Announcement of flight inspection of medical insurance fund in 2022, and the rational use of medical insurance fund has achieved positive results.

CCTV News:On June 13th, the National Medical Insurance Bureau announced the flight inspection of the medical insurance fund in 2022. In 2022, the flying inspection focused on large medical institutions in areas with rich medical resources, pointed out the typical problems in the use of medical insurance funds by these institutions, urged designated medical institutions to make serious, comprehensive and solid rectification, and made phased progress in standardizing the use of funds in the medical insurance field.

In 2022, the National Medical Insurance Bureau, together with the Ministry of Finance, the National Health and Wellness Commission, the State Administration of Traditional Chinese Medicine and other departments, organized 24 flight inspections, including the special flight inspection of tongji hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology and the annual flight inspection to 23 provinces across the country. From the inspection situation, the designated medical institutions continue to improve the internal management system, standardize the medical staff’s diagnosis and treatment behavior, and achieve positive results in more rational use of medical insurance funds, but still find some problems.

The National Flight Inspection Team randomly selected 48 designated medical institutions, including 40 third-class public hospitals, 3 third-class private hospitals and 5 private medical institutions below the second level. After inspection, the following problems were found: 1. Repeated charges, over-standard charges and itemized charges, and 48 medical institutions had such problems. 2. Swapping drugs, medical consumables, diagnosis and treatment items and service facilities, 46 medical institutions have such problems. Third, medical expenses that are not covered by the medical insurance fund are included in the medical insurance fund settlement, and 43 medical institutions have such problems. Fourth, over-diagnosis, over-examination and over-prescribing in violation of the diagnosis and treatment norms, 39 medical institutions have such problems. In addition, some medical institutions have decomposed hospitalization, drugs and medical consumables are inconsistent with each other, and the national policy of centralized procurement of pharmaceutical consumables has not been strictly implemented, and other illegal and illegal issues such as high dependence on sick groups and low-standard hospitalization under the disease-based payment model; Some medical institutions have the problem of fictitious medical services.

The latest adjustment! Pension!

yesterday

Issued by the Provincial People’s Social Welfare Department and the Provincial Department of Finance

On adjusting retirees in 2023

Notice of basic pension "

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Notification requirements

From January 1, 2023,

Adjust the pension level of retirees

Relevant matters are as follows

I. Scope and time of adjustment

From January 1, 2023, the basic pension will be adjusted for retirees who have gone through retirement (post) procedures and received the basic pension on a monthly basis before December 31, 2022.

Second, the adjustment methods and standards

(a) within the scope of the quota adjustment, the retirees will increase the 42 yuan per person per month.

(II) Hook to adjust retirees’ payment period (including deemed payment period, excluding converted length of service) will increase by 1.33 yuan per month for every full year (one year for less than one year), and 10 years for those with less than 10 years. Then increase the basic pension by 1.2% of my basic pension level. The retired old workers whose enterprises meet the requirements stipulated in Document No.3 of the Labor Insurance [1983] of the former Ministry of Labor and Personnel, their pension level includes the retirement living allowance issued by the unit according to the similar personnel of the organs.

(three) tilt adjustment on the basis of quota adjustment and hook adjustment, tilt adjustment is made for the following groups:

For retirees who have reached the age of 70 and under the age of 75 before December 31, 2022, 30 yuan will be increased every month; Retirees who have reached the age of 75 and under the age of 80 before December 31, 2022 will receive an additional monthly 31 yuan; Retirees who have reached the age of 80 or above before December 31, 2022 will receive an additional monthly 32 yuan.

Retirees in a kind of hard and remote areas will receive an additional 6 yuan per person per month. Retirees in the second category of hard and remote areas will receive an additional 11 yuan per person per month.

If the adjusted monthly basic pension of enterprise retired demobilized cadres is lower than the average monthly basic pension of enterprise retirees in the province, it will be supplemented.

Iii. Funding channels and distribution

The funds needed to adjust the basic old-age pension shall be paid from the basic old-age insurance fund for enterprise employees; Those who participate in the endowment insurance of government agencies and institutions shall be paid from the endowment insurance fund of government agencies and institutions, and the government at the same level shall be responsible for arranging funds to ensure the payment in place. At the same time, according to the proportion of personal account pension and basic pension when the insured retires, they are charged from their personal account balance and overall fund respectively. When the personal account balance is zero, they are all charged from the overall fund. Not included in the pension insurance as a whole, be solved by the original channel.

Fourth, the job requirements

Adjusting the basic pension level of retirees in enterprises, institutions and institutions reflects the cordial concern of the CPC Central Committee, the State Council, the provincial party committee and the provincial government for the vast number of retirees, which is related to the vital interests of retirees, involving a wide range and high sensitivity. Municipalities should attach great importance to it, earnestly strengthen leadership, carefully organize implementation, strengthen publicity and interpretation, correctly guide public opinion, and earnestly implement it. It is necessary to take effective measures to strengthen the management of income and expenditure of the basic old-age insurance fund, make financial arrangements in advance, and distribute the increased basic pension to retirees on time and in full before July 31, and no arrears may occur. The situation and problems in the implementation, please report to the Provincial Department of Human Resources and Social Security and the Department of Finance in a timely manner.

Original title: "The latest adjustment! Pension! 》

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