1. In order to improve the unified basic medical insurance system and serious illness insurance system for urban and rural residents, continuously improve the level of medical security, ensure the rational use, safety and controllability of medical insurance funds, promote the reform of "three medical linkages" among medical care, medical insurance and medicine as a whole, and better ensure the sick people to seek medical treatment, the State Council proposed an institutional reform plan. The responsibilities of basic medical insurance and maternity insurance for urban workers and urban residents in Ministry of Human Resources and Social Security, the new rural cooperative medical care of the National Health and Family Planning Commission, the price management of drugs and medical services of the National Development and Reform Commission, and the medical assistance of the Ministry of Civil Affairs will be integrated to form the National Medical Insurance Bureau, which is directly affiliated to the State Council. 2065438+In March, 2008, the first meeting of the 13th National People's Congress passed the Decision on the Institutional Reform Plan of the State Council, and established the National Health Insurance Bureau of People's Republic of China (PRC).
2. The National Health Insurance Bureau implements the principles, policies and decision-making arrangements of the CPC Central Committee on medical security work, and adheres to and strengthens the centralized and unified leadership of the Party on medical security work in the process of performing its duties. The main responsibilities are:
(1) Drafting laws, regulations, policies, plans and standards for medical insurance, maternity insurance, medical assistance and other medical security systems, formulating departmental rules and organizing their implementation.
(two) to organize the formulation and implementation of measures for the supervision and management of medical insurance funds, establish and improve the safety prevention and control mechanism of medical insurance funds, and promote the reform of payment methods of medical insurance funds.
(three) to organize the formulation of medical insurance financing and treatment policies, improve the dynamic adjustment and regional adjustment and balance mechanism, coordinate the treatment standards of urban and rural medical insurance, and establish and improve the treatment adjustment mechanism suitable for the financing level. Organize the formulation and implementation of long-term care insurance system reform plan.
(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. To establish a dynamic adjustment mechanism, formulate the negotiation rules for medical insurance catalogue access and organize their implementation.
(5) Organizing the formulation of policies on the prices of medicines and medical consumables, medical service items and charges for medical service facilities, establishing a mechanism for reasonably determining and dynamically adjusting the price of medical services paid by medical insurance, promoting the establishment of a market-led social medical service price formation mechanism, and establishing a price information monitoring and information release system.