葉立堅一直致(zhi)力(li)于推動商業(ye)保(bao)(bao)(bao)險與社(she)會保(bao)(bao)(bao)險的(de)(de)合作,2007年后,他帶領(ling)他年輕的(de)(de)團隊(dui)圍繞著(zhu)“重效益、抓特色、強(qiang)能力(li)”的(de)(de)經營(ying)理念,積(ji)極參(can)與湛(zhan)江(jiang)市(shi)(shi)(shi)(shi)城鄉居(ju)民醫(yi)療保(bao)(bao)(bao)險的(de)(de)管(guan)理服(fu)(fu)務工作。通過“政府(fu)主導(dao)(dao),專業(ye)運作,聯合辦(ban)公,便捷服(fu)(fu)務”的(de)(de)運行模式,為(wei)湛(zhan)江(jiang)市(shi)(shi)(shi)(shi)近680萬(包括(kuo)職工、居(ju)民和農民,占全市(shi)(shi)(shi)(shi)人口的(de)(de)90%以上)參(can)保(bao)(bao)(bao)群眾(zhong)提(ti)供補充醫(yi)療和大額補助醫(yi)療保(bao)(bao)(bao)險,承(cheng)擔醫(yi)療保(bao)(bao)(bao)障責任4200億元。逐步形(xing)成(cheng)了“一體化(hua)管(guan)理、多(duo)元化(hua)保(bao)(bao)(bao)障、互利化(hua)合作”的(de)(de)管(guan)理服(fu)(fu)務模式,實(shi)現(xian)了“政府(fu)不(bu)多(duo)出一分錢、群眾(zhong)不(bu)多(duo)花一分錢、居(ju)民保(bao)(bao)(bao)障大幅(fu)度提(ti)高(gao)、覆蓋(gai)更加廣泛”群眾(zhong)、政府(fu)、醫(yi)院(yuan)(yuan)、保(bao)(bao)(bao)險業(ye)四方(fang)共贏的(de)(de)新醫(yi)改格(ge)局,被譽為(wei)全民醫(yi)保(bao)(bao)(bao)“湛(zhan)江(jiang)模式”。溫家寶總理、李克強(qiang)副(fu)總理等國(guo)務院(yuan)(yuan)領(ling)導(dao)(dao)和廣東省委書(shu)記(ji)汪洋、省長(chang)黃華華,湛(zhan)江(jiang)市(shi)(shi)(shi)(shi)委原書(shu)記(ji)陳耀光、市(shi)(shi)(shi)(shi)長(chang)阮日(ri)生等領(ling)導(dao)(dao)先后作了重要批示,充分肯定了“湛(zhan)江(jiang)模式”的(de)(de)做法和成(cheng)效。
葉(xie)(xie)(xie)立堅(jian)(jian)出生在(zai)廣東湛(zhan)(zhan)江(jiang)(jiang)(jiang)市(shi)(shi)(shi)東海島(dao)的(de)(de)(de)(de)(de)(de)(de)小(xiao)漁村(cun),家境的(de)(de)(de)(de)(de)(de)(de)貧(pin)寒,使他(ta)(ta)對基層群眾“看病(bing)(bing)難”、“看病(bing)(bing)貴”有著(zhu)切身的(de)(de)(de)(de)(de)(de)(de)體會(hui)(hui),2000年(nian)(nian)(nian)(nian)6月,葉(xie)(xie)(xie)立堅(jian)(jian)加入(ru)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)行(xing)業(ye),開(kai)始了(le)通過(guo)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)解決城鄉居民(min)(min)大(da)(da)病(bing)(bing)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)障問題的(de)(de)(de)(de)(de)(de)(de)探索。葉(xie)(xie)(xie)立堅(jian)(jian)在(zai)認真研究(jiu)2000年(nian)(nian)(nian)(nian)國(guo)務(wu)(wu)院(yuan)頒發的(de)(de)(de)(de)(de)(de)(de)《關(guan)于(yu)城鎮醫(yi)(yi)(yi)療(liao)(liao)(liao)衛生體制(zhi)改革的(de)(de)(de)(de)(de)(de)(de)指導意見》的(de)(de)(de)(de)(de)(de)(de)基礎上,開(kai)始著(zhu)手(shou)推(tui)動湛(zhan)(zhan)江(jiang)(jiang)(jiang)市(shi)(shi)(shi)公(gong)(gong)(gong)(gong)(gong)務(wu)(wu)員補(bu)充(chong)(chong)(chong)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)的(de)(de)(de)(de)(de)(de)(de)商業(ye)化運(yun)(yun)作。