Zunyi Municipal Medical Insurance Bureau Functional Information
Zunyi Municipal Medical Insurance Bureau (hereinafter referred to as the Municipal Medical Insurance Bureau) is a working department of the municipal people's government at the county level. The Municipal Medical Insurance Bureau implements the guidelines, policies and decision-making arrangements of the CPC Central Committee, the Provincial Party Committee and the Municipal Party Committee on the work of medical insurance, and adheres to and strengthens the Party's centralized and unified leadership of the work of medical insurance in the course of performing its duties. Main responsibilities:
(a) implement the national and provincial medical security related laws and regulations and policies, formulate Zunyi City, basic medical insurance, maternity insurance, medical assistance and other medical security system of local laws and regulations (regulations) drafts, policies, planning and standards, the development of departmental regulations and organize the implementation.
(b) To organize the formulation and implementation of supervision and management measures for the medical insurance fund, establish and improve the safety prevention and control mechanism of the medical insurance fund, and promote the reform of the payment method of the medical insurance fund.
(iii) Organizing the formulation of policies on medical insurance financing and treatment, improving the dynamic adjustment and regional transfer and balance mechanism, integrating urban and rural medical insurance treatment standards, and establishing and improving the treatment adjustment mechanism that is appropriate to the level of financing. It organizes the formulation and implementation of reform plans for the long-term care insurance system.
(d) Implementing the unified urban and rural medical insurance catalogs of medicines, medical consumables, medical service items and medical service facilities formulated by superiors, improving the payment standards and establishing a dynamic adjustment mechanism.
(e) Organizing the formulation of policies on the prices of medicines, medical consumables and charges for medical service items and medical service facilities, establishing a mechanism for dynamic price adjustments, promoting the establishment of a market-led mechanism for the formation of social prices for medical services, and establishing a system for monitoring price information and releasing information.
(f) Implementing the policies of bidding and purchasing of drugs and medical consumables at the higher level, guiding and supervising the bidding and purchasing of drugs and medical consumables.
(vii) formulating service agreements and payment management methods for designated medical institutions and organizing their implementation, establishing and improving the medical insurance credit evaluation system and information disclosure system, supervising and overseeing medical service behaviors and medical expenses included in the scope of medical insurance, and assisting and cooperating with the relevant departments in investigating and dealing with violations of laws and discipline in the field of medical insurance.
(viii) To be responsible for medical insurance management, public service system and informationization. Improving the management of medical care in other places. Establishing and improving the system of transferring and continuing medical insurance relations. Carrying out foreign exchanges and cooperation in the field of medical insurance.
(ix) To formulate the medical insurance management system for retired persons.
(ix) Formulating policies related to the medical insurance treatment of retirees and organizing their implementation.
(j) Combined with departmental responsibilities, it is responsible for the work of production safety and fire safety in its own department and in its own industry; it does a good job in the development and application of big data and the management of governmental data resources according to regulations, and promotes the management of departmental governmental affairs according to the law.
(k) To improve the unified urban and rural residents' rights and interests, and implement the policies on the treatment of urban and rural residents.
(k) Improve the unified basic medical insurance system for urban and rural residents, the major disease insurance and medical assistance system, establish and improve the multi-level medical insurance system covering all people in the city and rural and urban areas, continuously improve the level of medical insurance, ensure the rational use of medical insurance funds, safe and controllable, and push forward the reform of medical care, medical insurance, and pharmaceuticals, so as to better protect the medical needs of the people in the city. To better protect the city's people's medical needs and reduce the burden of medical costs.
(xii) Completing other tasks assigned by the Municipal Party Committee, the Municipal People's Government and the Provincial Medical Security Bureau.
