1, Lanzhou Chengguan Medical Insurance Bureau is mainly responsible for implementing national, provincial and municipal laws, regulations, policies, plans and standards on medical insurance, maternity insurance, medical assistance and other medical security systems. Implement national, provincial and municipal measures for the supervision and management of medical insurance funds, establish and improve the safety prevention and control mechanism of medical insurance funds, be responsible for the supervision and management of medical insurance funds in the whole region, standardize the handling business of medical insurance, and promote the reform of payment methods of medical insurance funds. The implementation of national and provincial medical insurance financing and treatment policies, the implementation of urban and rural medical insurance treatment standards. Organize and implement the overall planning of medical expenses and treatment adjustment of retirees in the whole region, and implement the reform plan of long-term care insurance system in the city.
2, the implementation of national and provincial urban and rural unified medicine, medical consumables, medical services, medical service facilities and other medical insurance directory, undertake the relevant policies of medical insurance directory access. Implement national, provincial and municipal policies on the prices of drugs, medical consumables, medical service items and charges for medical service facilities, implement the mechanism of reasonable determination and dynamic adjustment of medical service prices paid by medical insurance, implement the market-led social medical service price formation mechanism, and implement the system of price information monitoring and information release. To undertake and organize the implementation of relevant work, and supervise and inspect the implementation of medical institutions in accordance with the requirements of national, provincial and municipal policies on bidding and purchasing drugs and medical consumables.
3. Organize the implementation of the agreement and payment management measures of designated medical institutions, establish and improve the statistical mechanism of medical security information, credit evaluation system and information disclosure system, supervise and manage the medical service behavior and medical expenses in medical insurance coverage, and investigate and deal with illegal acts in the field of medical security according to law. Responsible for medical security management, public service system and information construction. Organize and implement the policy of medical treatment management and expense settlement in different places. We will improve the transfer and connection system of medical security relations and carry out foreign cooperation and exchanges in the field of medical security.
4. Complete other tasks assigned by the district party committee, district government and superior business departments. In terms of functional transformation, the district medical insurance bureau should improve the unified basic medical insurance system and serious illness insurance system for urban and rural residents, establish and improve a multi-level medical security system covering the whole people and urban and rural areas, continuously improve the level of medical security, ensure the rational use, safety and controllability of medical insurance funds, and promote the "three-medical linkage" reform of medical care, medical insurance and medicine to better protect the medical needs of the people and reduce the burden of medical expenses. Division of responsibilities, as well as the division of responsibilities of the District Health Bureau. District Health Bureau, District Medical Insurance Bureau and other departments strengthen the system and policy convergence in medical care, medical insurance, medicine and other aspects, establish a communication and consultation mechanism, jointly promote reform, and improve the efficiency of the use of medical resources and the level of medical security. Division of responsibilities with the District Human Resources and Social Security Bureau (District Social Insurance Service Center). The district medical insurance bureau continues to rely on the "five insurances in one" information system of the Municipal People's Social Security Bureau to carry out related work.