Liupanshui City Medical Protection Bureau Functional Information
Medical security is a major livelihood project that has a bearing on the health and well-being of the people, and the CPC Central Committee and the State Council attach great importance to it.
In accordance with the requirements of the Implementation Opinions of the CPC Liupanshui Municipal Committee of Liupanshui Municipal People's Government on the Reform of Municipal Institutions in Liupanshui City, the Liupanshui Municipal Bureau of Healthcare Security was formally listed on 17 February 2019 and established. As one of the 34 government agencies in this institutional reform, the formation of the Municipal Medical Security Bureau is not only an adjustment of the government agencies, but also a key step for the medical insurance from ‘small medical insurance’ to ‘big medical insurance’.
What are the main responsibilities of the Municipal Medical Security Bureau?
As an organisation directly under the municipal government, the newly-established Municipal Bureau of Medical Security integrates the responsibilities of the Municipal Human Resources and Social Security Bureau for urban workers‘ and urban residents’ medical insurance and maternity insurance, the Municipal Health Bureau for new rural cooperative medical care, the Municipal Development and Reform Commission for the management of medicine and medical service prices, and the Municipal People's Government Bureau for medical assistance.
These include: implementing national and provincial laws and regulations on medical insurance, formulating local laws and regulations on medical insurance, maternity insurance, medical assistance and other medical insurance systems, formulating departmental regulations and organising their implementation.
It also organises the formulation and implementation of supervision and management measures for the medical insurance fund, establishes and improves the safety prevention and control mechanism of the medical insurance fund, and promotes the reform of the payment method of the medical insurance fund.
It organises the formulation of policies on medical insurance treatment, and establishes and improves the treatment adjustment mechanism in line with the level of financing; it organises the formulation and implementation of reform programmes for the long-term care insurance system.
Implementing unified urban and rural medical insurance catalogues and payment standards for medicines, medical consumables, medical service items and medical service facilities, and establishing a dynamic adjustment mechanism.
Implementing policies on the prices of medicines, medical consumables and charges for medical service items and medical service facilities, and establishing a mechanism for reasonably determining and dynamically adjusting the prices of medical services paid for by medical insurance; implementing policies on bidding for and purchasing of medicines and medical consumables and supervising the implementation thereof.
It also formulates and organises the implementation of agreement and payment management methods for designated medical institutions, establishes and improves the medical insurance credit evaluation system and information disclosure system, supervises and manages the medical service behaviours and medical expenses included in the scope of medical insurance, and investigates and punishes illegal and irregular behaviours in the field of medical insurance in accordance with the law.
It is responsible for medical insurance management, public service system and information construction; organises the formulation and improvement of policies for the management of medical treatment in other places and the settlement of expenses; establishes and improves the system of transferring medical insurance relations; and carries out foreign exchanges and co-operation in the field of medical insurance.
