Copyright of Shangqiu Medical Security Bureau All rights reserved by the organizer: Website ID of Shangqiu Medical Security Bureau: 4 1 1400062 Website filing: Yu ICP Bei 200 17739-1 Wang An Bei 41kloc-0/40302000.
The main responsibilities of Shangqiu Medical Security Bureau are:
(1) Formulating normative documents, policies, plans, standards and organizing the implementation of medical security systems such as medical insurance, maternity insurance, medical security for retirees, medical security for retired military cadres transferred to the government for resettlement, and medical assistance.
(two) to organize the formulation and implementation of the city's medical insurance fund supervision and management measures, establish and improve the medical insurance fund safety prevention and control mechanism, and promote the reform of medical insurance fund payment methods.
(three) to organize the formulation of the city's medical security financing and treatment policies, improve the dynamic adjustment and regional adjustment and balance mechanism, coordinate the urban and rural medical security treatment standards, and establish and improve the treatment adjustment mechanism that is suitable for the financing level; Promote the reform of long-term care insurance system.
(four) to organize the formulation of drugs, medical consumables, medical services, medical service facilities and other urban and rural unified medical insurance catalogue and payment standards. , establish a dynamic adjustment mechanism, formulate the rules for the negotiation of medical insurance catalogue access and organize their implementation.
(five) to organize the formulation of the city's drugs, medical consumables prices and medical service items, medical service facilities charges and other policies and organize their implementation; Establish a reasonable determination and dynamic adjustment mechanism for the price of medical services paid by medical insurance, promote the establishment of a market-led social medical service price formation mechanism, and establish a price information monitoring and information release system.
(six) to formulate the bidding and purchasing policies for drugs and medical consumables in the city and supervise their implementation, and guide the construction of bidding and purchasing platforms for drugs and medical consumables.
(VII) To formulate the agreement and payment management measures for designated medical institutions in the city and organize their implementation, establish and improve the credit evaluation system and information disclosure system of medical insurance, supervise and manage the medical service behavior and medical expenses incorporated into medical insurance coverage, and investigate and deal with illegal acts in the field of medical insurance according to law.
(eight) responsible for the city's medical security management, public service system and information construction, organize the formulation and improvement of medical treatment management and cost settlement policies in different places, and establish and improve the transfer and connection system of medical security relations.
(nine) to complete other tasks assigned by the municipal government.
(10) Division of responsibilities.
1. Division of responsibilities with Shangqiu Health and Wellness Committee. Shangqiu Health and Wellness Committee, Shangqiu Medical Security Bureau and other departments have strengthened the system and policy convergence in medical care, medical insurance and medicine, established a communication and consultation mechanism, and jointly promoted reforms to improve the efficiency of the use of medical resources and the level of medical security.
2. Division of responsibilities with Shangqiu Human Resources and Social Security Bureau. Shangqiu Human Resources and Social Security Bureau and Shangqiu Medical Security Bureau have strengthened the system and policy convergence in the aspects of national enrollment registration plan, social insurance service platform construction, social security card issuance, management, application and service, established communication and consultation mechanism, and improved the efficiency of handling services.