湛(zhan)(zhan)江(jiang)(jiang)(jiang)市(shi)(shi)(shi)政(zheng)(zheng)(zheng)(zheng)(zheng)府(fu)有關(guan)部門在(zai)研究(jiu)商業(ye)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)參(can)與(yu)社(she)(she)(she)會(hui)(hui)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)障相關(guan)制(zhi)度時(shi),葉(xie)(xie)(xie)立堅(jian)(jian)作為(wei)(wei)當(dang)地(di)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)行(xing)業(ye)的(de)(de)(de)(de)(de)(de)(de)第一位(wei)代表(biao)(biao)參(can)與(yu)了(le)城鎮職工商業(ye)補(bu)充(chong)(chong)(chong)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)制(zhi)度論證工作。2001年(nian)(nian)(nian)(nian),葉(xie)(xie)(xie)立堅(jian)(jian)憑著(zhu)熱情、真誠、穩重(zhong)、細致的(de)(de)(de)(de)(de)(de)(de)工作作風給政(zheng)(zheng)(zheng)(zheng)(zheng)府(fu)留(liu)下(xia)好(hao)的(de)(de)(de)(de)(de)(de)(de)印象,作為(wei)(wei)當(dang)地(di)第一位(wei)代表(biao)(biao)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)行(xing)業(ye)與(yu)政(zheng)(zheng)(zheng)(zheng)(zheng)府(fu)部門洽談(tan)職工商業(ye)補(bu)充(chong)(chong)(chong)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)制(zhi)度設計。同年(nian)(nian)(nian)(nian),社(she)(she)(she)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)部門根(gen)據國(guo)務(wu)(wu)院(yuan)相關(guan)政(zheng)(zheng)(zheng)(zheng)(zheng)策制(zhi)定商業(ye)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)公(gong)(gong)(gong)(gong)(gong)司(si)(si)參(can)與(yu)社(she)(she)(she)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)補(bu)充(chong)(chong)(chong)業(ye)務(wu)(wu)的(de)(de)(de)(de)(de)(de)(de)規定,并組(zu)織了(le)商業(ye)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)公(gong)(gong)(gong)(gong)(gong)司(si)(si)參(can)與(yu)湛(zhan)(zhan)江(jiang)(jiang)(jiang)市(shi)(shi)(shi)公(gong)(gong)(gong)(gong)(gong)務(wu)(wu)員補(bu)充(chong)(chong)(chong)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)和業(ye)務(wu)(wu)的(de)(de)(de)(de)(de)(de)(de)招標(biao)。葉(xie)(xie)(xie)立堅(jian)(jian)所在(zai)公(gong)(gong)(gong)(gong)(gong)司(si)(si)未能中(zhong)(zhong)標(biao),但(dan)(dan)他(ta)(ta)并沒有因(yin)此而放棄對理(li)想(xiang)的(de)(de)(de)(de)(de)(de)(de)追求。2002年(nian)(nian)(nian)(nian),為(wei)(wei)了(le)實現(xian)(xian)理(li)想(xiang),他(ta)(ta)到(dao)了(le)另一家壽(shou)險(xian)(xian)(xian)(xian)公(gong)(gong)(gong)(gong)(gong)司(si)(si)工作,并一直密切關(guan)注該(gai)(gai)項業(ye)務(wu)(wu)運(yun)(yun)作情況。葉(xie)(xie)(xie)立堅(jian)(jian)憑借著(zhu)前(qian)(qian)期鉆(zhan)研健康(kang)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)積(ji)累(lei)下(xia)的(de)(de)(de)(de)(de)(de)(de)經(jing)(jing)驗和與(yu)政(zheng)(zheng)(zheng)(zheng)(zheng)府(fu)打交(jiao)道建立起(qi)來的(de)(de)(de)(de)(de)(de)(de)個人信用,于(yu)2002年(nian)(nian)(nian)(nian)至2007年(nian)(nian)(nian)(nian)6月期間,成(cheng)功為(wei)(wei)湛(zhan)(zhan)江(jiang)(jiang)(jiang)農墾系統6萬多職工提供(gong)補(bu)充(chong)(chong)(chong)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)的(de)(de)(