Municipal Medical Protection Bureau has the following internal organizations
(a) Office. Responsible for the day-to-day operation of the organs, security, confidentiality, publicity, information, letters and visits, archives, drafting of important documents, public affairs and foreign cooperation and exchange. Organize the preparation of the draft budget of the Medical Insurance Fund, and undertake the work of the organ and directly under the unit budget, organ finance, asset management, internal audit. Undertake personnel management and organization and preparation work of the organs and directly subordinate units. Organize and formulate medical security work planning and annual plan. It is responsible for the construction of medical insurance informationization, and undertakes the work of data statistics and data resource utilization. Organize and carry out comprehensive research on medical security policies. Drafting drafts of local regulations and standards relating to medical protection. Responsible for handling proposals of the National People's Congress and proposals of the Chinese People's Political Consultative Conference. Undertake the review of legality of normative documents of the organ, and undertake the work of administrative reconsideration and administrative appeal. Undertake the work of party groups of the organ and affiliated units.
(2) Operations Section.
1, organizing the development and implementation of medical insurance financing and treatment policies, coordinating urban and rural medical insurance treatment standards. Coordinate and promote the construction of multi-level medical insurance system. Carry out the implementation of the medical insurance relationship transfer and succession system. To organize and carry out medical assistance. To organize and formulate reform plans for the long-term care insurance system and organize its implementation. Carrying out the implementation of the medical insurance catalog and payment standards, and implementing the dynamic adjustment mechanism. It regulates the conclusion of service agreements with medical institutions, carries out and enforces the agreements and payment management methods of designated medical institutions, and implements the management methods and settlement policies for medical treatment in other places. Organizing and promoting the reform of medical insurance payment methods. It organizes and carries out the economic evaluation of medicines, medical consumables and medical technology at the municipal (county) level.
2, the implementation of drugs, medical supplies price policy, organization of medical services, medical service facilities charges and other policies and organize the implementation of the establishment of price information monitoring and information dissemination system. Implementation of the implementation of drugs, medical supplies bidding and procurement, distribution and settlement management policies, to guide the city's health care institutions drugs, medical equipment, medical supplies centralized procurement of supervision and management work, to play the role of bidding and procurement of drugs, medical supplies platform supervision.
(3) Fund Supervision Section. Organization and implementation of medical insurance fund supervision and management methods. To establish and improve the safety prevention and control mechanism of the medical insurance fund, and to establish and improve the medical insurance credit evaluation system and information disclosure system. Supervision and management of medical services included in the scope of payment of medical insurance behavior and medical costs, standardize medical insurance operations. Receive complaints and reports in the field of medical insurance, and investigate and deal with violations of the law in accordance with the law.