? Lianyungang City Health Insurance Department Consulting Phone:
1, Lianyungang City level
0518-85685958
2, Donghai County
0518-87220120
3, Guanyun County
0518-88800030
4, Guannan County
0518-83289913
5, Ganyu District
0518-86265060
(a) implementation of national and provincial policies and laws and regulations relating to medical security work, the formulation of the city's medical insurance, maternity insurance, pharmaceutical prices, medical services, major medical insurance, medical assistance and other medical security system of policy, planning and administrative measures to establish and improve the multi-level medical security system system and organize the implementation.
(2) is responsible for the management and operation of the medical insurance fund. Undertake the management of the medical insurance fund budget and final accounts, organize the development and implementation of the supervision and management of the medical insurance fund, establish and improve the city's unified security and prevention and control mechanism of the medical insurance fund, and organize and carry out the fight against fraudulent and deceptive acts of the medical insurance fund. Promote the reform of the payment method of the medical insurance fund.
(3) to formulate medical insurance financing and treatment policy and organization and implementation. Coordinate urban and rural medical insurance financing and treatment standards, and establish and improve treatment adjustment mechanisms and regional transfer and balancing mechanisms that are commensurate with the level of financing. Promoting the establishment of a long-term care insurance system. Promoting the implementation of accurate poverty alleviation through medical insurance.
(4) Responsible for the implementation of the medical insurance catalog. It organizes the implementation of a unified medical insurance catalog and payment standards for medicines, medical consumables, medical service items and medical service facilities, and establishes a dynamic adjustment mechanism for payment standards.
(5) to organize the development of the city's drugs, medical supplies prices and medical services, medical services, medical services and facilities charges and other policies, the establishment of medical insurance to pay for the price of medical services to reasonably determine and dynamically adjust the mechanism, to promote the establishment of a market-led price formation mechanism for social medical services, the establishment of price information monitoring, cost surveys, effect assessment and information dissemination system, the establishment of a sound charging behavior of medical institutions Inspection mechanism.
(F) organizing the implementation of national and provincial drugs, medical supplies bidding and procurement policies, responsible for the city's drugs, medical supplies price negotiations and centralized procurement work.
(vii) Formulating and organizing the implementation of agreement management methods and payment management methods for designated medical institutions, and establishing and improving the medical insurance credit evaluation system and information disclosure system.
(viii) Supervising and managing the behavior of medical services and medical expenses included in the scope of medical insurance, and investigating and dealing with violations of laws and regulations in the field of medical insurance in accordance with the law.
(ix) is responsible for the city's medical insurance management, public **** service system. Undertake the city's medical insurance informationization, standardization, standardization construction. Organize the development and improvement of the management of medical treatment in other places and the settlement of expenses policy. Establishing and improving the system of transferring and continuing medical insurance relations. Undertake the integrated management and service of medical expenses of retired cadres. Carrying out foreign cooperation and exchanges in the field of medical insurance.
(10) to complete other tasks assigned by the municipal party committee and the municipal government.