de)(de)(de)(de)(de)管理(li)服務(wu)(wu),為(wei)(wei)他(ta)(ta)推(tui)動商業(ye)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)公(gong)(gong)(gong)(gong)(gong)司(si)(si)與(yu)政(zheng)(zheng)(zheng)(zheng)(zheng)府(fu)合(he)(he)作提供(gong)各(ge)種補(bu)充(chong)(chong)(chong)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)和大(da)(da)額補(bu)充(chong)(chong)(chong)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)的(de)(de)(de)(de)(de)(de)(de)運(yun)(yun)行(xing)模式積(ji)累(lei)了(le)經(jing)(jing)驗。2005年(nian)(nian)(nian)(nian),由于(yu)該(gai)(gai)業(ye)務(wu)(wu)的(de)(de)(de)(de)(de)(de)(de)中(zhong)(zhong)標(biao)公(gong)(gong)(gong)(gong)(gong)司(si)(si)投入(ru)不(bu)足,管理(li)不(bu)到(dao)位(wei),政(zheng)(zheng)(zheng)(zheng)(zheng)府(fu)終(zhong)止了(le)與(yu)該(gai)(gai)公(gong)(gong)(gong)(gong)(gong)司(si)(si)的(de)(de)(de)(de)(de)(de)(de)合(he)(he)作。在(zai)葉(xie)(xie)(xie)立堅(jian)(jian)的(de)(de)(de)(de)(de)(de)(de)不(bu)懈努力(li)下(xia),湛(zhan)(zhan)江(jiang)(jiang)(jiang)市(shi)(shi)(shi)政(zheng)(zheng)(zheng)(zheng)(zheng)府(fu)將該(gai)(gai)業(ye)務(wu)(wu)交(jiao)給了(le)葉(xie)(xie)(xie)立堅(jian)(jian)所在(zai)公(gong)(gong)(gong)(gong)(gong)司(si)(si),當(dang)年(nian)(nian)(nian)(nian)即取(qu)得了(le)較好(hao)的(de)(de)(de)(de)(de)(de)(de)管理(li)和服務(wu)(wu)成(cheng)效(xiao)。但(dan)(dan)葉(xie)(xie)(xie)立堅(jian)(jian)所在(zai)的(de)(de)(de)(de)(de)(de)(de)壽(shou)險(xian)(xian)(xian)(xian)公(gong)(gong)(gong)(gong)(gong)司(si)(si)2007年(nian)(nian)(nian)(nian)起(qi)業(ye)務(wu)(wu)發展(zhan)重(zhong)心(xin)轉移,開(kai)始全面收縮與(yu)政(zheng)(zheng)(zheng)(zheng)(zheng)府(fu)合(he)(he)作的(de)(de)(de)(de)(de)(de)(de)各(ge)種社(she)(she)(she)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)補(bu)充(chong)(chong)(chong)業(ye)務(wu)(wu),提前(qian)(qian)終(zhong)止了(le)與(yu)湛(zhan)(zhan)江(jiang)(jiang)(jiang)市(shi)(shi)(shi)政(zheng)(zheng)(zheng)(zheng)(zheng)府(fu)的(de)(de)(de)(de)(de)(de)(de)合(he)(he)作。雖然合(he)(he)作沒有繼續下(xia)去,但(dan)(dan)湛(zhan)(zhan)江(jiang)(jiang)(jiang)市(shi)(shi)(shi)政(zheng)(zheng)(zheng)(zheng)(zheng)府(fu)卻看到(dao)了(le)成(cheng)效(xiao),同時(shi),葉(xie)(xie)(xie)立堅(jian)(jian)的(de)(de)(de)(de)(de)(de)(de)個人努力(li)也給政(zheng)(zheng)(zheng)(zheng)(zheng)府(fu)相關(guan)部門留(liu)下(xia)了(le)深(shen)刻(ke)的(de)(de)(de)(de)(de)(de)(de)印象。葉(xie)(xie)(xie)立堅(jian)(jian)當(dang)時(shi)擔任所在(zai)壽(shou)險(xian)(xian)(xian)(xian)公(gong)(gong)(gong)(gong)(gong)司(si)(si)湛(zhan)(zhan)江(jiang)(jiang)(jiang)中(zhong)(zhong)心(xin)支公(gong)(gong)(gong)(gong)(gong)司(si)(si)的(de)(de)(de)(de)(de)(de)(de)副總經(jing)(jing)理(li),具有較好(hao)的(de)(de)(de)(de)(de)(de)(de)工作待遇。