Integrate the responsibilities of the county human resources and social security bureau for basic medical insurance and maternity insurance for urban workers and urban and rural residents, the responsibilities of the county development and reform bureau for drug and medical service price management, and the responsibilities of the county civil affairs and ethnic and religious affairs bureau for medical assistance, and set up the county medical security bureau as the working department of the county government.
major duty
(a) to implement the laws, regulations and rules of the state, autonomous regions and this Municipality on medical insurance, maternity insurance and medical assistance; To study, formulate and implement relevant policies, plans and industry standards, and organize their implementation.
(two) to cooperate with the relevant departments to prepare the draft budget and final accounts of the county-level medical security fund; To organize the implementation of measures for the supervision and administration of medical insurance funds; Establish and improve the safety prevention and control mechanism of medical insurance funds, and promote the reform of payment methods of medical insurance funds.
(three) the implementation of medical insurance financing and treatment policies, improve the dynamic adjustment and regional adjustment and balance mechanism, co-ordinate urban and rural medical insurance treatment standards, and maintain a treatment adjustment mechanism that is compatible with the level of financing; Organize the formulation and implementation of long-term care insurance system reform plan.
(4) To implement the unified medical insurance catalogue and payment standards of drugs, medical consumables, medical service items and medical service facilities of the state, autonomous regions and municipalities directly under the Central Government, and supervise the implementation. Establish a dynamic adjustment mechanism and implement the negotiation rules for national medical insurance catalogue access.
(five) to implement the policies of the state, autonomous regions and municipalities on the prices of drugs and medical consumables, and to implement and supervise the policies of autonomous regions and municipalities on medical service items and medical service facilities; Establish a reasonable determination and dynamic adjustment mechanism for the price of medical services paid by medical insurance, promote the establishment of a market-led social medical service price formation mechanism, and establish a price information monitoring and information release system.
(six) to implement the national, autonomous regional and municipal policies on bidding, procurement, distribution and settlement of drugs and medical consumables, and supervise the implementation; Promote the construction of procurement platform for drugs and medical consumables.
(seven) to formulate the agreement and payment management measures for designated medical institutions and organize their implementation, and establish and improve the credit evaluation system and information disclosure system for medical security; Supervision and management of medical services and medical expenses incorporated into medical insurance coverage; Investigate and deal with illegal acts in the field of medical security according to law.
(eight) responsible for medical security management, public service system and information construction; Implement the policy of medical treatment management and expense settlement for urban workers and urban and rural residents in different places; Establish and improve the transfer and connection system of medical security relationship; Carry out cooperation and exchanges in the field of medical security.
(nine) according to the list of responsibilities of the department to perform related duties. Be responsible for safety production, occupational health and ecological environment protection within the scope of duties.