隆阳区医疗保障局2020年医疗救助资金管理使用情况自检自查

<p class="MsoNormal" align="center" style="text-align: center; line-height: 28pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly"><span style="font-family: 方正小标宋简体; font-size: 22pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正小标宋简体">隆阳区医疗保障局</font>2020年</span><span style="font-family: 方正小标宋简体; font-size: 22pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt">
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<p class="MsoNormal" align="center" style="text-align: center; line-height: 28pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly"><span style="font-family: 方正小标宋简体; font-size: 22pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正小标宋简体">医疗救助资金管理使用情况自检自查</font></span><span style="font-family: 方正小标宋简体; font-size: 22pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt">
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<p class="MsoNormal" align="justify" style="text-justify: inter-ideograph; text-align: justify; line-height: 28pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly"><span style="font-family: 方正小标宋简体; font-size: 22pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt">
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<p class="MsoNormal" style="text-align: left; line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体">2020<font face="方正仿宋_GBK">年</font><font face="宋体">5</font><font face="方正仿宋_GBK">月，隆阳区城乡医疗救助资金按规定纳入基金管理范畴，实行区级统筹管理模式。经认真对照《云南省财政厅 云南省卫生健康委 云南省医疗保障局关于转发中央财政医疗救助补助资金管理办法的通知》云财社﹝</font><font face="宋体">2020</font><font face="方正仿宋_GBK">﹞</font><font face="宋体">44</font><font face="方正仿宋_GBK">号文件规定，现将隆阳区</font><font face="宋体">2020</font><font face="方正仿宋_GBK">年医疗救助资金管理使用自检自查情况报告如下：</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体">
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<p class="16" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正黑体_GBK; font-size: 16pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正黑体_GBK">一、收入情况</font></span><span style="font-family: 方正黑体_GBK; font-size: 16pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体"><font face="方正仿宋_GBK">至</font>2020<font face="方正仿宋_GBK">年</font><font face="宋体">12</font><font face="方正仿宋_GBK">月</font><font face="宋体">31</font><font face="方正仿宋_GBK">日，中央财政下达医疗救助指标文件</font><font face="宋体">2727.58</font><font face="方正仿宋_GBK">万元，省级财政下达指标文件</font><font face="宋体">713.95</font><font face="方正仿宋_GBK">万元，市级财政下达</font><font face="宋体">201.40</font><font face="方正仿宋_GBK">万元（建档立卡人口参保补助资金），区本级财政下达</font><font face="宋体">517.86</font><font face="方正仿宋_GBK">万元，指标文件资金合计</font><font face="宋体">4160.79</font><font face="方正仿宋_GBK">万元。实际到位（拨入医疗救助财政专户）情况为：中央财政补助到位</font><font face="宋体">1581.58</font><font face="方正仿宋_GBK">万元，市级财政补助到位</font><font face="宋体">201.40</font><font face="方正仿宋_GBK">万元，区本级到位</font><font face="宋体">200</font><font face="方正仿宋_GBK">万元，到位资金合计</font><font face="宋体">1982.98</font><font face="方正仿宋_GBK">万元，到位率</font><font face="宋体">47%</font><font face="方正仿宋_GBK">；未到位</font><font face="宋体">2177.81</font><font face="方正仿宋_GBK">万元，其中：中央补助</font><font face="宋体">1146</font><font face="方正仿宋_GBK">万元，省财政补助</font><font face="宋体">713.95</font><font face="方正仿宋_GBK">，区本级补助</font><font face="宋体">317.86</font><font face="方正仿宋_GBK">万元。利息收入</font><font face="宋体">2.29</font><font face="方正仿宋_GBK">万元，其他收入（退回以前年度多拨救助款）</font><font face="宋体">0.71</font><font face="方正仿宋_GBK">万元。</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正仿宋_GBK; color: rgb(0,0,0); font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体"><font face="方正仿宋_GBK">综上所述，因财政国库资金周转困难，部分补助资金未及时拨入财政专户，导致</font>2020<font face="方正仿宋_GBK">年城乡医疗救助实际筹集基金</font><font face="宋体">1985.98</font><font face="方正仿宋_GBK">万元。</font><font face="宋体">2019</font><font face="方正仿宋_GBK">年资金滚存结余</font><font face="宋体">1103.49</font><font face="方正仿宋_GBK">万元，</font><font face="宋体">2020</font><font face="方正仿宋_GBK">年可用医疗救助基金为</font><font face="宋体">3089.47</font><font face="方正仿宋_GBK">万元。</font></span><span style="font-family: 方正仿宋_GBK; color: rgb(0,0,0); font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正黑体_GBK; font-size: 16pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正黑体_GBK">二、支出情况</font></span><span style="font-family: 方正黑体_GBK; font-size: 16pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体">2020<font face="方正仿宋_GBK">年医疗救助基金支出</font><font face="宋体">3051.17</font><font face="方正仿宋_GBK">万元，其中：资助参保</font><font face="宋体">129844</font><font face="方正仿宋_GBK">人，支出</font><font face="宋体">719.26</font><font face="方正仿宋_GBK">万元；符合救助条件</font><font face="宋体">17651</font><font face="方正仿宋_GBK">人住院救助支出 </font><font face="宋体">2157.26</font><font face="方正仿宋_GBK">万元，人均</font><font face="宋体">1222.17</font><font face="方正仿宋_GBK">元；享受兜底保障</font><font face="宋体">4160</font><font face="方正仿宋_GBK">人，支出</font><font face="宋体">174.65</font><font face="方正仿宋_GBK">万元，人均</font><font face="宋体">419.83</font><font face="方正仿宋_GBK">元。