XX medical security service center xx branch:
XXXX pharmaceutical chain co., ltd. XXXX store business area: 90 square meters. In strict accordance with the "Regulations on the Supervision and Administration of the Use of Medical Insurance Funds" and the "Interim Measures for the Administration of Designated Retail Pharmacies of Medical Insurance" and other relevant regulations, store staff will be trained and equipped with national essential drug varieties to meet the basic drug needs of insured persons.
The number of patients in our store is expected to be around 8,000 throughout the year. It is estimated that the number of consumers using medical insurance cards is about 1550, and the annual transaction volume is about 450,000. It is estimated that the amount of medical insurance credit card is around 90,000 yuan. The person in charge of the medical insurance fund in the company's stores should strengthen industry self-discipline, standardize medical service behavior, promote industry standardization and self-discipline, and guide the rational use of medical insurance funds according to law.
XXXX pharmaceutical chain co., ltd. XXXX store
The above report template has forecast data, which can also be said to be a forecast report, but the following contents can be analyzed from the content: 1, 1550 medical insurance card swipes in one year, with an average daily service time of 4.5 times (1500/350 days); It is estimated that the credit card amount is 90,000 yuan, and the average daily credit card amount is 258 yuan (90,000 /350). 2. Estimated annual business volume: 450,000; According to the gross profit margin of 40%:180,000 (450,000 *40%), excluding the store rent (4,000 yuan per month for store rent) and water and electricity, the expenses of three employees in the store (3,500 yuan per month) and other expenses are at least150,000, which means that the store is in a loss state.
From the perspective of overall medical insurance planning, we can draw the following conclusions: with such a low frequency of medical insurance settlement, it is necessary to include this store in the designated medical insurance point; There are also some cities that have implemented a new medical insurance renewal scheme: renewal audit has been changed to renewal application, and the last performance elimination system has been implemented. Is it necessary to renew the designated medical insurance agreement for a single store that may close down at a loss? Therefore, when using the short version report template, you need to pay attention to the filling of predictive figures. Some pharmacies think that the above template can be used and can be taken away directly!
Now let's expand the best way to write a forecast report:
Business or academic forecast analysis report is based on the data of large research and statistics institutions and well-known research enterprises, and organizes materials for forecast analysis. If it is an academic research report, medical insurance can be compiled by professional research enterprises or academic institutions, then the materials needed for medical insurance in various places are obviously not this.
Medical insurance requires pharmacies and medical institutions to submit forecast analysis reports to learn more: First, the situation of pharmacies and medical institutions; Two, the characteristics of pharmacies and medical institutions and Huimin service projects, what benefits can be brought to the insured; Third, how to control the use risk of medical insurance fund.
Therefore, it is best to include the following contents (taking pharmacies as an example): introduction of pharmacies, management of drugs by pharmacies, characteristics of pharmacies and free services for benefiting the people, medical insurance risk control of pharmacies, and forecast data. If you organize these contents effectively, you can write out all the concerns of medical insurance and make your report more vivid, instead of being as blunt and lacking in explanatory power as the simple report template above.