Jinhu County Social Medical Insurance Fund Management Center (hereinafter referred to as "Jinhu County Medical Insurance Center") was established on August 20 19. Under the Jinhu County Medical Insurance Bureau, it is a fully funded institution with a sub-level. It consists of seven stocks: comprehensive stock, financial stock, collection management stock, treatment payment stock, remote settlement stock, audit stock and special handling stock. Mainly responsible for the county's basic medical and maternity insurance, fund co-ordination, payment and audit, retired cadres medical co-ordination, designated medical institutions and retail pharmacies to determine and manage.
Address: East Hall 2, Floor 1, Citizen Center, No.288 Huayuan South Road, Jinhu County.
Jinhu County Medical Security Bureau was established on February 26th, 2009. Its main responsibilities are:
1. To formulate policies, plans and plans for the county's basic medical insurance, maternity insurance, serious illness insurance, medical assistance, medical price and other medical security systems; Promote the establishment of a long-term care insurance system, establish and improve a multi-level medical security system and organize its implementation. Carry out foreign cooperation and exchanges in the field of medical security.
2 collaborative management of medical insurance fund budget and final accounts, organize the formulation and implementation of medical insurance fund supervision and management measures, establish and improve the county-wide unified medical insurance fund safety prevention and control mechanism; Organize to crack down on fraud and defrauding medical insurance funds. Promote the reform of payment methods of medical security funds.
3. Organize the implementation of medical insurance financing and treatment policies, coordinate urban and rural medical insurance financing and treatment standards, promote the establishment of a dynamic adjustment mechanism for medical insurance treatment and a regional adjustment and balance mechanism, and establish and improve a treatment adjustment mechanism that is compatible with the level of financing. Promote the implementation of medical security and precise poverty alleviation.
4. Organize and implement a unified catalogue of medical insurance drugs, medical consumables, medical service items and medical service facilities; Formulate a unified payment standard for the county and establish a dynamic adjustment mechanism.
5. Organize the formulation and implementation of policies on medical service items and charges for medical service facilities, implement the price policy of drugs and medical consumables, and establish a reasonable determination and dynamic adjustment mechanism for medical service prices paid by medical insurance;
Promote the establishment of a market-led social medical service price formation mechanism, and establish a system of price information monitoring, cost investigation and information release.
6. Carry out the bidding and purchasing policies for drugs and medical consumables and supervise their implementation, and be responsible for establishing a centralized purchasing price negotiation mechanism for drugs and medical consumables and organizing their implementation. Guide and supervise medical institutions to use the bidding and purchasing platform for drugs and medical consumables.
7. Formulate the agreement and payment management measures of 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 included in medical insurance coverage, and investigate and deal with illegal acts in the field of medical insurance according to law.
8. Responsible for the county medical security management, public service system construction. Coordinate and promote the informatization, standardization and standardization of medical security in the county. Organize the formulation and improvement of policies on medical treatment management and expense settlement in different places. Establish and improve the transfer and connection system of medical security relations.
9. To undertake the duties of work safety stipulated by laws and regulations, superior regulations and the county party committee and county government.
10. Complete other tasks assigned by the county party committee and government.