Medical insurance designated hospitals whose credit ratings are not up to standard will be disqualified. On October 13, the News Office of Wuhan City, Hubei Province held a press briefing session to inform the city's medical insurance institutions of the credit rating method: credit rating once a year and dynamic management.
Tu Renqing, deputy director of the city's medical insurance center, introduced the new approach to provide detailed regulations for 24 assessment indicators such as rational drug use, reasonable inspections, reasonable treatment, reasonable fees and service quality, and medical service management.
The credit ratings of designated hospitals are classified into four levels: AAA, AA, A, and No. The assessment results are linked with the settlement of medical expenses and the signing of medical insurance service agreements, and classification and classification management is implemented. The designated hospitals will be guilty of falsification in the credit rating assessment and the circumstances will be severely "outgoing." The designated hospitals that have been rated A or not for two consecutive years will also be disqualified.
According to reports, credit ratings are divided into monthly and annual reviews. Monthly evaluation of computer automatic scoring, that is, the use of medical insurance settlement system according to assessment indicators and real-time monitoring system automatically score. The annual review is based on the monthly basis, supplements the questionnaire survey of the citizens, and comprehensively scores the prescriptions and spot checks of the designated hospitals.
Tu Renqing, deputy director of the city's medical insurance center, introduced the new approach to provide detailed regulations for 24 assessment indicators such as rational drug use, reasonable inspections, reasonable treatment, reasonable fees and service quality, and medical service management.
The credit ratings of designated hospitals are classified into four levels: AAA, AA, A, and No. The assessment results are linked with the settlement of medical expenses and the signing of medical insurance service agreements, and classification and classification management is implemented. The designated hospitals will be guilty of falsification in the credit rating assessment and the circumstances will be severely "outgoing." The designated hospitals that have been rated A or not for two consecutive years will also be disqualified.
According to reports, credit ratings are divided into monthly and annual reviews. Monthly evaluation of computer automatic scoring, that is, the use of medical insurance settlement system according to assessment indicators and real-time monitoring system automatically score. The annual review is based on the monthly basis, supplements the questionnaire survey of the citizens, and comprehensively scores the prescriptions and spot checks of the designated hospitals.
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