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党的十六届三中全会提出,要建立健全社会信用体系,增强全社会的信用意识。三甲医院是医疗保险制度平稳运行、有序推进的重要实施单位,具有提供医疗服务和控制医保费用的双重作用。针对医保制度在医院运行中出现的和可能出现的欺诈行为,制订相应的控制措施,依靠制度规范医疗服务行为,力促医院诚信医保,自觉分担医保基金风险,当好医保基金的守门人。
The Third Plenary Session of the 16th CPC Central Committee proposed setting up a sound social credit system and enhancing the credit awareness of the whole society. The top three hospitals are the key implementation units for the smooth running and orderly advancement of the medical insurance system. They have the dual role of providing medical services and controlling medical expenses. For the medical insurance system in the operation of the hospital and possible fraud, to formulate appropriate control measures, rely on the system to regulate medical services, to urge the hospital integrity of health insurance, and consciously share the risk of medical insurance fund, good medical insurance fund gatekeeper.