Responsibilities of District medical insurance bureau:
The District Medical Security Bureau implements the principles, policies and decision-making arrangements of the Party Central Committee, the Provincial Party Committee, the Municipal Party Committee and the District Committee on medical security work, and adheres to and strengthens the centralized and unified leadership of the Party on medical security work in the process of performing its duties. Its main responsibilities are:
(a) the implementation of national, provincial and municipal laws, regulations and policies on medical insurance, maternity insurance and medical assistance. Formulate policies, plans and standards related to regional medical security.
(2) Organizing the formulation and implementation of policies on financing and treatment of medical security, improving the mechanism of dynamic adjustment and regional adjustment and balance, coordinating the treatment standards of urban and rural medical security, establishing and improving the treatment adjustment mechanism that is compatible with the level of financing, and establishing a unified medical security system in the whole region. Organize the formulation and implementation of long-term care insurance system reform plan.
(3) Organizing the formulation and implementation of measures for the supervision and management of medical insurance funds, establishing and improving the safety prevention and control mechanism of medical insurance funds, promoting the reform of payment methods of medical insurance funds, and undertaking relevant work for the supervision and management of district-level medical insurance funds.
(4) Implementing policies such as medical insurance catalogues, payment standards and charging standards for drugs, medical consumables, medical service items and medical service facilities formulated by higher medical security departments, and implementing a dynamic adjustment mechanism. According to the authorized organization, formulate the charging policy for medical services. Establish price information monitoring and information release system.
(five) to implement the bidding policy of drugs and medical consumables of the superior medical security department and organize the implementation.
(VI) Formulating the agreements and payment management measures of designated medical institutions and organizing their implementation, establishing and improving the credit evaluation system and information disclosure system of medical insurance, supervising and managing the medical service behaviors and medical expenses brought into medical insurance coverage, and investigating and punishing illegal acts in the field of medical insurance according to law.
(seven) responsible for medical security management, public service system and information construction. Organize the formulation and improvement of medical treatment management and expense settlement policies in different places, and establish and improve the transfer and connection system of medical security relations.
(eight) to complete other tasks assigned by the district party committee and district government.
(9) Function conversion. Deepen the reform of "running at most once" in medical security in the whole region. We will improve the unified basic medical insurance system and serious illness insurance system for urban and rural residents, promote the reform of "three medical linkages" of medical care, medical insurance and medicine, promote the construction of unified "smart medical insurance" in the whole region, establish and improve a multi-level medical security system covering the whole people and integrating urban and rural areas, strengthen medical insurance and graded diagnosis and treatment, price control and contract services, give full play to the leverage of medical insurance, promote the establishment of a market-led social medical price formation mechanism, and continuously improve the level of medical security.
(ten) the division of responsibilities with the District Health Bureau. District Health Bureau, District Medical Security Bureau and other departments should strengthen the system and policy convergence of medical care, medical insurance and medicine, establish a communication and consultation mechanism, jointly promote the reform of "three medical linkage" and the construction of regional medical and health services, accelerate the interconnection of medical insurance and medical and medical data, and improve the efficiency of medical resources use and the level of medical security.