但(dan)(dan)是(shi),由于(yu)公(gong)(gong)(gong)(gong)(gong)司(si)(si)業(ye)務(wu)(wu)調整,使他(ta)(ta)失去了(le)實現(xian)(xian)自己理(li)想(xiang)的(de)(de)(de)(de)(de)(de)(de)平臺。當(dang)時(shi),中(zhong)(zhong)國(guo)人民(min)(min)健康(kang)保(bao)(bao)(bao)(bao)(bao)(bao)(bao)險(xian)(xian)(xian)(xian)公(gong)(gong)(gong)(gong)(gong)司(si)(si)準(zhun)備(bei)到(dao)湛(zhan)(zhan)江(jiang)(jiang)(jiang)市(shi)(shi)(shi)籌建公(gong)(gong)(gong)(gong)(gong)司(si)(si)。當(dang)了(le)解到(dao)該(gai)(gai)公(gong)(gong)(gong)(gong)(gong)司(si)(si)是(shi)國(guo)內最早成(cheng)立和最大(da)(da)的(de)(de)(de)(de)(de)(de)(de)專業(ye)健康(kang)險(xian)(xian)(xian)(xian)公(gong)(gong)(gong)(gong)(gong)司(si)(si),其經(jing)(jing)營戰略、發展(zhan)方向和運(yun)(yun)作模式都(dou)與(yu)壽(shou)險(xian)(xian)(xian)(xian)公(gong)(gong)(gong)(gong)(gong)司(si)(si)有著(zhu)較大(da)(da)的(de)(de)(de)(de)(de)(de)(de)區別,葉(xie)(xie)(xie)立堅(jian)(jian)加入(ru)了(le)中(zhong)(zhong)國(guo)人保(bao)(bao)(bao)(bao)(bao)(bao)(bao)健康(kang)湛(zhan)(zhan)江(jiang)(jiang)(jiang)中(zhong)(zhong)支。
2007年(nian)6月,中(zhong)國人保(bao)(bao)(bao)(bao)健康湛(zhan)(zhan)江中(zhong)支(zhi)(zhi)成立(li)(li)。葉(xie)(xie)立(li)(li)堅(jian)(jian)任湛(zhan)(zhan)江中(zhong)心支(zhi)(zhi)公(gong)(gong)(gong)司(si)(si)經理,在湛(zhan)(zhan)江市(shi)(shi)(shi)委、市(shi)(shi)(shi)政府的(de)(de)(de)大(da)力支(zhi)(zhi)持下(xia),該公(gong)(gong)(gong)司(si)(si)承(cheng)保(bao)(bao)(bao)(bao)了公(gong)(gong)(gong)務(wu)(wu)員(yuan)補(bu)(bu)充(chong)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)和(he)(he)(he)(he)(he)職(zhi)工(gong)(gong)(gong)大(da)額(e)補(bu)(bu)助醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao),為近30萬(wan)參(can)保(bao)(bao)(bao)(bao)人提供管理服(fu)務(wu)(wu)。隨著與政府的(de)(de)(de)合(he)作,要(yao)增加(jia)配備一(yi)批辦(ban)公(gong)(gong)(gong)設(she)備,由于(yu)公(gong)(gong)(gong)司(si)(si)成立(li)(li)初(chu)期啟動資金有(you)限,辦(ban)公(gong)(gong)(gong)設(she)備配備跟不(bu)上,葉(xie)(xie)立(li)(li)堅(jian)(jian)就組織員(yuan)工(gong)(gong)(gong)從家里將自(zi)己(ji)的(de)(de)(de)電(dian)腦借(jie)給公(gong)(gong)(gong)司(si)(si)使用,而自(zi)己(ji)掏腰(yao)包解決辦(ban)公(gong)(gong)(gong)設(she)備臨(lin)時(shi)不(bu)足的(de)(de)(de)困(kun)難。在葉(xie)(xie)立(li)(li)堅(jian)(jian)的(de)(de)(de)帶領下(xia),公(gong)(gong)(gong)司(si)(si)不(bu)但度(du)過了暫時(shi)性難關,還摸索出管理服(fu)務(wu)(wu)湛(zhan)(zhan)江市(shi)(shi)(shi)公(gong)(gong)(gong)務(wu)(wu)員(yuan)補(bu)(bu)充(chong)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)和(he)(he)(he)(he)(he)職(zhi)工(gong)(gong)(gong)大(da)額(e)補(bu)(bu)助醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)的(de)(de)(de)新思路,形成了有(you)效控制(zhi)醫(yi)(yi)(yi)療風(feng)險,方便患者就醫(yi)(yi)(yi)的(de)(de)(de)運行(xing)(xing)模式,滿足了政府引(yin)入商業保(bao)(bao)(bao)(bao)險公(gong)(gong)(gong)司(si)(si)合(he)作的(de)(de)(de)需求,得到各級政府、相關部門和(he)(he)(he)(he)(he)參(can)保(bao)(bao)(bao)(bao)人的(de)(de)(de)認可。