I. Main responsibilities
(a) to formulate policies, plan and organize the implementation of the county medical insurance, maternity insurance, medical assistance and other medical security systems.
(two) to formulate and organize the implementation of the measures for the supervision and management of medical insurance funds, supervise and manage the relevant 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.
(III) Organize the implementation of the county-wide medical security financing and treatment policy, improve the dynamic adjustment and regional adjustment and balance mechanism, coordinate the urban and rural medical security treatment standards, establish and improve the treatment adjustment mechanism suitable for the financing level, and organize the implementation of the long-term care insurance system reform.
(4) Organizing the implementation of medical insurance catalogues and payment standards for drugs, medical consumables, medical service items and medical service facilities.
(5) Implement policies such as prices of medicines and medical consumables, charges for medical service items and medical service facilities, establish a mechanism for reasonably determining and dynamically adjusting the price of medical services paid by medical insurance, promote the establishment of a market-led social medical service price formation mechanism, and establish a price information monitoring and information release system.
(six) the implementation of national and provincial bidding policies for drugs and medical consumables.
(VII) To formulate the agreement and payment management measures for the designated medical institutions in the county and organize their implementation, establish and improve the credit evaluation system and information disclosure system of medical insurance, supervise and manage the medical service behavior and medical expenses incorporated into medical insurance coverage, and investigate and deal with illegal acts in the field of medical insurance according to law.
(eight) county medical security management, public service system and information construction. To guide and supervise the county's medical insurance, maternity insurance, medical assistance and other medical security services. Organize and implement the policy of medical treatment management and expense settlement in different places. Improve the transfer and connection system of medical security relationship and organize its implementation.
(nine) to complete other tasks assigned by the county party committee and the county government.
Second, internal institutions.
The medical insurance bureau has two units: the office and the fund unit.
(1) Office responsibilities. Responsible for the daily operation of the organs, and assist in party building, ideological and political construction and cadre team building. To undertake information, confidentiality, confidentiality, archives, openness of government affairs, supervision and supervision, drafting of important manuscripts, personnel, organization establishment, cadre education and training, government duty, organ security and logistics affairs. Assist other stock offices to complete the reply, letters and visits of the people's livelihood platform.
(2) the responsibilities of the fund unit. To undertake the budget plan, year-end final accounts and various statements of the medical insurance fund; Responsible for the allocation and settlement of funds in designated medical institutions, do a good job in sorting out and filing accounting files of medical insurance funds, and register various ticket fund statements.
Three. any other business
Person in charge of the unit: Yang Chunhui
Address: No.24, Zhou Min West Road, Yangmin Town, Min County, Dingxi City
Contact information: office phone number: 0932-7722339; Fax: 0932-7722339; E-mail: mxybj7728638 @163.com.
Office hours: 08: 30-12: 00 on weekdays; 14:30- 18:00 pm
legal ground
Article 5 The people's governments at or above the county level shall strengthen their leadership over the supervision and management of the use of medical insurance funds, establish and improve the supervision and management mechanism and law enforcement system of the use of medical insurance funds, strengthen the capacity building of the supervision and management of the use of medical insurance funds, and provide guarantee for the supervision and management of the use of medical insurance funds.
"Regulations on the Supervision and Administration of the Use of Medical Insurance Funds" Article 7 The State encourages and supports the news media to carry out public welfare publicity of medical insurance laws, regulations and medical insurance knowledge, and to supervise the use of medical insurance funds by public opinion. Publicity and reports on medical security should be true and fair.
The people's governments at or above the county level and their medical security administrative departments shall solicit opinions in writing, hold symposiums, listen to the opinions of deputies to the National People's Congress, members of the Chinese People's Political Consultative Conference and representatives of insured persons on the use of medical security funds, unblock social supervision channels, and encourage and support all sectors of society to participate in the supervision of the use of medical security funds.
Medical institutions, pharmaceutical business units (hereinafter referred to as pharmaceutical institutions) and other units and medical and health industry associations shall strengthen industry self-discipline, standardize medical service behavior, promote industry norms and self-discipline, and guide the rational use of medical security funds according to law.
"Regulations on the Supervision and Administration of the Use of Medical Security Funds" Article 9 The state establishes and improves a unified national medical security handling management system, provides standardized and standardized medical security handling services, and realizes full coverage of provinces, cities, counties, towns (streets) and villages (communities).