① Main responsibilities of Zhaoqing Medical Security Bureau
First, formulate medical insurance, maternity insurance, medical assistance and other medical security-related normative documents, formulate the city's medical security development plans, policies and standards, and organize the implementation, supervision and inspection.
Two, organize the formulation and implementation of medical insurance fund management and fund supervision and management system, establish and improve the medical insurance fund safety prevention and control mechanism, formulate response plans and organize their implementation.
Three, organize the formulation of medical insurance financing and treatment policies, improve the dynamic adjustment and regional adjustment and balance mechanism, coordinate the urban and rural medical insurance treatment standards, and establish and improve the treatment adjustment mechanism that is suitable for the financing level. Organize the formulation and implementation of long-term care insurance system reform plan.
Four, organize the implementation of urban and rural unified medical insurance catalogue and payment standards for drugs, medical consumables, medical services, medical service facilities. , the establishment of dynamic adjustment mechanism, organize the implementation of medical insurance directory access negotiation rules.
Five, organize the formulation of drugs, medical consumables prices and medical service items, medical service facilities charges and other policies, establish a reasonable determination and dynamic adjustment mechanism for medical insurance payment of medical service prices, promote the establishment of a market-led social medical service price formation mechanism, and establish a price information monitoring and information release system.
Six, formulate bidding policies for drugs and medical consumables and supervise their implementation.
Seven, formulate the designated medical institutions agreement and payment management measures and organize their implementation, promote the reform of medical security fund payment methods, establish and improve the designated medical service evaluation system and information disclosure system, supervise and manage the medical service behavior and medical expenses included in the scope of medical security, and investigate and deal with illegal acts in the field of medical security according to law.
② Introduction of Huaiji County Medical Insurance Bureau.
Huaiji County Medical Insurance Administration is a fully funded institution at the sub-county level under the leadership of the Municipal Human Resources and Social Security Bureau.
To provide corresponding management services for employers, employees and retired cadres who participate in basic medical insurance, industrial injury insurance and maternity insurance;
Responsible for the examination and approval of diseases specified by Huaiji County Medical Insurance Bureau;
Responsible for guiding and promoting the reform of medical insurance system of Huaiji County Medical Insurance Bureau,