由于(yu)管理服(fu)務(wu)(wu)公(gong)(gong)(gong)務(wu)(wu)員(yuan)和(he)(he)(he)(he)(he)職(zhi)工(gong)(gong)(gong)補(bu)(bu)充(chong)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)運行(xing)(xing)模式的(de)(de)(de)成效明(ming)顯(xian),葉(xie)(xie)立(li)(li)堅(jian)(jian)又推動市(shi)(shi)(shi)政府將城鎮居(ju)民(min)(min)和(he)(he)(he)(he)(he)新農(nong)合(he)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)合(he)并(bing)為城鄉(xiang)(xiang)居(ju)民(min)(min)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)制(zhi)度(du),由他所在的(de)(de)(de)公(gong)(gong)(gong)司(si)(si)提供城鄉(xiang)(xiang)居(ju)民(min)(min)大(da)額(e)補(bu)(bu)助醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)的(de)(de)(de)管理服(fu)務(wu)(wu)工(gong)(gong)(gong)作,于(yu)2009年(nian)1月成功(gong)承(cheng)保(bao)(bao)(bao)(bao)了546萬(wan)人的(de)(de)(de)湛(zhan)(zhan)江市(shi)(shi)(shi)城鄉(xiang)(xiang)居(ju)民(min)(min)大(da)額(e)補(bu)(bu)助醫(yi)(yi)(yi)療保(bao)(bao)(bao)(bao)險項目。為了保(bao)(bao)(bao)(bao)證(zheng)定點醫(yi)(yi)(yi)院和(he)(he)(he)(he)(he)參(can)保(bao)(bao)(bao)(bao)人對該政策的(de)(de)(de)理解和(he)(he)(he)(he)(he)支(zhi)(zhi)持,葉(xie)(xie)立(li)(li)堅(jian)(jian)和(he)(he)(he)(he)(he)社保(bao)(bao)(bao)(bao)局的(de)(de)(de)工(gong)(gong)(gong)作人員(yuan)一(yi)起(qi)到各縣市(shi)(shi)(shi)的(de)(de)(de)醫(yi)(yi)(yi)院或農(nong)村去宣傳城鄉(xiang)(xiang)居(ju)民(min)(min)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)的(de)(de)(de)政策,但是(shi)要(yao)宣傳的(de)(de)(de)地(di)域廣(guang),車(che)輛有(you)限,交通出行(xing)(xing)是(shi)個問題。葉(xie)(xie)立(li)(li)堅(jian)(jian)帶頭將自(zi)己(ji)乘坐的(de)(de)(de)專車(che)及自(zi)己(ji)的(de)(de)(de)家用豐田小汽車(che)“讓出來”公(gong)(gong)(gong)用。
2009年初,葉立(li)堅(jian)94歲高齡的(de)(de)祖母病重在東(dong)海島家(jia)里。而他(ta)(ta)正帶(dai)隊在各縣(xian)區的(de)(de)鄉鎮衛生院洽談服務協議(yi)的(de)(de)合作事項,抽(chou)不(bu)出時間(jian)回(hui)來探望。幾(ji)天后,祖母病故。葉立(li)堅(jian)當(dang)時正在徐聞(wen)的(de)(de)一(yi)家(jia)農(nong)場醫院洽談合作事項,要在規定時間(jian)內完成任務。為了不(bu)影響工作的(de)(de)進(jin)度,他(ta)(ta)來不(bu)及(ji)回(hui)家(jia)與(yu)祖母作最后一(yi)面的(de)(de)告(gao)別,等到(dao)她(ta)下(xia)葬后才趕回(hui)東(dong)海島到(dao)她(ta)的(de)(de)墳頭拜祭。
2008年7月(yue)至2009年5月(yue),城(cheng)鄉(xiang)(xiang)居(ju)民(min)醫(yi)療(liao)保(bao)(bao)(bao)(bao)險(xian)已(yi)開(kai)始實(shi)施(shi),但182家定(ding)點(dian)醫(yi)院(yuan)的《城(cheng)鄉(xiang)(xiang)居(ju)民(min)醫(yi)保(bao)(bao)(bao)(bao)醫(yi)療(liao)服(fu)(fu)務協議(yi)》還(huan)沒(mei)有簽(qian)訂(ding),實(shi)施(shi)監督(du)和(he)服(fu)(fu)務的工(gong)作(zuo)難于開(kai)展。葉立堅帶隊(dui)到(dao)各(ge)縣(xian)區走訪(fang)各(ge)家醫(yi)院(yuan),落(luo)實(shi)簽(qian)訂(ding)合作(zuo)協議(yi),宣傳城(cheng)鄉(xiang)(xiang)居(ju)民(min)醫(yi)療(liao)保(bao)(bao)(bao)(bao)險(xian)政策(ce),為了節省經(jing)(jing)費,他(ta)和(he)下屬三個人經(jing)(jing)常在(zai)縣(xian)城(cheng)同住一間(jian)房,每天(tian)早起晚歸,一天(tian)也(ye)僅(jin)能跑(pao)一、兩家醫(yi)院(yuan)。