Baishan City Medical Price Service Center is a wholly-owned institution under the Municipal Medical Insurance Bureau, with its institutional specifications at the same level. Mainly responsible for the implementation of national, provincial, municipal party committee and municipal government policies and decision-making arrangements on medical prices and procurement, mainly responsible for the city's medical price management and supervision; the city's drugs, equipment procurement management and supervision; the city's medical insurance information technology construction and other work.
According to the "General Office of the C*** Jilin Provincial Committee, the General Office of the Jilin Provincial People's Government on the issuance of Baishan City, the notice of the institutional reform program" (Jitingzi 113), the formulation of this provision. Baishan City Medical Insurance Bureau (hereinafter referred to as the City Medical Insurance Bureau) is a working department of the municipal government. Municipal Medical Insurance Bureau to implement the Party Central Committee, the provincial party committee, the municipal party committee on medical security work guidelines, policies and decision-making and deployment, adhere to and strengthen the party's centralized and unified leadership of the medical security work in the performance of its duties.
Medical insurance refers to social medical insurance. It is a social insurance system that protects the basic medical needs of workers when they are sick, in accordance with the laws and regulations of the state and society.On January 12, 2016, the State Council issued the Opinions on Promoting the Integration of the Basic Medical Insurance System for Urban and Rural Residents, which called for the promotion of the integration of the medical insurance system for urban residents with the new type of rural cooperative medical care system, and the gradual establishment of a unified nationwide urban and rural residents' medical insurance system.
On December 20, 2016, the Ministry of Human Resources and Social Security held a video conference on direct settlement of the national basic medical insurance network for medical treatment in other places, and signed the first batch of responsibility letters for the national basic medical insurance network and direct settlement of medical treatment in other places with 22 provinces, including Beijing, which marked the official transfer of the work of direct settlement of medical treatment in other places across the provinces to the implementation stage.2021 The June 2021 Statistical Bulletin shows that In 2020, the number of participants in the national basic medical insurance 1,361,310,000 people, the participation rate reached more than 95%.
Medicare is characterized by "low level and wide coverage", the payment is based on the vast majority of low-level units and individuals can be covered by all units and employees in towns and cities, and employees of different nature of the unit can enjoy the right to basic medical insurance. The insured can enjoy it for life after the payment period expires. Secondly, the basic medical insurance has "both sides of the burden, unified accounting combination" features; based on the "fixed income and expenditure, income and expenditure balance" principle.
The treatment is based on uniform standards. The same access conditions, the same charges, the same treatment, there is no difference between high and low. Employees' outpatient expenses can be deducted from their personal accounts and paid by the employees themselves after the deduction. Employee's hospitalization expenses are reimbursed on a pro-rata basis:10,000 RMB, 86% reimbursed by tertiary hospitals; 10 - 20,000 RMB, 88% reimbursed by tertiary hospitals; 20 - 40,000 RMB, 92% reimbursed by tertiary hospitals. If an employee does not get sick for several years in a row, they can accumulate funds in their personal account.