Laibin Municipal Medical Insurance Bureau Functional Information
(a) Implementing and enforcing the laws and regulations, guidelines, policies and standards of the central government and the autonomous regions relating to medical security and medicine prices, organizing and formulating development plans, policies and standards for medical security, and organizing and implementing, supervising and inspecting them.
Secondly, it organizes and implements the supervision and management methods of the medical insurance fund, and establishes and improves the risk prevention and control mechanism of the medical insurance fund.
Third, organizing the implementation of medicines, medical consumables, medical services, medical service facilities and other medical insurance directory and payment standards; the establishment of a dynamic adjustment mechanism, and organizing the implementation of medical insurance directory access negotiation rules.
Fourth, organizing the implementation of drugs, medical consumables prices and medical service items and prices, medical service facilities charges and other policies; establishing a reasonable determination and dynamic adjustment mechanism for the prices of medical services paid by the medical insurance; promoting the establishment of a market-led mechanism for the formation of prices of social medical services; establishing a price monitoring and information dissemination system and organizing its implementation. V. Organize and implement the bidding and purchasing policies for drugs and medical consumables, and guide the construction of bidding and purchasing platforms for drugs and medical consumables.
Sixth, organize and implement medical assistance planning, policies and standards, and improve the urban and rural medical assistance system. Organize and implement the management of basic medical insurance and maternity insurance for urban workers and urban and rural residents in the city.
Seven, the development of designated medical institutions agreement management methods and organize the implementation. Promote the reform of the payment system of the medical insurance fund, formulate payment management methods and organize the implementation. Establishing and improving the service evaluation and assessment system and information release system for designated medical institutions. Supervision and management of medical services included in the scope of medical insurance behavior and medical costs, in accordance with the law to investigate and deal with violations of the law in the field of medical insurance.
Eight, responsible for medical insurance management, public service system and information construction work. Organize and implement the management and expense settlement policy of medical care in other places. To establish and improve the system of transferring and continuing medical insurance relations. Carry out cooperation and exchange in the field of medical insurance.
Nine, to complete the municipal party committee, the municipal people's government assigned other tasks.