他(ta)們(men)跑(pao)遍了全市各(ge)縣(xian)區,在(zai)各(ge)鄉(xiang)(xiang)鎮醫(yi)院(yuan)之(zhi)間(jian)穿梭,宣傳城(cheng)鄉(xiang)(xiang)居(ju)民(min)醫(yi)保(bao)(bao)(bao)(bao)政策(ce)、管理(li)(li)(li)規定(ding)、保(bao)(bao)(bao)(bao)險(xian)知識(shi)。經(jing)(jing)過不懈的宣傳和(he)服(fu)(fu)務,農民(min)群(qun)眾完(wan)全理(li)(li)(li)解到(dao)了城(cheng)鄉(xiang)(xiang)居(ju)民(min)醫(yi)療(liao)保(bao)(bao)(bao)(bao)險(xian)的實(shi)惠(hui),醫(yi)院(yuan)也(ye)在(zai)城(cheng)鄉(xiang)(xiang)居(ju)民(min)醫(yi)保(bao)(bao)(bao)(bao)的實(shi)施(shi)中得(de)到(dao)發展,逐步理(li)(li)(li)解和(he)接受中國(guo)人保(bao)(bao)(bao)(bao)健康湛江中支管理(li)(li)(li)服(fu)(fu)務城(cheng)鄉(xiang)(xiang)居(ju)民(min)醫(yi)保(bao)(bao)(bao)(bao)的工(gong)作(zuo),并給(gei)予積極的配合。
葉(xie)立堅擔(dan)任中國人(ren)(ren)保(bao)健康湛江(jiang)中支(zhi)的(de)(de)總經(jing)理后(hou),帶領(ling)團隊(dui),充(chong)分發(fa)揮他(ta)長期積累(lei)的(de)(de)客戶資源和(he)(he)人(ren)(ren)脈資源優勢,開始了(le)在(zai)湛江(jiang)保(bao)險業敢為人(ren)(ren)先的(de)(de)創新之(zhi)路。經(jing)過(guo)充(chong)分研究參保(bao)群眾、政(zheng)府、醫(yi)(yi)院的(de)(de)不同需求后(hou),他(ta)提出(chu)全(quan)國首創的(de)(de)“管理+經(jing)營”方式參與湛江(jiang)市城(cheng)鄉居(ju)民(min)(min)大(da)額(e)補(bu)(bu)助醫(yi)(yi)保(bao)的(de)(de)管理服務。在(zai)葉(xie)立堅的(de)(de)主動(dong)出(chu)擊和(he)(he)不斷推(tui)動(dong)下,湛江(jiang)市政(zheng)府分別(bie)于2007年將公務員補(bu)(bu)充(chong)醫(yi)(yi)保(bao)和(he)(he)職工(gong)大(da)額(e)補(bu)(bu)助醫(yi)(yi)保(bao),2009年將城(cheng)鄉居(ju)民(min)(min)大(da)額(e)補(bu)(bu)助保(bao)險交(jiao)給他(ta)所在(zai)的(de)(de)公司承(cheng)保(bao),標志著中國人(ren)(ren)保(bao)健康湛江(jiang)中支(zhi)全(quan)面(mian)參與湛江(jiang)市城(cheng)鄉居(ju)民(min)(min)醫(yi)(yi)保(bao)一體化建(jian)設(she)。
葉(xie)立堅(jian)認真研究了(le)(le)總公(gong)司關(guan)于經(jing)辦(ban)社(she)(she)保(bao)補充醫(yi)(yi)(yi)療(liao)業(ye)務(wu)的(de)(de)(de)戰略(lve)部(bu)(bu)署(shu)和運(yun)行要求,對之前(qian)其他壽險公(gong)司參與(yu)湛江(jiang)社(she)(she)保(bao)補充醫(yi)(yi)(yi)療(liao)業(ye)務(wu)運(yun)作(zuo)情況進行了(le)(le)系統的(de)(de)(de)思(si)考。在總公(gong)司和廣(guang)東分(fen)(fen)公(gong)司的(de)(de)(de)支持下(xia),他主(zhu)動(dong)與(yu)湛江(jiang)市政(zheng)(zheng)府(fu)(fu)(fu)相關(guan)部(bu)(bu)門溝通(tong),對業(ye)務(wu)流程、合(he)作(zuo)制(zhi)度、運(yun)作(zuo)方式進行了(le)(le)認真細致的(de)(de)(de)梳理(li)(li)(li)完(wan)善(shan)。