Fangchenggang 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 plan and standards, and organizing and implementing, supervising and inspecting them.
(2) To organize the formulation and implementation of the supervision and management of the city's medical insurance fund, and to establish and improve the risk prevention and control mechanism of the medical insurance fund.
(c) Organize and formulate measures relating to the financing and treatment of the city's medical insurance, improve the mechanism of dynamic adjustment and transfer and balance between cities and counties, coordinate the treatment standards of urban and rural medical insurance, and establish and improve the adjustment mechanism of the treatment in line with the level of financing. (c) To organize the formulation and implementation of reform plans for the long-term care insurance system.
(d) Overseeing the implementation of medicines, medical consumables, medical service items, medical service facilities and other medical insurance catalogs and payment standards, establishing a dynamic adjustment mechanism, and implementing the rules for negotiating access to medical insurance catalogs.
(e) Organize the formulation of the city's draft policies on the prices of medicines, medical consumables and medical service items and prices, and charges for medical service facilities, establish a mechanism for reasonably determining and dynamically adjusting the prices of medical services paid for by the medical insurance, promote the establishment of a market-led mechanism for the formation of prices of medical services in the community, and stimulate the system of price monitoring and information dissemination, and organize its implementation.
(F) Supervise the implementation of the bidding and purchasing policies for drugs and medical consumables, and participate in the construction of the bidding and purchasing platform 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.
(viii) Responsible for the city's medical insurance management, public service system and information construction. It organizes the formulation and improvement of policies on the management and settlement of expenses for medical treatment in other places. To establish and improve the system of transferring and continuing medical insurance relations. Carrying out cooperation and exchanges 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 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 utilized, safe and controllable, and push forward the medical care, medical insurance, and pharmaceutical “three medical” linkage. “reform, to better protect the people's medical needs, reduce the burden of medical costs.
(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 strengthening the system, policy convergence, the establishment of a communication and consultation mechanism, synergistically promote the reform, improve the efficiency of medical resources and medical protection level.
The internal organizations are: Office (Planning and Finance Section), Fund Supervision Section, Treatment and Protection Section, and Medicine Service Management Section.