</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正黑体_GBK; font-size: 16pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正黑体_GBK">三、</font></span><span style="font-family: 方正黑体_GBK; font-size: 16pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正黑体_GBK">结余情况</font></span><span style="font-family: 方正黑体_GBK; font-size: 16pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体"><font face="方正仿宋_GBK">因医疗救助资金实际位率较低（</font>47%<font face="方正仿宋_GBK">），故</font><font face="宋体">2020</font><font face="方正仿宋_GBK">年医疗救助筹集基金</font><font face="宋体">1985.98</font><font face="方正仿宋_GBK">万元加上年滚存结余</font><font face="宋体">1103.49</font><font face="方正仿宋_GBK">万元，合计</font><font face="宋体">3089.47</font><font face="方正仿宋_GBK">万元，在支付资助参保、住院救助、兜底保障资金</font><font face="宋体">3051.17</font><font face="方正仿宋_GBK">万元后结余</font><font face="宋体">38.30</font><font face="方正仿宋_GBK">万元。</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正黑体_GBK; font-size: 16pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正黑体_GBK">四、存在的问题及原因分析</font></span><span style="font-family: 方正黑体_GBK; font-size: 16pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正楷体_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正楷体_GBK">（一）</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体"><font face="方正仿宋_GBK">医疗救助资金除对符合救助条件人群进行救助外，对建档立卡贫困人群、城乡特困供养人员、重度残疾人等特殊群体参加城乡居民医疗保险进行个人参保资助。若资助个人参保资金不能及时到位将导致收缴的个人参保缴费收入除以参保人数达不到规定的筹资标准（</font>2020<font face="方正仿宋_GBK">年</font><font face="宋体">250</font><font face="方正仿宋_GBK">元</font><font face="宋体">/</font><font face="方正仿宋_GBK">人，因省级资助参保救助资金未到位，实际筹资为</font><font face="宋体">242.58</font><font face="方正仿宋_GBK">元</font><font face="宋体">/</font><font face="方正仿宋_GBK">人）。其次，城乡居民医疗保险财政补助是根据实际参保人数与标准由下而上逐级给予补助，若区、市、省级补助资金不能及时到位（每年</font><font face="宋体">11</font><font face="方正仿宋_GBK">月</font><font face="宋体">30</font><font face="方正仿宋_GBK">日前）中央财政补助将于次年进行扣减，从而严重影响次年医疗保险基金正常运转。</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正楷体_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正楷体_GBK">（二）</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 华文仿宋; mso-hansi-font-family: 华文仿宋"><font face="方正仿宋_GBK">医疗救助基金是按季度进行救助拨付，因财政补助资金不能及时到位将导致符合救助条件人群得不到及时救助</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 华文仿宋; mso-hansi-font-family: 华文仿宋"><font face="方正仿宋_GBK">。</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 华文仿宋; mso-hansi-font-family: 华文仿宋">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正黑体_GBK; font-size: 16pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正黑体_GBK">五、下一步工作计划</font></span><span style="font-family: 方正黑体_GBK; font-size: 16pt; font-weight: normal; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正楷体_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正楷体_GBK">（一）</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正仿宋_GBK">隆阳区医疗保障局将按照工作职责、职能和各级财政下达医疗救助资金指标文件情况，及时与同级财政部门沟通协调，争取各级财政补助资金及时划入区级财政专户并按季度及时拨付符合救助条件人群。</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt">
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<p class="MsoNormal" style="line-height: 28pt; text-indent: 32pt; margin: 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 2.0000"><span style="font-family: 方正楷体_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt"><font face="方正楷体_GBK">（二）</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体"><font face="方正仿宋_GBK">每年城乡居民参保缴费期结束后（截止</font>6<font face="方正仿宋_GBK">月</font><font face="宋体">30</font><font face="方正仿宋_GBK">日）及时向同级财政部门提供医疗救助资金资助特殊人群参保花名册，并及时申请资金划拨。</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体">
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<p class="MsoNormal" align="right" style="text-align: right; line-height: 28pt; text-indent: 8pt; margin: 0pt 24pt 0pt 0pt; text-autospace: ideograph-numeric; mso-pagination: none; mso-line-height-rule: exactly; mso-char-indent-count: 0.5000"><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体"><font face="方正仿宋_GBK">保山市隆阳区医疗保障局</font></span><span style="font-family: 方正仿宋_GBK; font-size: 16pt; mso-spacerun: 'yes'; mso-font-kerning: 1.0000pt; mso-bidi-font-family: 'Times New Roman'; mso-ascii-font-family: 宋体; mso-hansi-font-family: 宋体">
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