Guiyang Huaxi District Medical Insurance Bureau Organization Setup
1. Office (Medicine Service Management Section, Treatment Security Section)
Responsibilities: Responsible for the day-to-day functioning of the organ, responsible for the letter and visit to maintain stability, emergency response, open government affairs, publicity and publicity, target assessment, Foreign exchange and cooperation, security, confidentiality and other work. Undertake work related to civil-military integration, poverty alleviation and development, government data resource management, production safety and fire safety. Promoting the construction of medical security informationization in the region. Undertake work related to scientific and technological innovation capacity building. Cooperate with the Municipal Medical Insurance Bureau to carry out policy research in the field of medical insurance. Undertake the review of legality of normative documents, cooperate with relevant administrative reconsideration work, and undertake the unit's work of administrative appeal and administrative compensation. Undertake legal counseling and other work related to the construction of the government under the rule of law. Responsible for the personnel, organization and preparation, talent team building, performance appraisal, retirement, education and training of the organs and subordinate units, and other work, and responsible for the work of the organs and subordinate units of the party group. Implementing provincial and municipal medical insurance financing and treatment policies, and implementing urban and rural medical insurance treatment standards. Implement the local medical insurance system of Guiyang City such as major disease insurance and supplementary medical insurance. Coordinate and promote the construction of multi-level medical insurance system in the whole region. Establishing and improving the system of transferring and continuing medical insurance relations. Implementing the requirements for reforming the long-term care insurance system in Guiyang. Implementing policies related to the medical insurance treatment of retirees in the region. Implementing the medical insurance catalog and payment standards. Organize and implement the management methods and settlement policies for medical treatment in other places. Organize and implement the medical assistance work in the region, and guide and supervise the operating agencies and fixed-point medical institutions to do a good job in the medical assistance related work. Cooperate with the completion of the reform of the city's medical insurance payment method. Cooperating in completing the construction of the bidding and procurement platform. Completing other work assigned by the superior. Responsible for undertaking the online name management of the organization.
2. Fund Financial Supervision and Management Section (Drug Prices and Medical Services Management Section)
Responsibilities: implement the provincial and municipal supervision and management of medical insurance funds, establish and improve the safety and control mechanism of medical insurance funds, medical assistance funds, and organize and implement. It is responsible for the safety supervision of the medical insurance fund and medical aid funds as well as the operation of statistical analysis. To establish and improve the medical insurance credit evaluation system and information disclosure system, and be responsible for the credit evaluation system, information disclosure, and dynamic supervision and feedback of designated medical institutions. Regulate the operation of medical insurance in the region, and supervise and manage the medical service behaviors and medical expenses included in the scope of medical insurance payment. Investigate and deal with violations of laws and regulations in the field of medical insurance in the region according to law. Responsible for financial budgeting, financial management, asset management and internal auditing of the bureau organs and subordinate units of office expenses. Supervise the implementation of provincial and municipal policies on bidding and purchasing, distribution and settlement management of drugs and medical consumables. Supervise the implementation of policies related to medical aid. Organize the implementation of provincial and municipal policies on the prices of medicines and medical consumables, medical service items and charges for medical service facilities, and be responsible for the management and guidance of the prices of medicines and medical services. It is responsible for the supervision of the implementation of the matters agreed by the district party committee and the district government involving the department. Responsible for the work related to petition and stability within the scope of business. Completion of other work assigned by the superior.