Wuhan Qingshan Medical Insurance Office Address: Wuhan is Qingshan District Youyi Avenue 1102
Working Hours: 8:30-12:00, 14:30-17:30
Departmental Functions:
1. Strong>Departmental Functions:
1. Implementing and enforcing the local laws, government regulations and policies of the national, provincial and municipal medical insurance, maternity insurance, medical aid and other medical security systems.
2. Supervise and manage the county's medical insurance fund, establish and improve the medical insurance fund safety prevention and control mechanism, and promote the reform of the medical insurance fund payment method.
3. Responsible for the implementation of medical insurance treatment policy, the major disease insurance system, and promote the reform of long-term care insurance system.
4. Implementing unified urban and rural medical insurance catalogs and payment standards for medicines, medical consumables, medical service items and medical service facilities.
5. Implementing national, provincial and municipal policies on the prices of medicines and medical consumables, as well as the charges for medical service items and medical service facilities, and implementing the centralized procurement policies for medicines and medical consumables at the national, provincial and municipal levels.
6. It is responsible for signing agreements with designated medical institutions, implementing payment management methods, establishing and improving the medical insurance credit evaluation system and information disclosure system, supervising and managing the behavior of medical services and medical expenses included in the scope of medical insurance, and investigating and dealing with or assisting in investigating and dealing with violations of laws and regulations in the field of medical insurance in accordance with the law.
7. Responsible for the county's medical insurance management, public **** service system and information construction, the implementation of the management policy of medical care in other places, the establishment of a sound system for the transfer and continuation of medical insurance relations.
8. Responsible for party building, ideology, propaganda and ideology and mass work in the system or field.
9. To fulfill other duties prescribed by laws, regulations and rules; to complete other tasks assigned by the county party committee and the county government.
10. Functional transformation. In accordance with the CPC Central Committee and State Council on the transformation of government functions, deepen the reform of administrative reform, in-depth promotion of the decision-making and deployment of the convenience of the examination and approval services, and conscientiously implement the county party committee, the county government to deepen the requirements of the "one time to do it" reform, the organization and promote the transformation of government functions of the system. Implement the basic medical insurance system for urban and rural residents and the major disease insurance system, implement the medical insurance financing and reimbursement adjustment mechanism, implement the compound payment method based on payment by type of disease, establish and improve the multi-level medical insurance system covering the whole population and urban and rural areas in an integrated manner, and continuously improve the level of medical insurance, ensure the reasonable use of medical insurance funds, safe and controllable, and implement the medical care, medical insurance, and pharmaceuticals according to the division of labor. The "three medical reforms" have been implemented in accordance with the division of responsibilities, so as to better safeguard the people's demand for medical care and reduce the burden of medical expenses.
11. Division of responsibilities with the Health and Wellness Bureau. County Health Bureau, the county health insurance bureau and other departments in the medical, health insurance, medicine and other aspects of strengthening the system, policy convergence, the establishment of a communication and consultation mechanism, synergistically promote the reform, improve the efficiency of the use of medical resources and the level of medical protection.
12. On the relative concentration of administrative licensing authority. The county medical insurance bureau is responsible for the dynamic adjustment of administrative power matters; the county administrative approval service bureau is responsible for the exercise of centralized by the county government approved the field of medical insurance related administrative licensing and related matters. The two departments to establish and improve the articulation and cooperation mechanism, in accordance with the law to fulfill the division of responsibilities, and strengthen the liaison meeting, information sharing, business collaboration and other aspects of mutual cooperation.