葉(xie)立堅(jian)大(da)(da)(da)膽提(ti)出新(xin)型的(de)(de)(de)醫(yi)(yi)(yi)療(liao)風險管控思(si)路(lu):在互(hu)惠(hui)共(gong)贏的(de)(de)(de)前(qian)提(ti)下(xia),公(gong)司、社(she)(she)保(bao)局(ju)和醫(yi)(yi)(yi)院簽訂三(san)方合(he)作(zuo)協議,明(ming)確(que)公(gong)司與(yu)醫(yi)(yi)(yi)院直接結算醫(yi)(yi)(yi)療(liao)費(fei)用(yong)、互(hu)相配合(he)及監(jian)督等權(quan)、責、利;與(yu)各級社(she)(she)保(bao)部(bu)(bu)門實(shi)行聯合(he)辦(ban)公(gong),社(she)(she)保(bao)部(bu)(bu)門提(ti)供(gong)辦(ban)公(gong)場地;共(gong)建專(zhuan)業(ye)管理(li)(li)(li)服(fu)(fu)(fu)務(wu)隊伍,統一(yi)(yi)實(shi)施對醫(yi)(yi)(yi)院的(de)(de)(de)監(jian)督和對患(huan)者(zhe)的(de)(de)(de)導醫(yi)(yi)(yi)服(fu)(fu)(fu)務(wu);開(kai)發三(san)方(醫(yi)(yi)(yi)院、社(she)(she)保(bao)局(ju)、保(bao)險公(gong)司)信息共(gong)享管理(li)(li)(li)系統,實(shi)現參保(bao)人信息和醫(yi)(yi)(yi)療(liao)費(fei)用(yong)數據的(de)(de)(de)共(gong)享。經(jing)過實(shi)踐(jian),公(gong)司的(de)(de)(de)專(zhuan)業(ye)隊伍、專(zhuan)業(ye)技(ji)術(shu)、專(zhuan)業(ye)管理(li)(li)(li)經(jing)驗等優勢不(bu)但解決(jue)了(le)(le)社(she)(she)保(bao)部(bu)(bu)門經(jing)費(fei)不(bu)足、人力(li)編制(zhi)有限的(de)(de)(de)困(kun)難,同時也大(da)(da)(da)大(da)(da)(da)方便患(huan)者(zhe)的(de)(de)(de)就(jiu)醫(yi)(yi)(yi),并有效遏制(zhi)了(le)(le)虛(xu)假住(zhu)院、小(xiao)病大(da)(da)(da)養、虛(xu)開(kai)處(chu)方等不(bu)合(he)理(li)(li)(li)醫(yi)(yi)(yi)療(liao)費(fei)用(yong)的(de)(de)(de)支出風險,逐(zhu)步規范(fan)了(le)(le)醫(yi)(yi)(yi)院提(ti)供(gong)的(de)(de)(de)醫(yi)(yi)(yi)療(liao)服(fu)(fu)(fu)務(wu),形成了(le)(le)“政(zheng)(zheng)府(fu)(fu)(fu)主(zhu)導、專(zhuan)業(ye)運(yun)作(zuo)、聯合(he)辦(ban)公(gong)、便捷服(fu)(fu)(fu)務(wu)”的(de)(de)(de)運(yun)行方式,得到湛江(jiang)市委市政(zheng)(zheng)府(fu)(fu)(fu)和相關(guan)部(bu)(bu)門的(de)(de)(de)充分(fen)(fen)肯(ken)定。隨著(zhu)探索(suo)實(shi)踐(jian)的(de)(de)(de)不(bu)斷深(shen)入,通(tong)過“政(zheng)(zheng)府(fu)(fu)(fu)主(zhu)導、專(zhuan)業(ye)運(yun)作(zuo)、聯合(he)辦(ban)公(gong)、便捷服(fu)(fu)(fu)務(wu)”的(de)(de)(de)運(yun)行方式,進一(yi)(yi)步形成了(le)(le)“一(yi)(yi)體化(hua)管理(li)(li)(li)、多(duo)元化(hua)保(bao)障、互(hu)利化(hua)合(he)作(zuo)”的(de)(de)(de)服(fu)(fu)(fu)務(wu)模式,實(shi)現了(le)(le)“政(zheng)(zheng)府(fu)(fu)(fu)不(bu)多(duo)出一(yi)(yi)分(fen)(fen)錢、群眾不(bu)多(duo)花一(yi)(yi)分(fen)(fen)錢,居民保(bao)障大(da)(da)(da)幅提(ti)高、覆蓋(gai)更加廣(guang)泛”的(de)(de)(de)群眾、政(zheng)(zheng)府(fu)(fu)(fu)、醫(yi)(yi)(yi)院、保(bao)險業(ye)有效互(hu)動(dong)、多(duo)方共(gong)贏的(de)(de)(de)新(xin)局(ju)面,被譽為全民醫(yi)(yi)(yi)保(bao)“湛江(jiang)模式”。
他始終把加強學(xue)習、不斷提高服務(wu)能(neng)力作(zuo)為(wei)自(zi)(zi)己(ji)重(zhong)要任務(wu)。除(chu)了參(can)加集(ji)(ji)團(tuan)公(gong)(gong)(gong)(gong)司(si)、總分(fen)(fen)公(gong)(gong)(gong)(gong)司(si)的(de)(de)(de)各(ge)種業務(wu)交流和培訓,2006年(nian)(nian)后,葉(xie)(xie)立(li)堅(jian)(jian)連續三年(nian)(nian)參(can)加全國研(yan)究(jiu)生(sheng)統考(kao)(kao),并(bing)于(yu)(yu)2008年(nian)(nian)1月,考(kao)(kao)上武漢理(li)工(gong)大學(xue)管(guan)理(li)學(xue)院行(xing)政管(guan)理(li)(MBA)專業就讀,并(bing)如期畢業。2009年(nian)(nian),他考(kao)(kao)取中(zhong)(zhong)國高級壽險管(guan)理(li)師和理(li)財(cai)規劃師資格(ge)。他以(yi)自(zi)(zi)身作(zuo)表率(lv)鼓(gu)勵員(yuan)工(gong)自(zi)(zi)學(xue)成才,主動(dong)(dong)和員(yuan)工(gong)分(fen)(fen)享自(zi)(zi)己(ji)的(de)(de)(de)求學(xue)從業感悟,在(zai)員(yuan)工(gong)心目中(zhong)(zhong)留下(xia)了可(ke)敬可(ke)親的(de)(de)(de)形象。