Chongzuo Municipal Medical Protection Bureau Functional Information
(a) Implementing the laws and regulations, guidelines, policies and standards of the central government and autonomous regions concerning medical insurance and medicine prices, organizing the drafting of normative documents on medical insurance, maternity insurance, medical aid and other medical insurance, formulating the city's development plan, policies and standards for medical insurance and organizing the implementation, supervision and inspection thereof.
(b) 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.
(iii) Organize and formulate the city's medical insurance financing and treatment policies, improve the dynamic adjustment and regional transfer and balance mechanism, coordinate the urban and rural medical insurance treatment standards, and establish and improve the treatment adjustment mechanism in line with the financing level. It organizes the formulation and implementation of a reform plan for the long-term care insurance system.
(d) Organize the formulation of the city's medical insurance catalog and payment standards for medicines, medical consumables, medical service items, medical service facilities, etc., establish a dynamic adjustment mechanism, and undertake the work related to access to the medical insurance catalog.
(e) To organize the formulation of the city's drugs, medical consumables prices and medical service items and prices, medical service facility charges and other policies, to establish a reasonable determination of the price of medical services paid by the medical insurance and dynamic adjustment mechanism, to promote the establishment of a market-led price formation mechanism for social medical services, and to establish a system of price monitoring and information dissemination and organize the implementation thereof.
(f) To formulate the city's bidding and purchasing policies for drugs and medical consumables and supervise their implementation, and guide the construction of bidding and purchasing platforms for drugs and medical consumables.
(vii) To formulate citywide 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. To establish and improve the service evaluation and assessment system and information release system of 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 the rational use of medical security funds, safe and controllable, and push forward the reform of medical care, medical insurance, and medicine, so as to better protect the people's needs for medical care. To better protect the people's medical needs and reduce the burden of medical expenses.
Division of responsibilities with the Municipal Health Commission. The Municipal Health Commission, the Municipal Medical Protection Bureau 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 the reform, so as to improve the efficiency of the use of medical resources and the level of medical protection.
