保障信用管理办法（征求意见稿）》（以下简称《办法》）。</span><span style="text-indent: 0em; outline: 0px; visibility: visible; font-size: 15px; letter-spacing: 2px; color: rgb(0, 82, 255);"><strong>广东省拟对医院、药店、参保人等进行医保信用信息采集、信用评价，实行信用积分管理，</strong></span><span style="text-indent: 0em; outline: 0px; visibility: visible; font-size: 15px; letter-spacing: 2px; color: rgb(0, 82, 255);"><strong>对守信进行激励、对失信进行惩戒，个人信用等级高或可以享受信用就医等便利措施，</strong></span><span style="text-indent: 0em; color: rgb(68, 68, 68); outline: 0px; visibility: visible; font-size: 15px; letter-spacing: 2px;">医院、药店信用等级高在日常监督检查或抽查中可减少检查频次。公开征求意见时间截至2023年7月26日。</span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;line-height: 1.6em;"><span style="outline: 0px;visibility: visible;font-size: 15px;letter-spacing: 2px;"><br style="outline: 0px;visibility: visible;"></span></p><p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;visibility: visible;margin: 0px;line-height: 1.6em;"><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;line-height: 1.6em;"><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;visibility: visible;line-height: 1.6em;"><span style="outline: 0px;visibility: visible;letter-spacing: 2px;background-color: rgb(0, 122, 170);color: rgb(255, 255, 255);font-size: 18px;"><strong style="outline: 0px;visibility: visible;"> 医院、药店、医生、参保人 </strong></span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;visibility: visible;line-height: 1.6em;"><span style="font-size: 18px;outline: 0px;visibility: visible;letter-spacing: 2px;background-color: rgb(0, 122, 170);color: rgb(255, 255, 255);"><strong style="outline: 0px;visibility: visible;"> 都是</strong><strong style="outline: 0px;visibility: visible;">信用主体 </strong></span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;line-height: 1.6em;"><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;line-height: 1.6em;"><span style="outline: 0px;visibility: visible;font-size: 15px;letter-spacing: 2px;">据了解，广东省医保局2022年2月开始开展研究制定医疗保障信用管理办法的工作，对全国社会信用建设的现状作了全面了解，研究了十多个医保信用体系建设试点的政策制度、评价指标、结果应用情况，重点研究了浙江、四川等省推广医疗保障信用管理的经验，以及深圳等市在开展信用评价和定点医药机构分级分类管理方面的做法，结合广东省实际情况起草了《办法》。</span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;line-height: 1.6em;"><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;line-height: 1.6em;"><span style="outline: 0px;visibility: visible;font-size: 15px;letter-spacing: 2px;">《办法》明确了信用管理的原则、信用主体的范围、信用信息采集范围、信用评价机制和等级、失信行为认定等内容。</span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;">根据《办法》，<span style="outline: 0px;font-size: 15px;letter-spacing: 2px;color: rgb(217, 33, 66);"><strong style="outline: 0px;">信用主体包括机构类主体和个人类主体。</strong></span>机构类主体包括<strong><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;color: rgb(0, 82, 255);">医疗保障定点医疗机构、医疗保障定点零售药店</span></strong>和</span><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;"><strong><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;color: rgb(0, 82, 255);">其他参与医疗保障活动的机构</span></strong></span><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;">，范围涵盖医疗保障行政机关职权管理范围内的法人和非法人组织；个人类主体除包括提供医疗保障服务的</span><span style="color: rgb(0, 82, 255);"><strong><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;">医师、药师等专业人员、基本医疗保险参保人员外，</span></strong></span><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;">还按国家在社会信用管理方面的规定将机构类信用主体的法定代表人、实际控制人、主要负责人和其他负有直接责任的人员纳入了管理范围。</span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;"><br style="outline: 0px;"></span></p><p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);"><br><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;visibility: visible;line-height: 1.6em;"><span style="outline: 0px;visibility: visible;letter-spacing: 2px;background-color: rgb(0, 122, 170);color: rgb(255, 255, 255);font-size: 18px;"><strong style="outline: 0px;visibility: visible;"> 个人信用高 </strong></span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;visibility: visible;line-height: 1.6em;"><span style="outline: 0px;visibility: visible;letter-spacing: 2px;background-color: rgb(0, 122, 170);color: rgb(255, 255, 255);font-size: 18px;"><strong style="outline: 0px;visibility: visible;"> 或可享受信用就医等便利措施 </strong></span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;">《办法》规定，医保信用信息采集范围涵盖了国家和省目录规定的全部类别中与医保信用紧密相关的内容。</span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;">《办法》规定了全省使用统一的评价规则对信用主体进行评价，评价采取动态积分制，按积分分为五个等级，反映每类信用主体的不同信用风险。医保部门将根据信用主体的信用风险在分级分类管理等多个方面应用信用评价结果。</span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;">根据《办法》，</span><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;color: rgb(0, 82, 255);"><strong style="outline: 0px;">医疗保障信用评价采取积分制</strong>，</span><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;">机构类信用主体的信用评价采用“千分制”，基础分850分，满分1000分；个人类信用主体的信用评价采用“百分制”管理，基础分85分，满分100分。根据积分情况，<span style="outline: 0px;font-size: 15px;letter-spacing: 2px;color: rgb(0, 82, 255);"><strong style="outline: 0px;">信用等级分为A到E五个等级，</strong></span></span><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;color: rgb(217, 33, 66);"><strong style="outline: 0px;">被依法依规纳入严重失信主体名单的，其信用等级直接判定为E级。</strong></span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;"><strong style="outline: 0px;"><br style="outline: 0px;"></strong></span></p><p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;margin: 0px;line-height: 1.6em;"><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;"><br></span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;">对信用等级为A、B等级且不存在失信行为的信用主体，医疗保障部门可以分别给予以下激励措施：<span style="outline: 0px;font-size: 15px;letter-spacing: 2px;color: rgb(0, 82, 255);"><strong>比如对机构类信用主体，在日常监督检查或抽查中减少检查频次，“双随机 一公开”抽查比例不高于原抽查比例的50%；提高医疗保障基金预拨付额度</strong></span>等措施。对于等级为A的信用主体，原则上省市检查抽查比例不高于30%；对于等级为B的信用主体，原则上省市检查抽查比例不高于50%。对信用等级为A级的信用主体，</span><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;color: rgb(0, 82, 255);"><strong style="outline: 0px;">在政务服务事项方面提供容缺受理、优先办理等便利措施；对其中个人类信用主体可以提供信用就医等便利措施。</strong></span></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><br></p><p style="margin: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.6em;"><span style="outline: 0px;font-size: 15px;letter-spacing: 2px;">此外，关于失信行为认定，《办法》对医保领域失信行为认定作了适当的细化规定；在严重失信行为认定上保留了空间，等待国家和省明确认定标准及管理办法。</span></p><p style="outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: center;text-indent: 0em;line-height: 1.6em;margin-bottom: 0px;margin-top: 0px;"><br></p><section style="outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);line-height: 1.6em;"><span style="color: rgb(178, 178, 178); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 12px; letter-spacing: 2px;">来源：广东省医疗保障局</span></section></section></section></section></section></section><p style="display: none;"><mp-style-type data-value="3"></mp-style-type></p> 有咩用？？ 相当于VIP？ 唔明 买药平滴噶话就差唔多
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