Beihai Medical Protection Bureau Functional Information
(a) Implementing and enforcing laws and regulations, guidelines, policies and standards of the State, autonomous regions and municipalities relating to medical insurance, maternity insurance, medical aid and other medical security systems and medicine prices, organising the drafting of relevant local regulations, formulating the city's medical security development plans, policies and standards, and organising their implementation, supervision and inspection.
(b) Organise the formulation and implementation of rules for the supervision and management of the city's medical insurance fund, and establish and improve the risk prevention and control mechanism of the medical insurance fund.
(c) Implementing the policies of financing and treatment of medical insurance of the state, autonomous regions and cities, improving the dynamic adjustment and transfer and balance mechanism of the city and counties (districts), coordinating the treatment standards of urban and rural medical insurance, and establishing and improving the adjustment mechanism of the treatment corresponding to the level of financing. (c) Organising and implementing the reform of the long-term care insurance system.
(D) organization, implementation and supervision of the city's medicines, medical consumables, medical services, medical service facilities, such as medical insurance catalogue and payment standards, the establishment of a dynamic adjustment mechanism, according to the autonomous region's deployment of timely adjustment of the medical insurance catalogue.
(E) implement the state, autonomous regions and municipal drugs, medical consumables prices and medical services and prices, medical service facility charges and other policies, establish medical insurance payment of medical service prices reasonably determined and dynamic adjustment mechanism, to promote the establishment of market-led price formation mechanism for social medical services, establish price monitoring and information dissemination system and organise its implementation.
(F) the implementation of the autonomous region of drugs, medical consumables bidding procurement policy, organise the implementation of drugs, medical consumables bidding procurement.
(vii) To formulate rules for the management of the agreements of the city's designated medical institutions and organise their implementation. Promote the reform of the payment system of the medical insurance fund and organise the implementation of payment management methods. To establish and improve the service evaluation and assessment system and information release system of designated medical institutions. Supervise and manage the medical service behaviours and medical expenses included in the scope of medical insurance, and investigate and deal with violations of laws and regulations in the field of medical insurance in accordance with the law.
(viii) Responsible for the city's medical insurance management, public service system and information construction. Carry out the implementation of the state, autonomous regions and foreign medical management and cost settlement policies. To establish and improve the system of transferring and continuing medical insurance relations. To carry out cooperation and exchange in the field of medical insurance.
(ix) Responsible for the city and county (district) medical insurance agencies to carry out employees‘ basic medical insurance and urban and rural residents’ basic medical insurance, maternity insurance and other related business.
(j) Completing other tasks assigned by the municipal party committee and the municipal people's government.
(xi) Functional transformation. The Municipal Bureau of Medical Security shall 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 integrating urban and rural areas, continuously improve the level of medical security, ensure that the medical security funds are reasonably used, safe and controllable, and push forward the reform of the ‘three medicals’ of medical care, medical insurance and medicine, so as to better protect the people's medical needs and to better protect the people's medical needs and to ensure that they can receive medical care. To better protect the people's medical needs, reduce the burden of medical costs.
(xii) Division of responsibilities with the Municipal Health Commission and other relevant departments. The Municipal Health Commission, the Municipal Bureau of Medical Protection and other departments will strengthen the connection of systems and policies in the areas of medical care, medical insurance and medicine, establish a mechanism for communication and consultation, and collaborate to promote reforms and improve the efficiency of the use of medical resources and the level of medical protection.
