Qinzhou Municipal Medical Protection Bureau Functional Information
(a) Implementing and enforcing the laws and regulations, guidelines, policies and standards of the central government and autonomous regions concerning medical security and medicine prices, formulating the city's medical security development plans, policies and standards, and organizing their implementation, supervision and inspection.
(b) To formulate implementation measures for the supervision and management of the city's medical insurance fund, establish and improve the risk prevention and control mechanism of the medical insurance fund and organize its implementation.
(C) implementation of the state, autonomous regions, medical security financing and treatment policies, improve the dynamic adjustment and city and county (district) transfer and balance mechanism, urban and rural medical security treatment standards, establish and improve the treatment adjustment mechanism in line with the level of financing. Organize and implement the reform of the long-term care insurance system.
(d) Implementing the national and autonomous region drugs, medical consumables, medical services, medical service facilities and other medical insurance directory and payment standards and organize the implementation of the establishment of a dynamic adjustment mechanism.
(e) To formulate the city's policies on the prices of medicines, medical consumables, medical service items and prices, and charges for medical service facilities; to establish a mechanism for reasonably determining and dynamically adjusting the prices of medical services paid for by the medical insurance; to promote the establishment of a market-led mechanism for the formation of prices of social medical services; and to establish a system for monitoring prices and releasing information, and to organize and implement such a system.
(f) Implementing the bidding and purchasing policies for drugs and medical consumables of the state and autonomous regions and supervising and inspecting them, and assisting in the construction of bidding and purchasing platforms for drugs and medical consumables.
(vii) To formulate the city's agreement management methods for designated medical institutions and organize their implementation. Promote the reform of the payment system of the medical insurance fund, formulate payment management methods and organize the implementation. Establishing and improving the service evaluation and assessment system and information release system for designated medical institutions. Supervision and management of medical services included in the scope of medical insurance behavior and medical costs, in accordance with the law to investigate and deal with violations of the law in the field of medical insurance.
(H) is responsible for the city's medical insurance management, public service system and information construction. Implementation of the state, autonomous regions and foreign medical management and cost settlement policies. To establish and improve the system of transferring medical insurance relations. To carry out cooperation and exchange in the field of medical insurance.
(ix) To accomplish other tasks assigned by the municipal party committee and the municipal people's government.
(J) Functional transformation. The Municipal Bureau of Medical Security shall, in accordance with the unified deployment of the autonomous region, improve the unified basic medical insurance system for urban and rural residents and the medical insurance system for major diseases, establish and improve a multi-level medical security system covering the whole population and urban and rural areas in an integrated manner, continuously improve the level of medical security, ensure the rational use of medical security funds, safe and controllable, and promote the reform of medical care, medical insurance, medicine and the “three medical care” linkage, and to improve the medical security system. “(j) To promote the reform of medical care, medical insurance and medicine, better protect the people's demand for medical care, and reduce the burden of medical expenses.
(XI) and the Municipal Health Commission of the relevant division of responsibilities. The Municipal Health Commission, the Municipal Bureau of Medical Protection and other departments in the medical, medical insurance, medicine and other aspects of the strengthening of the system, policy convergence, the establishment of a mechanism for communication and consultation, and synergistic promotion of reforms to improve the efficiency of the use of medical resources and the level of medical protection.
