Yulin Municipal Medical Protection Bureau Functional Information
(a) Implementing the laws and regulations, guidelines, policies and standards of the central government, autonomous regions and municipalities relating to medical security and medicine prices, organising and formulating the city's medical security development planning, policies and standards, and organising implementation, supervision and inspection.
(b) Organise the implementation of the supervision and management of the medical insurance fund of the State and the autonomous region, and establish and improve the risk prevention and control mechanism of the medical insurance fund.
(c) Implementing the financing and treatment policies of the State and autonomous regions for medical insurance, improving the dynamic adjustment and regional transfer and balance mechanism, implementing the treatment standards for urban and rural medical insurance, and establishing and improving the treatment adjustment mechanism in line with the level of financing. Organising and implementing medical assistance. (c) Organizing and implementing reform programmes for the long-term care insurance system.
(d) Implementing the national and autonomous regions' medical insurance catalogue and payment standards for medicines, medical consumables, medical service items and medical service facilities, and establishing a dynamic adjustment mechanism.
(e) According to the national and autonomous region drugs, medical consumables and medical service price management policy, formulate Yulin City implementation plan, establish medical insurance payment medical service price reasonable determination and dynamic adjustment mechanism, promote the establishment of market-led social medical service price formation mechanism, according to the provisions of the price monitoring and information reporting and publishing work.
(F) implement the national and autonomous region of drugs, medical consumables bidding procurement policy, do a good job of the city's drugs, medical consumables bidding procurement work.
(VII) the implementation of the state and autonomous regions designated medical institutions agreement management methods. Promote the reform of the payment system of the medical insurance fund, and implement the 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.
(h) Responsible for the city's medical insurance management, public service system and information construction. Implementing policies on the management and settlement of expenses for medical treatment in other places. Establishing and improving the system of transferring and continuing medical insurance relations. Carrying out co-operation and exchanges in the field of medical insurance.
(ix) Completing other tasks assigned by the municipal party committee and the municipal people's government.
(j) Functional transformation. To establish and improve a multi-level medical security system that covers the entire population and is coordinated between urban and rural areas; to improve the unified basic medical insurance system for urban and rural residents and the medical insurance system for major illnesses; to continually raise the level of medical security; to ensure that the medical security funds are reasonably used and are safe and controllable; to push forward the reform of the ‘three-medicine linkage’ among medical care, medical insurance and medicine; and to better safeguard the medical needs of the public and alleviate the costs of medical care. (j) Promoting the reform of the ‘three medical systems’ of medical care, medical insurance and medicine, better safeguarding the people's medical needs, and reducing the burden of medical expenses.
(k) Division of responsibilities with the Municipal Health Commission. The Municipal Health Commission, the Municipal Bureau of Medical Protection and other departments shall strengthen the convergence 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.