在(zai)葉(xie)(xie)立(li)堅(jian)(jian)帶領下(xia),公(gong)(gong)(gong)(gong)司(si)的(de)(de)(de)黨(dang)、團(tuan)組織活動(dong)(dong)也隨之開(kai)展得有(you)聲有(you)色(se),廣大青年(nian)(nian)員(yuan)工(gong)以(yi)葉(xie)(xie)立(li)堅(jian)(jian)為(wei)榜(bang)樣(yang),以(yi)理(li)論陣地(di)、展業能(neng)手、文明窗(chuang)口等為(wei)載(zai)體開(kai)展黨(dang)、團(tuan)活動(dong)(dong)。當西南大旱、玉樹地(di)震等災(zai)害頻襲(xi),葉(xie)(xie)立(li)堅(jian)(jian)迅速(su)響應集(ji)(ji)團(tuan)公(gong)(gong)(gong)(gong)司(si)號(hao)召,以(yi)身作(zuo)則慷慨捐(juan)(juan)(juan)款,并(bing)動(dong)(dong)員(yuan)湛江(jiang)中(zhong)(zhong)心支(zhi)公(gong)(gong)(gong)(gong)司(si)全體共(gong)產(chan)黨(dang)員(yuan)、共(gong)青團(tuan)員(yuan)積極參(can)與捐(juan)(juan)(juan)資捐(juan)(juan)(juan)物抗震救災(zai),湛江(jiang)中(zhong)(zhong)心支(zhi)公(gong)(gong)(gong)(gong)司(si)成為(wei)廣東分(fen)(fen)公(gong)(gong)(gong)(gong)司(si)捐(juan)(juan)(juan)贈(zeng)最多的(de)(de)(de)地(di)、市級機構。在(zai)葉(xie)(xie)立(li)堅(jian)(jian)的(de)(de)(de)推動(dong)(dong)下(xia),湛江(jiang)中(zhong)(zhong)心支(zhi)公(gong)(gong)(gong)(gong)司(si)自(zi)(zi)2009年(nian)(nian)開(kai)始,連續兩年(nian)(nian)給(gei)湛江(jiang)市特(te)殊學(xue)校(xiao)各(ge)捐(juan)(juan)(juan)助10萬元(yuan),用(yong)于(yu)(yu)改(gai)善學(xue)校(xiao)的(de)(de)(de)康復設(she)備。
2009年(nian)(nian)(nian)后(hou),國(guo)家有(you)關部委、地(di)方政府和新(xin)聞媒體、國(guo)外同行等1000多人次(ci)考察了“湛江模式(shi)(shi)”,有(you)20多個(ge)省(市、自治區)政府專(zhuan)門發文或主要領導(dao)專(zhuan)門批示(shi)支持推廣。新(xin)華社(she)、中(zhong)央(yang)電(dian)視臺、中(zhong)央(yang)人民廣播電(dian)臺、《人民日報(bao)(bao)》等媒體多次(ci)進行專(zhuan)題報(bao)(bao)道,對“湛江模式(shi)(shi)”給予高(gao)度評價(jia)。“湛江模式(shi)(shi)”先后(hou)入選(xuan)“2009年(nian)(nian)(nian)廣東保(bao)險業十大新(xin)聞”、“2010年(nian)(nian)(nian)中(zhong)國(guo)保(bao)險十大新(xin)聞”,榮獲2010年(nian)(nian)(nian)廣東省金融創(chuang)新(xin)一(yi)等獎。
在(zai)葉立堅帶領下,湛江中(zhong)(zhong)心(xin)支公司先(xian)后榮獲第(di)三屆全(quan)國(guo)金(jin)融系統(tong)“學習型組織(zhi)先(xian)進班組”、第(di)四(si)(si)屆全(quan)國(guo)金(jin)融系統(tong)“職工職業道(dao)德建設”先(xian)進單(dan)位、共青團中(zhong)(zhong)國(guo)保(bao)監會“五(wu)四(si)(si)紅(hong)(hong)旗(qi)團組織(zhi)”,中(zhong)(zhong)國(guo)人保(bao)系統(tong)“五(wu)一勞動(dong)獎”、“青年(nian)文明號”、“五(wu)四(si)(si)紅(hong)(hong)旗(qi)先(xian)進團組織(zhi)”等稱號。
葉(xie)立堅先后榮獲(huo)2009年(nian)(nian)度廣(guang)東分公司(si)“最大貢獻(xian)獎(jiang)”、“地市機構管(guan)理菁英獎(jiang)”、2009年(nian)(nian)“中(zhong)國(guo)人保先進工作者”、2010年(nian)(nian)“中(zhong)國(guo)人保首屆(jie)十(shi)大青(qing)年(nian)(nian)標(biao)兵”等(deng)稱號,2010年(nian)(nian),他當選(xuan)(xuan)第16屆(jie)廣(guang)州亞運會(hui)火炬手(shou);2011年(nian)(nian)3月,被推選(xuan)(xuan)為2010年(nian)(nian)“中(zhong)國(guo)十(shi)大保險(xian)人物(wu)”候選(xuan)(xuan)人。