05 18-85685958
2. East China Sea
05 18-87220 120
3. Guanyun County
05 18-88800030
4. guannan county
05 18-832899 13
5. Ganyu District
05 18-86265060
1. People's Republic of China (PRC) National Health Insurance Bureau is directly under the State Council. According to the institutional reform plan of the State Council approved by the First Session of the 13th National People's Congress, People's Republic of China (PRC) National Health Insurance Bureau was established as an institution directly under the State Council.
2. Main responsibilities
The National Health Insurance Bureau implements the principles, policies and decision-making arrangements of the CPC Central Committee on medical insurance, and adheres to and strengthens the centralized and unified leadership of the Party on medical insurance in the process of performing its duties. The main responsibilities are:
(a) to draft laws, regulations, policies, plans and standards for medical insurance, maternity insurance, medical assistance and other medical security systems, formulate departmental rules and organize 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 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 and implement the reform plan of long-term care insurance system.
(four) to organize the formulation of medical insurance catalogues and payment standards for drugs, medical consumables, medical services and medical service facilities. Establish a dynamic adjustment mechanism, formulate 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 medical service prices 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.
(six) to formulate and supervise the implementation of bidding policies for drugs and medical consumables, and guide the construction of bidding platforms for drugs and medical consumables.
(VII) To formulate agreements and payment management measures for designated medical institutions and organize their implementation, establish and improve the credit evaluation system and information disclosure system of medical insurance, supervise and manage medical service behaviors 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) responsible for medical security management, public service system and information construction. Organize and improve the policy of medical treatment management and expense settlement in different places. Establish and improve the transfer and connection system of medical security relations. Carry out international cooperation and exchanges in the field of medical security.
(nine) to complete other tasks assigned by the CPC Central Committee and the State Council.