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National Health Insurance Administration: Carry out pilot projects for intelligent supervision reform to reduce illegal and irregular behaviors in the use of medical insurance funds from the source
2025-05-14 source:CCTV.com

CCTV News: According to the website of the National Medical Insurance Administration, the Office of the National Medical Insurance Administration issued a notice on the pilot program of intelligent supervision reform. Through the pilot program of intelligent supervision reform, we empower designated medical institutions and empower medical insurance fund supervision. On the one hand, we will promote the implementation of the "two databases" announced by the National Administration in the self-built pre-reminder system for designated medical institutions, and build the designated medical institutions participating in the pilot into the "two databases" development and construction of the "two databases" of the National Medical Insurance Administration, and the "benchmark" for self-inspection and self-correction. On the other hand, we will promote the improvement of the application of the intelligent supervision subsystem of the national medical insurance system, realize the forward movement of the regulatory barriers, reduce the occurrence of illegal and irregular behaviors in the use of medical insurance funds from the source, and promote the significantly reduced problems found in the on-site review and flight inspection of during-site supervision work such as on-site review, flight inspection, etc., so that the "two databases" disclosure and intelligent supervision have become an effective way for designated medical institutions to actively comply with regulations.

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